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Resource Profile: 問診結果
| Defining URL: | https://igs.healthdataworks.net/jp-specific-health-checkups/StructureDefinition-JP-SPECIFIC-HEALTH-QuestionnaireResponse.html |
| Version: | 0.8.0 |
| Name: | QuestionnaireResponse |
| Title: | 問診結果 |
| Status: | Draft as of 2021-09-14T21:55:32+00:00 |
| Definition: | 特定健診・特定保健指導の問診結果(質問と回答を含む)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/jp-specific-health-checkups/StructureDefinition-JP-SPECIFIC-HEALTH-QuestionnaireResponse.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。
この構造は QuestionnaireResponse から派生しています
この構造は QuestionnaireResponse から派生しています
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  QuestionnaireResponse | 0..* | QuestionnaireResponse | 特定健診・特定保健指導の問診結果 | |
  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 |
| identifier | Σ | 0..1 | Identifier | Unique id for this set of answers |
 basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | Request fulfilled by this QuestionnaireResponse |
| partOf | SΣ | 0..* | Reference(Observation | Procedure) | 回答が含まれる検査結果の参照 |
| 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 | 回答が含まれる検査結果の参照 |
| 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 |
| questionnaire | Σ | 0..1 | canonical(Questionnaire) | Form being answered |
| status | ?!SΣ | 1..1 | code | 問診結果の状態 Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. |
| subject | Σ | 0..1 | Reference(Resource) | The subject of the questions |
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of |
| authored | SΣ | 0..1 | dateTime | 問診結果の作成日 |
| author | SΣ | 0..1 | Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | 回答記録者の参照 |
| 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 | 回答記録者の参照 |
| 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 |
| source | SΣ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | 回答者の参照 |
| 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 | 回答者の参照 |
| 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 |
 item | SI | 0..* | BackboneElement | 質問アイテム |
 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 |
| linkId | S | 1..1 | string | 質問内容を特定するID Binding: 特定健診項目コード表 (required) |
| definition | 0..1 | uri | ElementDefinition - details for the item | |
| text | S | 0..1 | string | 質問文 |
| answer | S | 0..* | BackboneElement | 特定健診・特定保健指導の問診結果の回答 |
| 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 |
 value[x] | S | 0..1 | 質問への回答 Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question. | |
| valueBoolean | boolean | |||
| valueDecimal | decimal | |||
| valueInteger | integer | |||
| valueDate | date | |||
| valueDateTime | dateTime | |||
| valueTime | time | |||
| valueString | string | |||
| valueUri | uri | |||
| valueAttachment | Attachment | |||
| valueCoding | Coding | |||
| valueQuantity | Quantity | |||
| valueReference | Reference(Resource) | |||
 item | 0..* | See item (QuestionnaireResponse) | Nested groups and questions | |
| item | S | 0..* | See item (QuestionnaireResponse) | ネストした質問アイテム |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| QuestionnaireResponse | 0..* | QuestionnaireResponse | 特定健診・特定保健指導の問診結果 | |
| 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 |
| partOf | Σ | 0..* | Reference(Observation | Procedure) | 回答が含まれる検査結果の参照 |
| reference | ΣI | 0..1 | string | 回答が含まれる検査結果の参照 |
| status | ?!Σ | 1..1 | code | 問診結果の状態 Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. |
| authored | Σ | 0..1 | dateTime | 問診結果の作成日 |
| author | Σ | 0..1 | Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | 回答記録者の参照 |
| reference | ΣI | 0..1 | string | 回答記録者の参照 |
| source | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | 回答者の参照 |
| reference | ΣI | 0..1 | string | 回答者の参照 |
| item | I | 0..* | BackboneElement | 質問アイテム |
| linkId | 1..1 | string | 質問内容を特定するID Binding: 特定健診項目コード表 (required) | |
| text | 0..1 | string | 質問文 | |
| answer | 0..* | BackboneElement | 特定健診・特定保健指導の問診結果の回答 | |
| value[x] | 0..1 | 質問への回答 Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question. | ||
| valueBoolean | boolean | |||
| valueDecimal | decimal | |||
| valueInteger | integer | |||
| valueDate | date | |||
| valueDateTime | dateTime | |||
| valueTime | time | |||
| valueString | string | |||
| valueUri | uri | |||
| valueAttachment | Attachment | |||
| valueCoding | Coding | |||
| valueQuantity | Quantity | |||
| valueReference | Reference(Resource) | |||
| item | 0..* | See item (QuestionnaireResponse) | ネストした質問アイテム | |
| Documentation for this format | ||||
この構造は QuestionnaireResponse から派生しています
差分
この構造は QuestionnaireResponse から派生しています
スナップショット
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| QuestionnaireResponse | 0..* | QuestionnaireResponse | 特定健診・特定保健指導の問診結果 | |
| 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 |
| identifier | Σ | 0..1 | Identifier | Unique id for this set of answers |
| basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | Request fulfilled by this QuestionnaireResponse |
| partOf | SΣ | 0..* | Reference(Observation | Procedure) | 回答が含まれる検査結果の参照 |
| 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 | 回答が含まれる検査結果の参照 |
| 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 |
| questionnaire | Σ | 0..1 | canonical(Questionnaire) | Form being answered |
| status | ?!SΣ | 1..1 | code | 問診結果の状態 Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. |
| subject | Σ | 0..1 | Reference(Resource) | The subject of the questions |
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of |
| authored | SΣ | 0..1 | dateTime | 問診結果の作成日 |
| author | SΣ | 0..1 | Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | 回答記録者の参照 |
| 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 | 回答記録者の参照 |
| 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 |
| source | SΣ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | 回答者の参照 |
| 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 | 回答者の参照 |
| 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 |
| item | SI | 0..* | BackboneElement | 質問アイテム |
| 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 |
| linkId | S | 1..1 | string | 質問内容を特定するID Binding: 特定健診項目コード表 (required) |
| definition | 0..1 | uri | ElementDefinition - details for the item | |
| text | S | 0..1 | string | 質問文 |
| answer | S | 0..* | BackboneElement | 特定健診・特定保健指導の問診結果の回答 |
| 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 |
| value[x] | S | 0..1 | 質問への回答 Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question. | |
| valueBoolean | boolean | |||
| valueDecimal | decimal | |||
| valueInteger | integer | |||
| valueDate | date | |||
| valueDateTime | dateTime | |||
| valueTime | time | |||
| valueString | string | |||
| valueUri | uri | |||
| valueAttachment | Attachment | |||
| valueCoding | Coding | |||
| valueQuantity | Quantity | |||
| valueReference | Reference(Resource) | |||
| item | 0..* | See item (QuestionnaireResponse) | Nested groups and questions | |
| item | S | 0..* | See item (QuestionnaireResponse) | ネストした質問アイテム |
| Documentation for this format | ||||
他のプロファイルの表現: Schematron
Terminology Bindings
| Path | Conformance | ValueSet / Code |
| QuestionnaireResponse.language | preferred | CommonLanguages Max Binding: AllLanguages |
| QuestionnaireResponse.text.status | required | Fixed Value: generated |
| QuestionnaireResponse.partOf.type | extensible | ResourceType |
| QuestionnaireResponse.status | required | QuestionnaireResponseStatus |
| QuestionnaireResponse.author.type | extensible | ResourceType |
| QuestionnaireResponse.source.type | extensible | ResourceType |
| QuestionnaireResponse.item.linkId | required | SpecificHealthCheckupsItemCode |
| QuestionnaireResponse.item.answer.value[x] | example | QuestionnaireAnswerCodes |
Constraints
| Id | Path | Details | Requirements |
| dom-2 | QuestionnaireResponse | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | QuestionnaireResponse | 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 | QuestionnaireResponse | 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 | QuestionnaireResponse | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | QuestionnaireResponse | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | QuestionnaireResponse.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.text.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | QuestionnaireResponse.text.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | QuestionnaireResponse.text.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.text.div | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| txt-1 | QuestionnaireResponse.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 | QuestionnaireResponse.text.div | The narrative SHALL have some non-whitespace content : htmlChecks() | |
| ele-1 | QuestionnaireResponse.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | QuestionnaireResponse.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | QuestionnaireResponse.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | QuestionnaireResponse.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | QuestionnaireResponse.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.basedOn | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.partOf | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.partOf.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | QuestionnaireResponse.partOf.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | QuestionnaireResponse.partOf.reference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.partOf.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.partOf.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.partOf.display | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.questionnaire | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.subject | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.encounter | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.authored | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.author | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.author.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | QuestionnaireResponse.author.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | QuestionnaireResponse.author.reference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.author.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.author.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.author.display | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.source | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.source.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | QuestionnaireResponse.source.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | QuestionnaireResponse.source.reference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.source.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.source.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.source.display | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.item | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| qrs-1 | QuestionnaireResponse.item | Nested item can't be beneath both item and answer : (answer.exists() and item.exists()).not() | |
| ele-1 | QuestionnaireResponse.item.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | QuestionnaireResponse.item.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | QuestionnaireResponse.item.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | QuestionnaireResponse.item.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | QuestionnaireResponse.item.linkId | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.item.definition | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.item.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.item.answer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.item.answer.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | QuestionnaireResponse.item.answer.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | QuestionnaireResponse.item.answer.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | QuestionnaireResponse.item.answer.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | QuestionnaireResponse.item.answer.value[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.item.answer.item | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | QuestionnaireResponse.item.item | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |