IDEA4RC FHIR Implementation Guide
0.1.0 - CI Build 150

IDEA4RC FHIR Implementation Guide, published by IDEA4RC Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/idea4rc/ and changes regularly. See the Directory of published versions

Resource Profile: Observation: Head Neck Cancer Stage Group

Official URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/hn-cancer-stage-group Version: 0.1.0
Draft as of 2026-01-19 Computable Name: HnCancerStageGroup

The extent of the cancer in the body, according to a given cancer staging classification system, based on evidence such as physical examination, imaging, and/or biopsy or based on pathologic analysis of a specimen.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code The status of the result
Binding: ObservationStatus (required): Codes providing the status of an observation.
... subject Σ 1..1 Reference(Patient: IDEA4RC) Who and/or what the observation is about
... focus Σ 0..* Reference(Condition: Primary Cancer) What the observation is about, when it is not about the subject of record
... effective[x] Σ 0..1 Clinically relevant time for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... value[x] ΣC 0..1 CodeableConcept Actual result.
Binding: Cancer Stage Group Value: Athena (extensible)
... method 0..1 CodeableConcept ADD BINDING
Binding: ObservationMethods (example): Methods for simple observations.
... Slices for hasMember Σ 0..* Reference(Observation) Related resource that belongs to the Observation group
Slice: Unordered, Open by value:$this.resolve().code
.... hasMember:tnmPrimaryTumorCategory Σ 0..1 Reference(Observation: TNM Primary Tumor Category) TNM Primary Tumor Category
.... hasMember:tnmRegionalNodesCategory Σ 0..1 Reference(Observation: TNM Regional Nodes Category) TNM Regional Nodes Category
.... hasMember:tnmDistantMetastasesCategory Σ 0..1 Reference(Observation: TNM Distant Metastases Category) TNM Distant Metastases Category
.... hasMember:extraNodalExtension Σ 0..1 Reference(Observation: Radiological Extra-nodal extension (rENE)) Radiological Extra-nodal extension (rENE)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.code Base extensible Cancer Stage Group: Athena 📦0.1.0 This IG
Observation.value[x] Base extensible Cancer Stage Group Value: Athena 📦0.1.0 This IG
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 error Observation 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 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* Observation Measurements and simple assertions
... status 1..1 code The status of the result
... code 1..1 CodeableConcept What was observed
Binding: Cancer Stage Group: Athena (extensible)
... subject 1..1 Reference(Patient: IDEA4RC) Who and/or what the observation is about
... effective[x] 0..1 dateTime, Period, Timing, instant Clinically relevant time for observation
... value[x] 0..1 CodeableConcept Actual result.
Binding: Cancer Stage Group Value: Athena (extensible)
... method 0..1 CodeableConcept ADD BINDING
... device 0..0 Not used in this profile
... referenceRange 0..0 Not used in this profile
... Slices for hasMember 0..* Reference(Observation) Related resource that belongs to the Observation group
Slice: Unordered, Open by value:$this.resolve().code
.... hasMember:tnmPrimaryTumorCategory 0..1 Reference(Observation: TNM Primary Tumor Category) TNM Primary Tumor Category
.... hasMember:tnmRegionalNodesCategory 0..1 Reference(Observation: TNM Regional Nodes Category) TNM Regional Nodes Category
.... hasMember:tnmDistantMetastasesCategory 0..1 Reference(Observation: TNM Distant Metastases Category) TNM Distant Metastases Category
.... hasMember:extraNodalExtension 0..1 Reference(Observation: Radiological Extra-nodal extension (rENE)) Radiological Extra-nodal extension (rENE)
... component 0..0 Not used in this profile

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code Base extensible Cancer Stage Group: Athena 📦0.1.0 This IG
Observation.value[x] Base extensible Cancer Stage Group Value: Athena 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... 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): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... 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..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!Σ 1..1 code The status of the result
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code Σ 1..1 CodeableConcept What was observed
Binding: Cancer Stage Group: Athena (extensible)
... subject Σ 1..1 Reference(Patient: IDEA4RC) Who and/or what the observation is about
... focus Σ 0..* Reference(Condition: Primary Cancer) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] Σ 0..1 Clinically relevant time for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... value[x] ΣC 0..1 CodeableConcept Actual result.
Binding: Cancer Stage Group Value: Athena (extensible)
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept ADD BINDING
Binding: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... Slices for hasMember Σ 0..* Reference(Observation) Related resource that belongs to the Observation group
Slice: Unordered, Open by value:$this.resolve().code
.... hasMember:tnmPrimaryTumorCategory Σ 0..1 Reference(Observation: TNM Primary Tumor Category) TNM Primary Tumor Category
.... hasMember:tnmRegionalNodesCategory Σ 0..1 Reference(Observation: TNM Regional Nodes Category) TNM Regional Nodes Category
.... hasMember:tnmDistantMetastasesCategory Σ 0..1 Reference(Observation: TNM Distant Metastases Category) TNM Distant Metastases Category
.... hasMember:extraNodalExtension Σ 0..1 Reference(Observation: Radiological Extra-nodal extension (rENE)) Radiological Extra-nodal extension (rENE)
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base extensible Cancer Stage Group: Athena 📦0.1.0 This IG
Observation.value[x] Base extensible Cancer Stage Group Value: Athena 📦0.1.0 This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 error Observation 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 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code The status of the result
Binding: ObservationStatus (required): Codes providing the status of an observation.
... subject Σ 1..1 Reference(Patient: IDEA4RC) Who and/or what the observation is about
... focus Σ 0..* Reference(Condition: Primary Cancer) What the observation is about, when it is not about the subject of record
... effective[x] Σ 0..1 Clinically relevant time for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... value[x] ΣC 0..1 CodeableConcept Actual result.
Binding: Cancer Stage Group Value: Athena (extensible)
... method 0..1 CodeableConcept ADD BINDING
Binding: ObservationMethods (example): Methods for simple observations.
... Slices for hasMember Σ 0..* Reference(Observation) Related resource that belongs to the Observation group
Slice: Unordered, Open by value:$this.resolve().code
.... hasMember:tnmPrimaryTumorCategory Σ 0..1 Reference(Observation: TNM Primary Tumor Category) TNM Primary Tumor Category
.... hasMember:tnmRegionalNodesCategory Σ 0..1 Reference(Observation: TNM Regional Nodes Category) TNM Regional Nodes Category
.... hasMember:tnmDistantMetastasesCategory Σ 0..1 Reference(Observation: TNM Distant Metastases Category) TNM Distant Metastases Category
.... hasMember:extraNodalExtension Σ 0..1 Reference(Observation: Radiological Extra-nodal extension (rENE)) Radiological Extra-nodal extension (rENE)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.code Base extensible Cancer Stage Group: Athena 📦0.1.0 This IG
Observation.value[x] Base extensible Cancer Stage Group Value: Athena 📦0.1.0 This IG
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 error Observation 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 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* Observation Measurements and simple assertions
... status 1..1 code The status of the result
... code 1..1 CodeableConcept What was observed
Binding: Cancer Stage Group: Athena (extensible)
... subject 1..1 Reference(Patient: IDEA4RC) Who and/or what the observation is about
... effective[x] 0..1 dateTime, Period, Timing, instant Clinically relevant time for observation
... value[x] 0..1 CodeableConcept Actual result.
Binding: Cancer Stage Group Value: Athena (extensible)
... method 0..1 CodeableConcept ADD BINDING
... device 0..0 Not used in this profile
... referenceRange 0..0 Not used in this profile
... Slices for hasMember 0..* Reference(Observation) Related resource that belongs to the Observation group
Slice: Unordered, Open by value:$this.resolve().code
.... hasMember:tnmPrimaryTumorCategory 0..1 Reference(Observation: TNM Primary Tumor Category) TNM Primary Tumor Category
.... hasMember:tnmRegionalNodesCategory 0..1 Reference(Observation: TNM Regional Nodes Category) TNM Regional Nodes Category
.... hasMember:tnmDistantMetastasesCategory 0..1 Reference(Observation: TNM Distant Metastases Category) TNM Distant Metastases Category
.... hasMember:extraNodalExtension 0..1 Reference(Observation: Radiological Extra-nodal extension (rENE)) Radiological Extra-nodal extension (rENE)
... component 0..0 Not used in this profile

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code Base extensible Cancer Stage Group: Athena 📦0.1.0 This IG
Observation.value[x] Base extensible Cancer Stage Group Value: Athena 📦0.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... 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): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... 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..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!Σ 1..1 code The status of the result
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code Σ 1..1 CodeableConcept What was observed
Binding: Cancer Stage Group: Athena (extensible)
... subject Σ 1..1 Reference(Patient: IDEA4RC) Who and/or what the observation is about
... focus Σ 0..* Reference(Condition: Primary Cancer) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] Σ 0..1 Clinically relevant time for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... value[x] ΣC 0..1 CodeableConcept Actual result.
Binding: Cancer Stage Group Value: Athena (extensible)
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept ADD BINDING
Binding: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... Slices for hasMember Σ 0..* Reference(Observation) Related resource that belongs to the Observation group
Slice: Unordered, Open by value:$this.resolve().code
.... hasMember:tnmPrimaryTumorCategory Σ 0..1 Reference(Observation: TNM Primary Tumor Category) TNM Primary Tumor Category
.... hasMember:tnmRegionalNodesCategory Σ 0..1 Reference(Observation: TNM Regional Nodes Category) TNM Regional Nodes Category
.... hasMember:tnmDistantMetastasesCategory Σ 0..1 Reference(Observation: TNM Distant Metastases Category) TNM Distant Metastases Category
.... hasMember:extraNodalExtension Σ 0..1 Reference(Observation: Radiological Extra-nodal extension (rENE)) Radiological Extra-nodal extension (rENE)
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base extensible Cancer Stage Group: Athena 📦0.1.0 This IG
Observation.value[x] Base extensible Cancer Stage Group Value: Athena 📦0.1.0 This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 error Observation 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 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

 

Other representations of profile: CSV, Excel, Schematron