MCC eCare Plan Draft Implementation Guide
0.1.0 - CI Build

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

Resource Profile: Document Reference Personal Advance Care Plan (PACP)

Defining URL:http://hl7.org/fhir/us/mcc/StructureDefinition/DocRefPACP
Version:0.1.0
Name:DocRefPACP
Title:Document Reference to Patient's Personal Advance Care Plan (Advance Directive)
Status:Active as of 2020-11-02T17:51:13+00:00
Definition:

This profile constrains US Core DocumentReference to reference, query for and retrieve Personal Advance Care Plans that exist for a patient.

Publisher:HL7 International - Patient Care WG
Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

http://hl7.org/fhir/us/mcc/StructureDefinition/DocRefPACP

This profile constrains US Core DocumentReference to reference, query for and retrieve Personal Advance Care Plans that exist for a patient. In addition to the requirements set forth in US Core DocumentReference it constrains documentType codableConcept to the LOINC document code to 81334-5 “Patient Personal advance care plan”. The current FHIR specifications identifying a patient’s advance directives or a patient’s personal advance is immature and changing and unimplemented in systems. Therefore, at this time, the MCC eCare Plan seeks to find CDA based Personal Advance Care Plans that are comparatively widely implemented in systems and contain vital end of life patient requests and within which may point to actual Medical Order for Life-Sustaining Treatments (MOLST) or Physician Order for Life-Sustaining Treatments (POLST) .

Formal Views of Profile Content

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

This structure is derived from USCoreDocumentReferenceProfile

Summary

Mandatory: 2 elements
Must-Support: 1 element
Fixed Value: 3 elements

This structure is derived from USCoreDocumentReferenceProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..*USCoreDocumentReferenceProfileA reference to a document
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... 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.
Fixed Value: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... type 1..1CodeableConceptKind of document (LOINC if possible)
.... coding 1..*CodingCode defined by a terminology system
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1codePatient Personal advance care plan
Fixed Value: 81334-5

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..*USCoreDocumentReferenceProfileA reference to a document
... 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
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... 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.

Fixed Value: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... masterIdentifier Σ0..1IdentifierMaster Version Specific Identifier
... identifier SΣ0..*IdentifierOther identifiers for the document
... status ?!SΣ1..1codecurrent | superseded | entered-in-error
Binding: DocumentReferenceStatus (required)
... docStatus Σ0..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required)
... type SΣ1..1CodeableConceptKind of document (LOINC if possible)
Binding: US Core DocumentReference Type (required)
Min Binding: US Core Clinical Note Type
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ1..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ1..1codePatient Personal advance care plan
Fixed Value: 81334-5
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... category SΣ1..*CodeableConceptCategorization of document
Binding: US Core DocumentReference Category (extensible)
... subject SΣ1..1Reference(US Core Patient Profile)Who/what is the subject of the document
... date SΣ0..1instantWhen this document reference was created
... author SΣ0..*Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile)Who and/or what authored the document
... authenticator 0..1Reference(Practitioner | PractitionerRole | Organization)Who/what authenticated the document
... custodian S0..1Reference(US Core Organization Profile)Organization which maintains the document
... relatesTo Σ0..*BackboneElementRelationships to other documents
.... 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 Σ1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required)
.... target Σ1..1Reference(DocumentReference)Target of the relationship
... description Σ0..1stringHuman-readable description
... securityLabel Σ0..*CodeableConceptDocument security-tags
Binding: All Security Labels (extensible)
... content SΣ1..*BackboneElementDocument referenced
.... 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
.... attachment SΣI1..1AttachmentWhere to access the document
us-core-6: DocumentReference.content.attachment.url or DocumentReference.content.attachment.data or both SHALL be present.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType SΣ1..1codeMime type of the content, with charset etc.
Binding: Mime Types (required)
Example General: text/plain; charset=UTF-8, image/png
..... language Σ0..1codeHuman language of the content (BCP-47)
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
Example General: en-AU
..... data SI0..1base64BinaryData inline, base64ed
..... url SΣI0..1urlUri where the data can be found
Example General: http://www.acme.com/logo-small.png
..... size Σ0..1unsignedIntNumber of bytes of content (if url provided)
..... hash Σ0..1base64BinaryHash of the data (sha-1, base64ed)
..... title Σ0..1stringLabel to display in place of the data
Example General: Official Corporate Logo
..... creation Σ0..1dateTimeDate attachment was first created
.... format SΣ0..1CodingFormat/content rules for the document
Binding: DocumentReferenceFormatCodeSet (extensible)
... context SΣ0..1BackboneElementClinical context of document
.... 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
.... encounter S0..1Reference(US Core Encounter Profile)Context of the document content
.... event 0..*CodeableConceptMain clinical acts documented
Binding: v3 Code System ActCode (example)
.... period SΣ0..1PeriodTime of service that is being documented
.... facilityType 0..1CodeableConceptKind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example)
.... practiceSetting 0..1CodeableConceptAdditional details about where the content was created (e.g. clinical specialty)
Binding: PracticeSettingCodeValueSet (example)
.... sourcePatientInfo 0..1Reference(Patient)Patient demographics from source
.... related 0..*Reference(Resource)Related identifiers or resources

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..*USCoreDocumentReferenceProfileA reference to a document
... 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.

Fixed Value: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... identifier Σ0..*IdentifierOther identifiers for the document
... status ?!Σ1..1codecurrent | superseded | entered-in-error
Binding: DocumentReferenceStatus (required)
... category Σ1..*CodeableConceptCategorization of document
Binding: US Core DocumentReference Category (extensible)
... subject Σ1..1Reference(US Core Patient Profile)Who/what is the subject of the document
... date Σ0..1instantWhen this document reference was created
... author Σ0..*Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile)Who and/or what authored the document
... custodian 0..1Reference(US Core Organization Profile)Organization which maintains the document
... content Σ1..*BackboneElementDocument referenced
.... attachment ΣI1..1AttachmentWhere to access the document
us-core-6: DocumentReference.content.attachment.url or DocumentReference.content.attachment.data or both SHALL be present.
..... contentType Σ1..1codeMime type of the content, with charset etc.
Binding: Mime Types (required)
..... data I0..1base64BinaryData inline, base64ed
..... url ΣI0..1urlUri where the data can be found
.... format Σ0..1CodingFormat/content rules for the document
Binding: DocumentReferenceFormatCodeSet (extensible)
... context Σ0..1BackboneElementClinical context of document
.... encounter 0..1Reference(US Core Encounter Profile)Context of the document content
.... period Σ0..1PeriodTime of service that is being documented

doco Documentation for this format

This structure is derived from USCoreDocumentReferenceProfile

Summary

Mandatory: 2 elements
Must-Support: 1 element
Fixed Value: 3 elements

Differential View

This structure is derived from USCoreDocumentReferenceProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..*USCoreDocumentReferenceProfileA reference to a document
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... 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.
Fixed Value: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... type 1..1CodeableConceptKind of document (LOINC if possible)
.... coding 1..*CodingCode defined by a terminology system
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1codePatient Personal advance care plan
Fixed Value: 81334-5

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..*USCoreDocumentReferenceProfileA reference to a document
... 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
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... 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.

Fixed Value: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... masterIdentifier Σ0..1IdentifierMaster Version Specific Identifier
... identifier SΣ0..*IdentifierOther identifiers for the document
... status ?!SΣ1..1codecurrent | superseded | entered-in-error
Binding: DocumentReferenceStatus (required)
... docStatus Σ0..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required)
... type SΣ1..1CodeableConceptKind of document (LOINC if possible)
Binding: US Core DocumentReference Type (required)
Min Binding: US Core Clinical Note Type
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ1..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ1..1codePatient Personal advance care plan
Fixed Value: 81334-5
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... category SΣ1..*CodeableConceptCategorization of document
Binding: US Core DocumentReference Category (extensible)
... subject SΣ1..1Reference(US Core Patient Profile)Who/what is the subject of the document
... date SΣ0..1instantWhen this document reference was created
... author SΣ0..*Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile)Who and/or what authored the document
... authenticator 0..1Reference(Practitioner | PractitionerRole | Organization)Who/what authenticated the document
... custodian S0..1Reference(US Core Organization Profile)Organization which maintains the document
... relatesTo Σ0..*BackboneElementRelationships to other documents
.... 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 Σ1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required)
.... target Σ1..1Reference(DocumentReference)Target of the relationship
... description Σ0..1stringHuman-readable description
... securityLabel Σ0..*CodeableConceptDocument security-tags
Binding: All Security Labels (extensible)
... content SΣ1..*BackboneElementDocument referenced
.... 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
.... attachment SΣI1..1AttachmentWhere to access the document
us-core-6: DocumentReference.content.attachment.url or DocumentReference.content.attachment.data or both SHALL be present.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType SΣ1..1codeMime type of the content, with charset etc.
Binding: Mime Types (required)
Example General: text/plain; charset=UTF-8, image/png
..... language Σ0..1codeHuman language of the content (BCP-47)
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
Example General: en-AU
..... data SI0..1base64BinaryData inline, base64ed
..... url SΣI0..1urlUri where the data can be found
Example General: http://www.acme.com/logo-small.png
..... size Σ0..1unsignedIntNumber of bytes of content (if url provided)
..... hash Σ0..1base64BinaryHash of the data (sha-1, base64ed)
..... title Σ0..1stringLabel to display in place of the data
Example General: Official Corporate Logo
..... creation Σ0..1dateTimeDate attachment was first created
.... format SΣ0..1CodingFormat/content rules for the document
Binding: DocumentReferenceFormatCodeSet (extensible)
... context SΣ0..1BackboneElementClinical context of document
.... 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
.... encounter S0..1Reference(US Core Encounter Profile)Context of the document content
.... event 0..*CodeableConceptMain clinical acts documented
Binding: v3 Code System ActCode (example)
.... period SΣ0..1PeriodTime of service that is being documented
.... facilityType 0..1CodeableConceptKind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example)
.... practiceSetting 0..1CodeableConceptAdditional details about where the content was created (e.g. clinical specialty)
Binding: PracticeSettingCodeValueSet (example)
.... sourcePatientInfo 0..1Reference(Patient)Patient demographics from source
.... related 0..*Reference(Resource)Related identifiers or resources

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

PathConformanceValueSet
DocumentReference.languagepreferredCommonLanguages
Max Binding: AllLanguages
DocumentReference.statusrequiredDocumentReferenceStatus
DocumentReference.docStatusrequiredCompositionStatus
DocumentReference.typerequiredUSCoreDocumentReferenceType
Min Binding: US Core Clinical Note Type
DocumentReference.categoryextensibleUSCoreDocumentReferenceCategory
DocumentReference.relatesTo.coderequiredDocumentRelationshipType
DocumentReference.securityLabelextensibleAll Security Labels
DocumentReference.content.attachment.contentTyperequiredMime Types
DocumentReference.content.attachment.languagepreferredCommonLanguages
Max Binding: AllLanguages
DocumentReference.content.formatextensibleDocumentReferenceFormatCodeSet
DocumentReference.context.eventexamplev3.ActCode
DocumentReference.context.facilityTypeexampleFacilityTypeCodeValueSet
DocumentReference.context.practiceSettingexamplePracticeSettingCodeValueSet

Constraints

IdPathDetailsRequirements
dom-2DocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3DocumentReferenceIf 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-4DocumentReferenceIf 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-5DocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6DocumentReferenceA resource should have narrative for robust management
: text.`div`.exists()
ele-1DocumentReference.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DocumentReference.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DocumentReference.extension:resource-pertainsToGoalAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DocumentReference.extension:resource-pertainsToGoalMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DocumentReference.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DocumentReference.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DocumentReference.masterIdentifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.docStatusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.type.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DocumentReference.type.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DocumentReference.type.codingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.type.coding.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DocumentReference.type.coding.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DocumentReference.type.coding.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.type.coding.versionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.type.coding.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.type.coding.displayAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.type.coding.userSelectedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.type.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.dateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.authenticatorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.custodianAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.relatesToAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.relatesTo.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DocumentReference.relatesTo.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DocumentReference.relatesTo.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DocumentReference.relatesTo.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DocumentReference.relatesTo.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.relatesTo.targetAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.securityLabelAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.contentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.content.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DocumentReference.content.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DocumentReference.content.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DocumentReference.content.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DocumentReference.content.attachmentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
us-core-6DocumentReference.content.attachmentDocumentReference.content.attachment.url or DocumentReference.content.attachment.data or both SHALL be present.
: url.exists() or data.exists()
ele-1DocumentReference.content.attachment.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DocumentReference.content.attachment.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DocumentReference.content.attachment.contentTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.content.attachment.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.content.attachment.dataAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.content.attachment.urlAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.content.attachment.sizeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.content.attachment.hashAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.content.attachment.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.content.attachment.creationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.content.formatAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.contextAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.context.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DocumentReference.context.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DocumentReference.context.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DocumentReference.context.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DocumentReference.context.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.context.eventAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.context.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.context.facilityTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.context.practiceSettingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.context.sourcePatientInfoAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1DocumentReference.context.relatedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())