MCC eCare Plan Implementation Guide
0.1.0 - CI Build US

MCC eCare Plan Implementation Guide - Local Development build (v0.1.0). See the Directory of published versions

Resource Profile: Multiple Chronic Condition Care Plan Chronic Disease Conditions

Official URL: http://hl7.org/fhir/us/mcc/StructureDefinition/MCCChronicDisease Version: 0.1.0
Draft as of 2020-06-29 Computable Name: MCCChronicDisease

This profile constrains US Core Condition to chronic disease conditions and supporting information for use in the MCC FHIR Care Plan or other FHIR Care Plans.

This profile sets additional expectations for the US Core Condition profile to record, search, and fetch condition or diagnosis terms representing chronic disease conditions associated with a patient. In addition to the requirements set in the US Core Condition profile, this derived profile is designed to add requirements to the following elements:

  • Condition.onset (Must Support)
  • Condition.recordedDate (Must Support)
  • Condition.extension:resource-pertainsToGoal
  • supporting evidence for the diagnosis (??)
  • The profile leverages the “Condition-Due To’’ extension
  • Staging through precoord codes or condition.stage care must be taken that the condition.code and condition.stage do not conflict. (??)

Comments are welcome with respect to the pragmatic use of the “Must Support” rules defined on these elements.

This profile can be bound with any of the value sets found (put in link to Condition Value Set Page) to query for, fetch or record particular condition of interest as described in the scope of each condition value set.

Chronic Kidney Disease Profile Relationship Diagram

Usage:

Formal Views of Profile Content

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

This structure is derived from USCoreCondition

Summary

Mandatory: 0 element (2 nested mandatory elements)
Must-Support: 5 elements
Fixed Value: 2 elements

Slices

This structure defines the following Slices:

  • The element Condition.evidence.detail is sliced based on the value of profile:resolve()

This structure is derived from USCoreCondition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*USCoreConditionDetailed information about conditions, problems or diagnoses
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension:Condition-dueTo 0..*ExtensionExtension
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/condition-dueTo"
.... value[x] 0..1Reference()Value of extension
... extension:resource-pertainsToGoal S0..*ExtensionThe resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources.
.... url S1..1uri"http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
.... value[x] S1..1Reference()Reference to a Goal
... onset[x] S0..1dateTime, Age, Period, Range, stringEstimated or actual date, date-time, or age
... recordedDate S0..1dateTimeDate record was first recorded
... evidence 0..*BackboneElementSupporting evidence for the presence of a chronic condition should be provided whenever possible.
.... Slices for detail 0..*Reference(Resource)Condition.evidence allows asserting an encoded term code OR pointing to a profile where more detail is available. The use of referring to detail through referred profiles is encouraged.
Slice: Unordered, Open by profile:resolve()

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*USCoreConditionDetailed information about conditions, problems or diagnoses
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension:Condition-dueTo 0..*ExtensionExtension
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/condition-dueTo"
.... value[x] 0..1Reference()Value of extension
... extension:resource-pertainsToGoal S0..*ExtensionThe resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources.
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... url S1..1uri"http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
.... value[x] S1..1Reference()Reference to a Goal
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!SΣI0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣI0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category SI1..*CodeableConceptproblem-list-item | encounter-diagnosis | health-concern
Binding: US Core Condition Category Codes (extensible)
... severity 0..1CodeableConceptSubjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code SΣ1..1CodeableConceptPlease see the Condition Value Set Library (link?) for value sets that are subsets of US Core Condition Code that can be used at Conditon.code element
Binding: US Core Condition Code (extensible): Valueset to describe the actual problem experienced by the patient

... bodySite Σ0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... subject SΣ1..1Reference(US Core Patient Profile)Who has the condition?
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... onset[x] SΣ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... abatement[x] I0..1When in resolution/remission
.... abatementDateTimedateTime
.... abatementAgeAge
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... recordedDate SΣ0..1dateTimeDate record was first recorded
... recorder Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Who recorded the condition
... asserter Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Person who asserts this condition
... stage I0..*BackboneElementStage/grade, usually assessed formally
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... summary I0..1CodeableConceptSimple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

.... assessment I0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
.... type 0..1CodeableConceptKind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

... evidence I0..*BackboneElementSupporting evidence for the presence of a chronic condition should be provided whenever possible.
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code ΣI0..*CodeableConceptManifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... Slices for detail ΣI0..*Reference(Resource)Condition.evidence allows asserting an encoded term code OR pointing to a profile where more detail is available. The use of referring to detail through referred profiles is encouraged.
Slice: Unordered, Open by profile:resolve()
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*USCoreConditionDetailed information about conditions, problems or diagnoses
... extension:resource-pertainsToGoal 0..*ExtensionThe resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources.
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
.... value[x] 1..1Reference()Reference to a Goal
... clinicalStatus ?!ΣI0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!ΣI0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... code Σ1..1CodeableConceptPlease see the Condition Value Set Library (link?) for value sets that are subsets of US Core Condition Code that can be used at Conditon.code element
Binding: US Core Condition Code (extensible): Valueset to describe the actual problem experienced by the patient

... subject Σ1..1Reference(US Core Patient Profile)Who has the condition?
... onset[x] Σ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... recordedDate Σ0..1dateTimeDate record was first recorded

doco Documentation for this format

This structure is derived from USCoreCondition

Summary

Mandatory: 0 element (2 nested mandatory elements)
Must-Support: 5 elements
Fixed Value: 2 elements

Slices

This structure defines the following Slices:

  • The element Condition.evidence.detail is sliced based on the value of profile:resolve()

Differential View

This structure is derived from USCoreCondition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*USCoreConditionDetailed information about conditions, problems or diagnoses
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension:Condition-dueTo 0..*ExtensionExtension
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/condition-dueTo"
.... value[x] 0..1Reference()Value of extension
... extension:resource-pertainsToGoal S0..*ExtensionThe resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources.
.... url S1..1uri"http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
.... value[x] S1..1Reference()Reference to a Goal
... onset[x] S0..1dateTime, Age, Period, Range, stringEstimated or actual date, date-time, or age
... recordedDate S0..1dateTimeDate record was first recorded
... evidence 0..*BackboneElementSupporting evidence for the presence of a chronic condition should be provided whenever possible.
.... Slices for detail 0..*Reference(Resource)Condition.evidence allows asserting an encoded term code OR pointing to a profile where more detail is available. The use of referring to detail through referred profiles is encouraged.
Slice: Unordered, Open by profile:resolve()

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*USCoreConditionDetailed information about conditions, problems or diagnoses
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension:Condition-dueTo 0..*ExtensionExtension
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/condition-dueTo"
.... value[x] 0..1Reference()Value of extension
... extension:resource-pertainsToGoal S0..*ExtensionThe resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources.
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... url S1..1uri"http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
.... value[x] S1..1Reference()Reference to a Goal
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!SΣI0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣI0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category SI1..*CodeableConceptproblem-list-item | encounter-diagnosis | health-concern
Binding: US Core Condition Category Codes (extensible)
... severity 0..1CodeableConceptSubjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code SΣ1..1CodeableConceptPlease see the Condition Value Set Library (link?) for value sets that are subsets of US Core Condition Code that can be used at Conditon.code element
Binding: US Core Condition Code (extensible): Valueset to describe the actual problem experienced by the patient

... bodySite Σ0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... subject SΣ1..1Reference(US Core Patient Profile)Who has the condition?
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... onset[x] SΣ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... abatement[x] I0..1When in resolution/remission
.... abatementDateTimedateTime
.... abatementAgeAge
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... recordedDate SΣ0..1dateTimeDate record was first recorded
... recorder Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Who recorded the condition
... asserter Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Person who asserts this condition
... stage I0..*BackboneElementStage/grade, usually assessed formally
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... summary I0..1CodeableConceptSimple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

.... assessment I0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
.... type 0..1CodeableConceptKind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

... evidence I0..*BackboneElementSupporting evidence for the presence of a chronic condition should be provided whenever possible.
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code ΣI0..*CodeableConceptManifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... Slices for detail ΣI0..*Reference(Resource)Condition.evidence allows asserting an encoded term code OR pointing to a profile where more detail is available. The use of referring to detail through referred profiles is encouraged.
Slice: Unordered, Open by profile:resolve()
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
Condition.languagepreferredCommonLanguages
Max Binding: AllLanguages
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categoryextensibleUSCoreConditionCategoryCodes
Condition.severitypreferredCondition/DiagnosisSeverity
Condition.codeextensibleUSCoreConditionCode
Condition.bodySiteexampleSNOMEDCTBodyStructures
Condition.stage.summaryexampleConditionStage
Condition.stage.typeexampleConditionStageType
Condition.evidence.codeexampleManifestationAndSymptomCodes

Constraints

IdGradePathDetailsRequirements
con-3Best PracticeConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
: clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4errorConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
: abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5errorConditionCondition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6Best PracticeConditionA resource should have narrative for robust management
: text.`div`.exists()
us-core-1Best PracticeConditionA code in Condition.category SHOULD be from US Core Condition Category Codes value set.
: where(category.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category')).exists()
ele-1errorCondition.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCondition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCondition.extension:Condition-dueToAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCondition.extension:Condition-dueToMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCondition.extension:Condition-dueTo.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCondition.extension:Condition-dueTo.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCondition.extension:Condition-dueTo.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.extension:resource-pertainsToGoalAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCondition.extension:resource-pertainsToGoalMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCondition.extension:resource-pertainsToGoal.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCondition.extension:resource-pertainsToGoal.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCondition.extension:resource-pertainsToGoal.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCondition.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCondition.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.clinicalStatusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.verificationStatusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.severityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.bodySiteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.onset[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.abatement[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.recordedDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.recorderAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.asserterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
ele-1errorCondition.stageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.stage.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCondition.stage.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCondition.stage.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCondition.stage.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCondition.stage.summaryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.stage.assessmentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.stage.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
con-2errorCondition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
ele-1errorCondition.evidenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.evidence.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCondition.evidence.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCondition.evidence.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCondition.evidence.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCondition.evidence.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.evidence.detailAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCondition.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())