JP-SPECIFIC-HEALTH-GUIDANCE\添付文書情報

このページは作成中の内容です。

Resource Profile: 添付文書情報

Defining URL:

https://igs.healthdataworks.net/specific-health-checkups/StructureDefinition-JP-SPECIFIC-HEALTH-DocumentReference.html

Version:

0.8.0

Name:

DocumentReference

Title:

添付文書情報

Status:

Draft as of 2021-09-14T21:55:32+00:00

Definition:

添付文書情報です。

Publisher:

HealthDataWorks

Source Resource:

XML / JSON / Turtle

このプロファイルの公式URL:

https://igs.healthdataworks.net/specific-health-checkups/StructureDefinition-JP-SPECIFIC-HEALTH-DocumentReference.html

プロファイルの内容の正式なビュー

プロファイル、差分、スナップショット、およびその他の表示内容について説明します。

概要
差分
スナップショット
スナップショット(Must Support)
All

この構造は DocumentReference から派生しています

Summary

Must-Support: 20 elements
Fixed Value: 3 elements

この構造は DocumentReference から派生しています

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	DocumentReference	添付文書情報
id	S	0..1	string	このリソースのID
text	S	0..1	Narrative	このリソースの概要
status	S	1..1	code	generated \| extensions \| additional \| empty Fixed Value: generated
div	S	1..1	xhtml	このリソースの概要
status	S	1..1	code	このリソースの状態 Fixed Value: current
description	S	0..1	string	添付文章の説明
content	S	1..*	BackboneElement	添付文書データ
attachment	S	1..1	Attachment	添付文章
contentType	S	0..1	code	添付ファイルのMimeType
data	S	0..1	base64Binary	添付ファイルデータ(Base64符号化データ)
url	S	0..1	url	添付ファイルデータ(外部参照URL)
hash	S	0..1	base64Binary	添付ファイルのハッシュ値
title	S	0..1	string	添付ファイルを説明するタイトル
format	S	0..1	Coding	添付ファイルのフォーマット
system	S	0..1	uri	添付ファイルのフォーマットのURI Fixed Value: http://jpfhir.jp/eCheckup/CodeSystem/attachementFormat
code	S	0..1	code	添付ファイルのフォーマットコード
display	S	0..1	string	添付ファイルのフォーマットコードの名称
context	S	0..1	BackboneElement	添付⽂書に関連するデータ
related	S	0..*	Reference(Resource)	添付⽂書に関連する検査結果の参照
reference	S	0..1	string	添付⽂書に関連する検査結果の参照
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	DocumentReference	添付文書情報
id	SΣ	0..1	string	このリソースのID
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	S	0..1	Narrative	このリソースの概要
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated \| extensions \| additional \| empty Binding: NarrativeStatus (required): The status of a resource narrative. Fixed Value: generated
div	SI	1..1	xhtml	このリソースの概要
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	Σ	0..1	Identifier	Master Version Specific Identifier
identifier	Σ	0..*	Identifier	Other identifiers for the document
status	?!SΣ	1..1	code	このリソースの状態 Binding: DocumentReferenceStatus (required): The status of the document reference. Fixed Value: current
docStatus	Σ	0..1	code	preliminary \| final \| amended \| entered-in-error Binding: CompositionStatus (required): Status of the underlying document.
type	Σ	0..1	CodeableConcept	Kind of document (LOINC if possible) Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
category	Σ	0..*	CodeableConcept	Categorization of document Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	0..1	Reference(Patient \| Practitioner \| Group \| Device)	Who/what is the subject of the document
date	Σ	0..1	instant	When this document reference was created
author	Σ	0..*	Reference(Practitioner \| PractitionerRole \| Organization \| Device \| Patient \| RelatedPerson)	Who and/or what authored the document
authenticator		0..1	Reference(Practitioner \| PractitionerRole \| Organization)	Who/what authenticated the document
custodian		0..1	Reference(Organization)	Organization which maintains the document
relatesTo	Σ	0..*	BackboneElement	Relationships to other documents
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	code	replaces \| transforms \| signs \| appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship
description	SΣ	0..1	string	添付文章の説明
securityLabel	Σ	0..*	CodeableConcept	Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content	SΣ	1..*	BackboneElement	添付文書データ
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
attachment	SΣ	1..1	Attachment	添付文章
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	SΣ	0..1	code	添付ファイルのMimeType Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. Example General: en-AU
data	S	0..1	base64Binary	添付ファイルデータ(Base64符号化データ)
url	SΣ	0..1	url	添付ファイルデータ(外部参照URL) Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	SΣ	0..1	base64Binary	添付ファイルのハッシュ値
title	SΣ	0..1	string	添付ファイルを説明するタイトル Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
format	SΣ	0..1	Coding	添付ファイルのフォーマット Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	添付ファイルのフォーマットのURI Fixed Value: http://jpfhir.jp/eCheckup/CodeSystem/attachementFormat
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	添付ファイルのフォーマットコード
display	SΣ	0..1	string	添付ファイルのフォーマットコードの名称
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
context	SΣ	0..1	BackboneElement	添付⽂書に関連するデータ
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
encounter		0..*	Reference(Encounter \| EpisodeOfCare)	Context of the document content
event		0..*	CodeableConcept	Main clinical acts documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	Time of service that is being documented
facilityType		0..1	CodeableConcept	Kind of facility where patient was seen Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
practiceSetting		0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
sourcePatientInfo		0..1	Reference(Patient)	Patient demographics from source
related	S	0..*	Reference(Resource)	添付⽂書に関連する検査結果の参照
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣI	0..1	string	添付⽂書に関連する検査結果の参照
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	DocumentReference	添付文書情報
id	Σ	0..1	string	このリソースのID
text		0..1	Narrative	このリソースの概要
status		1..1	code	generated \| extensions \| additional \| empty Binding: NarrativeStatus (required): The status of a resource narrative. Fixed Value: generated
div	I	1..1	xhtml	このリソースの概要
status	?!Σ	1..1	code	このリソースの状態 Binding: DocumentReferenceStatus (required): The status of the document reference. Fixed Value: current
description	Σ	0..1	string	添付文章の説明
content	Σ	1..*	BackboneElement	添付文書データ
attachment	Σ	1..1	Attachment	添付文章
contentType	Σ	0..1	code	添付ファイルのMimeType Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
data		0..1	base64Binary	添付ファイルデータ(Base64符号化データ)
url	Σ	0..1	url	添付ファイルデータ(外部参照URL)
hash	Σ	0..1	base64Binary	添付ファイルのハッシュ値
title	Σ	0..1	string	添付ファイルを説明するタイトル
format	Σ	0..1	Coding	添付ファイルのフォーマット Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
system	Σ	0..1	uri	添付ファイルのフォーマットのURI Fixed Value: http://jpfhir.jp/eCheckup/CodeSystem/attachementFormat
code	Σ	0..1	code	添付ファイルのフォーマットコード
display	Σ	0..1	string	添付ファイルのフォーマットコードの名称
context	Σ	0..1	BackboneElement	添付⽂書に関連するデータ
related		0..*	Reference(Resource)	添付⽂書に関連する検査結果の参照
reference	ΣI	0..1	string	添付⽂書に関連する検査結果の参照
Documentation for this format

この構造は DocumentReference から派生しています

Summary

Must-Support: 20 elements
Fixed Value: 3 elements

差分

この構造は DocumentReference から派生しています

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	DocumentReference	添付文書情報
id	S	0..1	string	このリソースのID
text	S	0..1	Narrative	このリソースの概要
status	S	1..1	code	generated \| extensions \| additional \| empty Fixed Value: generated
div	S	1..1	xhtml	このリソースの概要
status	S	1..1	code	このリソースの状態 Fixed Value: current
description	S	0..1	string	添付文章の説明
content	S	1..*	BackboneElement	添付文書データ
attachment	S	1..1	Attachment	添付文章
contentType	S	0..1	code	添付ファイルのMimeType
data	S	0..1	base64Binary	添付ファイルデータ(Base64符号化データ)
url	S	0..1	url	添付ファイルデータ(外部参照URL)
hash	S	0..1	base64Binary	添付ファイルのハッシュ値
title	S	0..1	string	添付ファイルを説明するタイトル
format	S	0..1	Coding	添付ファイルのフォーマット
system	S	0..1	uri	添付ファイルのフォーマットのURI Fixed Value: http://jpfhir.jp/eCheckup/CodeSystem/attachementFormat
code	S	0..1	code	添付ファイルのフォーマットコード
display	S	0..1	string	添付ファイルのフォーマットコードの名称
context	S	0..1	BackboneElement	添付⽂書に関連するデータ
related	S	0..*	Reference(Resource)	添付⽂書に関連する検査結果の参照
reference	S	0..1	string	添付⽂書に関連する検査結果の参照
Documentation for this format

スナップショット

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	DocumentReference	添付文書情報
id	SΣ	0..1	string	このリソースのID
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	S	0..1	Narrative	このリソースの概要
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated \| extensions \| additional \| empty Binding: NarrativeStatus (required): The status of a resource narrative. Fixed Value: generated
div	SI	1..1	xhtml	このリソースの概要
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	Σ	0..1	Identifier	Master Version Specific Identifier
identifier	Σ	0..*	Identifier	Other identifiers for the document
status	?!SΣ	1..1	code	このリソースの状態 Binding: DocumentReferenceStatus (required): The status of the document reference. Fixed Value: current
docStatus	Σ	0..1	code	preliminary \| final \| amended \| entered-in-error Binding: CompositionStatus (required): Status of the underlying document.
type	Σ	0..1	CodeableConcept	Kind of document (LOINC if possible) Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
category	Σ	0..*	CodeableConcept	Categorization of document Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	0..1	Reference(Patient \| Practitioner \| Group \| Device)	Who/what is the subject of the document
date	Σ	0..1	instant	When this document reference was created
author	Σ	0..*	Reference(Practitioner \| PractitionerRole \| Organization \| Device \| Patient \| RelatedPerson)	Who and/or what authored the document
authenticator		0..1	Reference(Practitioner \| PractitionerRole \| Organization)	Who/what authenticated the document
custodian		0..1	Reference(Organization)	Organization which maintains the document
relatesTo	Σ	0..*	BackboneElement	Relationships to other documents
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	code	replaces \| transforms \| signs \| appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship
description	SΣ	0..1	string	添付文章の説明
securityLabel	Σ	0..*	CodeableConcept	Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content	SΣ	1..*	BackboneElement	添付文書データ
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
attachment	SΣ	1..1	Attachment	添付文章
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	SΣ	0..1	code	添付ファイルのMimeType Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. Example General: en-AU
data	S	0..1	base64Binary	添付ファイルデータ(Base64符号化データ)
url	SΣ	0..1	url	添付ファイルデータ(外部参照URL) Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	SΣ	0..1	base64Binary	添付ファイルのハッシュ値
title	SΣ	0..1	string	添付ファイルを説明するタイトル Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
format	SΣ	0..1	Coding	添付ファイルのフォーマット Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	添付ファイルのフォーマットのURI Fixed Value: http://jpfhir.jp/eCheckup/CodeSystem/attachementFormat
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	添付ファイルのフォーマットコード
display	SΣ	0..1	string	添付ファイルのフォーマットコードの名称
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
context	SΣ	0..1	BackboneElement	添付⽂書に関連するデータ
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
encounter		0..*	Reference(Encounter \| EpisodeOfCare)	Context of the document content
event		0..*	CodeableConcept	Main clinical acts documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	Time of service that is being documented
facilityType		0..1	CodeableConcept	Kind of facility where patient was seen Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
practiceSetting		0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
sourcePatientInfo		0..1	Reference(Patient)	Patient demographics from source
related	S	0..*	Reference(Resource)	添付⽂書に関連する検査結果の参照
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣI	0..1	string	添付⽂書に関連する検査結果の参照
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
Documentation for this format

他のプロファイルの表現: Schematron

Terminology Bindings

Path	Conformance	ValueSet / Code
DocumentReference.language	preferred	CommonLanguages Max Binding: AllLanguages
DocumentReference.text.status	required	Fixed Value: generated
DocumentReference.status	required	Fixed Value: current
DocumentReference.docStatus	required	CompositionStatus
DocumentReference.type	preferred	DocumentTypeValueSet
DocumentReference.category	example	DocumentClassValueSet
DocumentReference.relatesTo.code	required	DocumentRelationshipType
DocumentReference.securityLabel	extensible	All Security Labels
DocumentReference.content.attachment.contentType	required	Mime Types
DocumentReference.content.attachment.language	preferred	CommonLanguages Max Binding: AllLanguages
DocumentReference.content.format	preferred	DocumentReferenceFormatCodeSet
DocumentReference.context.event	example	ActCode
DocumentReference.context.facilityType	example	FacilityTypeCodeValueSet
DocumentReference.context.practiceSetting	example	PracticeSettingCodeValueSet
DocumentReference.context.related.type	extensible	ResourceType

Constraints

Id	Path	Details	Requirements
dom-2	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	DocumentReference	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	DocumentReference	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	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	DocumentReference	A resource should have narrative for robust management : text.`div`.exists()
ele-1	DocumentReference.meta	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.implicitRules	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.text.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	DocumentReference.text.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	DocumentReference.text.status	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.text.div	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
txt-1	DocumentReference.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	DocumentReference.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()
ele-1	DocumentReference.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	DocumentReference.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	DocumentReference.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	DocumentReference.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	DocumentReference.masterIdentifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.status	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.docStatus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.category	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.subject	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.date	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.authenticator	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.custodian	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.relatesTo	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.relatesTo.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	DocumentReference.relatesTo.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	DocumentReference.relatesTo.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	DocumentReference.relatesTo.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	DocumentReference.relatesTo.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.relatesTo.target	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.description	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.securityLabel	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.content	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.content.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	DocumentReference.content.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	DocumentReference.content.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	DocumentReference.content.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	DocumentReference.content.attachment	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.content.attachment.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	DocumentReference.content.attachment.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	DocumentReference.content.attachment.contentType	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.content.attachment.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.content.attachment.data	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.content.attachment.url	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.content.attachment.size	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.content.attachment.hash	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.content.attachment.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.content.attachment.creation	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.content.format	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.content.format.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	DocumentReference.content.format.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	DocumentReference.content.format.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.content.format.version	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.content.format.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.content.format.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.content.format.userSelected	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.context	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.context.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	DocumentReference.context.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	DocumentReference.context.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	DocumentReference.context.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	DocumentReference.context.encounter	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.context.event	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.context.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.context.facilityType	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.context.practiceSetting	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.context.sourcePatientInfo	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.context.related	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.context.related.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	DocumentReference.context.related.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	DocumentReference.context.related.reference	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.context.related.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.context.related.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	DocumentReference.context.related.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())