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

Resource Profile: Multiple Chronic Condition Care Plan Goal

Official URL: http://hl7.org/fhir/us/mcc/StructureDefinition/MCCGoal Version: 0.1.0
Active as of 2022-04-21 Computable Name: MCCGoal

This profile constrains US Core Goal for use in the MCC FHIR Care Plan or other FHIR Care Plans.

The US Core Goal sets minimum expectations for the Goal resource to record, search, and fetch medications associated with a patient. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile. In addition to the requirements set forth in US Core Goal this derived profile is designed to add requirements to the following elements:

  • Goal.expressedBy (Must Support)
  • Goal.addresses (Must Support)
  • Goal.outcomeReference (Must Support)
  • Goal.extension:goal-acceptance (Must Support)
  • Goal.extension:reasonRejected (Must Support)
  • Goal.extension:goal-relationship (Must Support)

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

This version o the Implemenetation Guide contains no value sets to be used with this Goal Profile but does not preclude use of encoded goals. Goal.description requires either a code or text as inherited from the US Core Goal Profile.

Usage:

  • Refer to this Resource Profile:
  • Examples for this Resource Profile: Goal/WGT-loss

Formal Views of Profile Content

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

This structure is derived from USCoreGoalProfile

Summary

Must-Support: 8 elements
Fixed Value: 6 elements

This structure is derived from USCoreGoalProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..*USCoreGoalProfileDescribes the intended objective(s) for a patient, group or organization
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension:goal-acceptance S0..*ExtensionInformation about the acceptance and relative priority assigned to the goal by the patient, practitioners and other stake-holders
Fixed Value: http://hl7.org/fhir/StructureDefinition/goal-acceptance
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/goal-acceptance"
.... value[x] 0..1Reference()Value of extension
... extension:reasonRejected S0..*ExtensionThe reason the goal was not accepted. Applies only if the status of the goal is rejected
Fixed Value: http://hl7.org/fhir/StructureDefinition/goal-reasonRejected
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/goal-reasonRejected"
.... value[x] 0..1Reference()Value of extension
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/goal-relationship"
.... value[x] 0..1Reference()Value of extension
... achievementStatus S0..1CodeableConceptin-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
... priority S0..1CodeableConcepthigh-priority | medium-priority | low-priority
... expressedBy S0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)Who's responsible for creating Goal?
... addresses S0..*Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)Issues addressed by this goal
... outcomeReference S0..*Reference(Observation)Observation that resulted from goal

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..*USCoreGoalProfileDescribes the intended objective(s) for a patient, group or organization
... 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:goal-acceptance S0..*ExtensionInformation about the acceptance and relative priority assigned to the goal by the patient, practitioners and other stake-holders

Fixed Value: http://hl7.org/fhir/StructureDefinition/goal-acceptance
.... 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/goal-acceptance"
.... value[x] 0..1Reference()Value of extension
... extension:reasonRejected S0..*ExtensionThe reason the goal was not accepted. Applies only if the status of the goal is rejected

Fixed Value: http://hl7.org/fhir/StructureDefinition/goal-reasonRejected
.... 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/goal-reasonRejected"
.... value[x] 0..1Reference()Value of extension
... extension:relationship S0..*ExtensionEstablishes a relationship between this goal and other goals

Fixed Value: http://hl7.org/fhir/StructureDefinition/goal-relationship
.... 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/goal-relationship"
.... value[x] 0..1Reference()Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierExternal Ids for this goal
... lifecycleStatus ?!SΣ1..1codeproposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
Binding: GoalLifecycleStatus (required)
... achievementStatus SΣ0..1CodeableConceptin-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
Binding: GoalAchievementStatus (preferred): Indicates the progression, or lack thereof, towards the goal against the target.

... category Σ0..*CodeableConceptE.g. Treatment, dietary, behavioral, etc.
Binding: GoalCategory (example): Codes for grouping and sorting goals.


... priority SΣ0..1CodeableConcepthigh-priority | medium-priority | low-priority
Binding: GoalPriority (preferred): The level of importance associated with a goal.

... description SΣ1..1CodeableConceptCode or text describing goal
Binding: SNOMEDCTClinicalFindings (example): Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used.

... subject SΣ1..1Reference(US Core Patient Profile)Who this goal is intended for
... start[x] Σ0..1When goal pursuit begins
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.

.... startDatedate
.... startCodeableConceptCodeableConcept
... target SI0..*BackboneElementTarget outcome for the goal
.... 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
.... measure ΣI0..1CodeableConceptThe parameter whose value is being tracked
Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.

.... detail[x] ΣI0..1The target value to be achieved
Binding: (unbound) (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.

..... detailQuantityQuantity
..... detailRangeRange
..... detailCodeableConceptCodeableConcept
..... detailStringstring
..... detailBooleanboolean
..... detailIntegerinteger
..... detailRatioRatio
.... due[x] SΣ0..1Reach goal on or before
..... dueDatedate S
..... dueDurationDuration
... statusDate Σ0..1dateWhen goal status took effect
... statusReason 0..1stringReason for current status
... expressedBy SΣ0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)Who's responsible for creating Goal?
... addresses S0..*Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)Issues addressed by this goal
... note 0..*AnnotationComments about the goal
... outcomeCode 0..*CodeableConceptWhat result was achieved regarding the goal?
Binding: SNOMEDCTClinicalFindings (example): The result of the goal; e.g. "25% increase in shoulder mobility", "Anxiety reduced to moderate levels". "15 kg weight loss sustained over 6 months".


... outcomeReference S0..*Reference(Observation)Observation that resulted from goal

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..*USCoreGoalProfileDescribes the intended objective(s) for a patient, group or organization
... extension:goal-acceptance 0..*ExtensionInformation about the acceptance and relative priority assigned to the goal by the patient, practitioners and other stake-holders

Fixed Value: http://hl7.org/fhir/StructureDefinition/goal-acceptance
... extension:reasonRejected 0..*ExtensionThe reason the goal was not accepted. Applies only if the status of the goal is rejected

Fixed Value: http://hl7.org/fhir/StructureDefinition/goal-reasonRejected
... extension:relationship 0..*ExtensionEstablishes a relationship between this goal and other goals

Fixed Value: http://hl7.org/fhir/StructureDefinition/goal-relationship
... achievementStatus Σ0..1CodeableConceptin-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
Binding: GoalAchievementStatus (preferred): Indicates the progression, or lack thereof, towards the goal against the target.

... priority Σ0..1CodeableConcepthigh-priority | medium-priority | low-priority
Binding: GoalPriority (preferred): The level of importance associated with a goal.

... description Σ1..1CodeableConceptCode or text describing goal
Binding: SNOMEDCTClinicalFindings (example): Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used.

... subject Σ1..1Reference(US Core Patient Profile)Who this goal is intended for
... target I0..*BackboneElementTarget outcome for the goal
.... due[x] Σ0..1Reach goal on or before
..... dueDatedate
... expressedBy Σ0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)Who's responsible for creating Goal?
... addresses 0..*Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)Issues addressed by this goal
... outcomeReference 0..*Reference(Observation)Observation that resulted from goal

doco Documentation for this format

This structure is derived from USCoreGoalProfile

Summary

Must-Support: 8 elements
Fixed Value: 6 elements

Differential View

This structure is derived from USCoreGoalProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..*USCoreGoalProfileDescribes the intended objective(s) for a patient, group or organization
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension:goal-acceptance S0..*ExtensionInformation about the acceptance and relative priority assigned to the goal by the patient, practitioners and other stake-holders
Fixed Value: http://hl7.org/fhir/StructureDefinition/goal-acceptance
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/goal-acceptance"
.... value[x] 0..1Reference()Value of extension
... extension:reasonRejected S0..*ExtensionThe reason the goal was not accepted. Applies only if the status of the goal is rejected
Fixed Value: http://hl7.org/fhir/StructureDefinition/goal-reasonRejected
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/goal-reasonRejected"
.... value[x] 0..1Reference()Value of extension
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/goal-relationship"
.... value[x] 0..1Reference()Value of extension
... achievementStatus S0..1CodeableConceptin-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
... priority S0..1CodeableConcepthigh-priority | medium-priority | low-priority
... expressedBy S0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)Who's responsible for creating Goal?
... addresses S0..*Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)Issues addressed by this goal
... outcomeReference S0..*Reference(Observation)Observation that resulted from goal

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..*USCoreGoalProfileDescribes the intended objective(s) for a patient, group or organization
... 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:goal-acceptance S0..*ExtensionInformation about the acceptance and relative priority assigned to the goal by the patient, practitioners and other stake-holders

Fixed Value: http://hl7.org/fhir/StructureDefinition/goal-acceptance
.... 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/goal-acceptance"
.... value[x] 0..1Reference()Value of extension
... extension:reasonRejected S0..*ExtensionThe reason the goal was not accepted. Applies only if the status of the goal is rejected

Fixed Value: http://hl7.org/fhir/StructureDefinition/goal-reasonRejected
.... 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/goal-reasonRejected"
.... value[x] 0..1Reference()Value of extension
... extension:relationship S0..*ExtensionEstablishes a relationship between this goal and other goals

Fixed Value: http://hl7.org/fhir/StructureDefinition/goal-relationship
.... 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/goal-relationship"
.... value[x] 0..1Reference()Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierExternal Ids for this goal
... lifecycleStatus ?!SΣ1..1codeproposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
Binding: GoalLifecycleStatus (required)
... achievementStatus SΣ0..1CodeableConceptin-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
Binding: GoalAchievementStatus (preferred): Indicates the progression, or lack thereof, towards the goal against the target.

... category Σ0..*CodeableConceptE.g. Treatment, dietary, behavioral, etc.
Binding: GoalCategory (example): Codes for grouping and sorting goals.


... priority SΣ0..1CodeableConcepthigh-priority | medium-priority | low-priority
Binding: GoalPriority (preferred): The level of importance associated with a goal.

... description SΣ1..1CodeableConceptCode or text describing goal
Binding: SNOMEDCTClinicalFindings (example): Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used.

... subject SΣ1..1Reference(US Core Patient Profile)Who this goal is intended for
... start[x] Σ0..1When goal pursuit begins
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.

.... startDatedate
.... startCodeableConceptCodeableConcept
... target SI0..*BackboneElementTarget outcome for the goal
.... 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
.... measure ΣI0..1CodeableConceptThe parameter whose value is being tracked
Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.

.... detail[x] ΣI0..1The target value to be achieved
Binding: (unbound) (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.

..... detailQuantityQuantity
..... detailRangeRange
..... detailCodeableConceptCodeableConcept
..... detailStringstring
..... detailBooleanboolean
..... detailIntegerinteger
..... detailRatioRatio
.... due[x] SΣ0..1Reach goal on or before
..... dueDatedate S
..... dueDurationDuration
... statusDate Σ0..1dateWhen goal status took effect
... statusReason 0..1stringReason for current status
... expressedBy SΣ0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)Who's responsible for creating Goal?
... addresses S0..*Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)Issues addressed by this goal
... note 0..*AnnotationComments about the goal
... outcomeCode 0..*CodeableConceptWhat result was achieved regarding the goal?
Binding: SNOMEDCTClinicalFindings (example): The result of the goal; e.g. "25% increase in shoulder mobility", "Anxiety reduced to moderate levels". "15 kg weight loss sustained over 6 months".


... outcomeReference S0..*Reference(Observation)Observation that resulted from goal

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
Goal.languagepreferredCommonLanguages
Max Binding: AllLanguages
Goal.lifecycleStatusrequiredGoalLifecycleStatus
Goal.achievementStatuspreferredGoalAchievementStatus
Goal.categoryexampleGoalCategory
Goal.prioritypreferredGoalPriority
Goal.descriptionexampleSNOMEDCTClinicalFindings
Goal.start[x]exampleGoalStartEvent
Goal.target.measureexampleLOINCCodes
Goal.target.detail[x]example
Goal.outcomeCodeexampleSNOMEDCTClinicalFindings

Constraints

IdGradePathDetailsRequirements
dom-2errorGoalIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorGoalIf 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-4errorGoalIf 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-5errorGoalIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6Best PracticeGoalA resource should have narrative for robust management
: text.`div`.exists()
ele-1errorGoal.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorGoal.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorGoal.extension:goal-acceptanceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorGoal.extension:goal-acceptanceMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorGoal.extension:goal-acceptance.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorGoal.extension:goal-acceptance.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorGoal.extension:goal-acceptance.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.extension:reasonRejectedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorGoal.extension:reasonRejectedMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorGoal.extension:reasonRejected.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorGoal.extension:reasonRejected.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorGoal.extension:reasonRejected.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.extension:relationshipAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorGoal.extension:relationshipMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorGoal.extension:relationship.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorGoal.extension:relationship.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorGoal.extension:relationship.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorGoal.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorGoal.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.lifecycleStatusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.achievementStatusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.priorityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.start[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.targetAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
gol-1errorGoal.targetGoal.target.measure is required if Goal.target.detail is populated
: (detail.exists() and measure.exists()) or detail.exists().not()
ele-1errorGoal.target.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorGoal.target.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorGoal.target.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorGoal.target.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorGoal.target.measureAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.target.detail[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.target.due[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.statusDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.statusReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.expressedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.addressesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.outcomeCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorGoal.outcomeReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())