HL7 FHIR Implementation Guide Laboratory Report
0.1.0 - ballot Italy flag

This page is part of the HL7 FHIR Implementation Guide Laboratory Report (v0.1.0: Release 1 Ballot 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: Observation battery - Lab Report

Official URL: http://hl7.it/fhir/lab-report/StructureDefinition/observation-grouping-it-lab Version: 0.1.0
Draft as of 2023-07-11 Computable Name: ObservationGroupingRefertoLabIt

Descrive come rappresentare un insieme di esami nel contesto del Referto di Laboratorio.

Usage:

Formal Views of Profile Content

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

This structure is derived from ObservationRefertoLabIt

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*ObservationRefertoLabItObservation battery Referto di Laboratorio
... code
.... coding
..... code 0..1codeCodice che identifica la tipologia dell'insieme di esami.
Binding: Sezioni Composition Lab Report (preferred)
... value[x] 0..0
... value[x]:valueQuantity 0..0
... interpretation 0..0
... referenceRange 0..0
... hasMember 1..*Reference(Observation - Lab Report)Osservazioni contenenti i risultati degli esami svolti.
... derivedFrom 0..*Reference(Observation - Lab Report)Reference dell'osservazione da cui deriva questo valore di osservazione.
... component 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.code.coding.codepreferredVsSezioniRefertoLaboratorio
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationRefertoLabItObservation battery Referto di Laboratorio
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codeDescrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended +
Binding: ObservationStatus (required)
.... category:esame-laboratorio 1..1CodeableConceptClassificazione del tipo di osservazione.
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:specialita-esame-laboratorio 0..*CodeableConceptCodice o testo della specialità dell'esame di laboratorio.
Binding: Sezioni Composition Lab Report (preferred)
... code Σ1..1CodeableConceptTipo di osservazione tramite codice.
Binding: Tipo Osservazione (preferred)
... subject Σ1..1Reference(Patient - Lab Report)Soggetto della rilevazione clinica.
... performer Σ1..*Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam | RelatedPerson)Soggetto responsabile dell'osservazione.
... hasMember Σ1..*Reference(Observation - Lab Report)Osservazioni contenenti i risultati degli esami svolti.
... derivedFrom Σ0..*Reference(Observation - Lab Report)Reference dell'osservazione da cui deriva questo valore di osservazione.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.category:esame-laboratoriopreferredObservationCategoryCodes
Observation.category:specialita-esame-laboratoriopreferredVsSezioniRefertoLaboratorio
Observation.codepreferredVsResultsLaboratoryObservation
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ita-lab-1errorObservationse "hasMember" non è presente allora Observation deve avere un" value"
: value.exists() or hasMember.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationRefertoLabItObservation battery Referto di Laboratorio
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!Σ1..1codeDescrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended +
Binding: ObservationStatus (required)
... Slices for category 1..*CodeableConceptCodice che classifica il tipo di osservazione.
Slice: Unordered, Open by pattern:$this.coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:esame-laboratorio 1..1CodeableConceptClassificazione del tipo di osservazione.
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*CodingCodice definito da un sistema terminologico.
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriTerminologia utilizzata.
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeCodice della terminologia per descrivere il dominio di laboratorio.
Required Pattern: laboratory
...... 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:specialita-esame-laboratorio 0..*CodeableConceptCodice o testo della specialità dell'esame di laboratorio.
Binding: Sezioni Composition Lab Report (preferred)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*CodingCodice della terminologia per dettagliare la specialità di laboratorio
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriTerminologia utilizzata.
Required Pattern: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... 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
... code Σ1..1CodeableConceptTipo di osservazione tramite codice.
Binding: Tipo Osservazione (preferred)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*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
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeCodice che identifica la tipologia dell'insieme di esami.
Binding: Sezioni Composition Lab Report (preferred)
..... 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
... subject Σ1..1Reference(Patient - Lab Report)Soggetto della rilevazione clinica.
... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter - Lab Report)Contesto in cui è stata prodotta l'osservazione.
... effective[x] Σ0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
... issued Σ0..1instantDate/Time this version was made available
... performer Σ1..*Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam | RelatedPerson)Soggetto responsabile dell'osservazione.
... dataAbsentReason C0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... note 0..*AnnotationComments about the observation
... bodySite 0..1CodeableConceptSito corporeo dell'osservazione.
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConceptMetodo di rilevazione dell'osservazione.
Binding: ObservationMethods (example)
... specimen 0..1Reference(Specimen - Lab Report)Reference al campione su cui si basa l'osservazione.
... device 0..1Reference(Device - Lab Report | DeviceMetric)Dispositivo utilizzato per ottenere l'osservazione.
... hasMember Σ1..*Reference(Observation - Lab Report)Osservazioni contenenti i risultati degli esami svolti.
... derivedFrom Σ0..*Reference(Observation - Lab Report)Reference dell'osservazione da cui deriva questo valore di osservazione.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.category:esame-laboratoriopreferredObservationCategoryCodes
Observation.category:specialita-esame-laboratoriopreferredVsSezioniRefertoLaboratorio
Observation.codepreferredVsResultsLaboratoryObservation
Observation.code.coding.codepreferredVsSezioniRefertoLaboratorio
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.bodySiteexampleSNOMEDCTBodyStructures
Observation.methodexampleObservationMethods
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from ObservationRefertoLabIt

Differential View

This structure is derived from ObservationRefertoLabIt

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*ObservationRefertoLabItObservation battery Referto di Laboratorio
... code
.... coding
..... code 0..1codeCodice che identifica la tipologia dell'insieme di esami.
Binding: Sezioni Composition Lab Report (preferred)
... value[x] 0..0
... value[x]:valueQuantity 0..0
... interpretation 0..0
... referenceRange 0..0
... hasMember 1..*Reference(Observation - Lab Report)Osservazioni contenenti i risultati degli esami svolti.
... derivedFrom 0..*Reference(Observation - Lab Report)Reference dell'osservazione da cui deriva questo valore di osservazione.
... component 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.code.coding.codepreferredVsSezioniRefertoLaboratorio

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationRefertoLabItObservation battery Referto di Laboratorio
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codeDescrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended +
Binding: ObservationStatus (required)
.... category:esame-laboratorio 1..1CodeableConceptClassificazione del tipo di osservazione.
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:specialita-esame-laboratorio 0..*CodeableConceptCodice o testo della specialità dell'esame di laboratorio.
Binding: Sezioni Composition Lab Report (preferred)
... code Σ1..1CodeableConceptTipo di osservazione tramite codice.
Binding: Tipo Osservazione (preferred)
... subject Σ1..1Reference(Patient - Lab Report)Soggetto della rilevazione clinica.
... performer Σ1..*Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam | RelatedPerson)Soggetto responsabile dell'osservazione.
... hasMember Σ1..*Reference(Observation - Lab Report)Osservazioni contenenti i risultati degli esami svolti.
... derivedFrom Σ0..*Reference(Observation - Lab Report)Reference dell'osservazione da cui deriva questo valore di osservazione.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.category:esame-laboratoriopreferredObservationCategoryCodes
Observation.category:specialita-esame-laboratoriopreferredVsSezioniRefertoLaboratorio
Observation.codepreferredVsResultsLaboratoryObservation
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ita-lab-1errorObservationse "hasMember" non è presente allora Observation deve avere un" value"
: value.exists() or hasMember.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationRefertoLabItObservation battery Referto di Laboratorio
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!Σ1..1codeDescrizione attributo: Stato dell'osservazione. Possibili valori: registered | preliminary | final | amended +
Binding: ObservationStatus (required)
... Slices for category 1..*CodeableConceptCodice che classifica il tipo di osservazione.
Slice: Unordered, Open by pattern:$this.coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:esame-laboratorio 1..1CodeableConceptClassificazione del tipo di osservazione.
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*CodingCodice definito da un sistema terminologico.
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriTerminologia utilizzata.
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeCodice della terminologia per descrivere il dominio di laboratorio.
Required Pattern: laboratory
...... 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:specialita-esame-laboratorio 0..*CodeableConceptCodice o testo della specialità dell'esame di laboratorio.
Binding: Sezioni Composition Lab Report (preferred)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*CodingCodice della terminologia per dettagliare la specialità di laboratorio
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriTerminologia utilizzata.
Required Pattern: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... 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
... code Σ1..1CodeableConceptTipo di osservazione tramite codice.
Binding: Tipo Osservazione (preferred)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*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
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeCodice che identifica la tipologia dell'insieme di esami.
Binding: Sezioni Composition Lab Report (preferred)
..... 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
... subject Σ1..1Reference(Patient - Lab Report)Soggetto della rilevazione clinica.
... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter - Lab Report)Contesto in cui è stata prodotta l'osservazione.
... effective[x] Σ0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
... issued Σ0..1instantDate/Time this version was made available
... performer Σ1..*Reference(Practitioner - Lab Report | PractitionerRole - Lab Report | Organization - Lab Report | CareTeam | RelatedPerson)Soggetto responsabile dell'osservazione.
... dataAbsentReason C0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... note 0..*AnnotationComments about the observation
... bodySite 0..1CodeableConceptSito corporeo dell'osservazione.
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConceptMetodo di rilevazione dell'osservazione.
Binding: ObservationMethods (example)
... specimen 0..1Reference(Specimen - Lab Report)Reference al campione su cui si basa l'osservazione.
... device 0..1Reference(Device - Lab Report | DeviceMetric)Dispositivo utilizzato per ottenere l'osservazione.
... hasMember Σ1..*Reference(Observation - Lab Report)Osservazioni contenenti i risultati degli esami svolti.
... derivedFrom Σ0..*Reference(Observation - Lab Report)Reference dell'osservazione da cui deriva questo valore di osservazione.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.category:esame-laboratoriopreferredObservationCategoryCodes
Observation.category:specialita-esame-laboratoriopreferredVsSezioniRefertoLaboratorio
Observation.codepreferredVsResultsLaboratoryObservation
Observation.code.coding.codepreferredVsSezioniRefertoLaboratorio
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.bodySiteexampleSNOMEDCTBodyStructures
Observation.methodexampleObservationMethods
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from ObservationRefertoLabIt

 

Other representations of profile: CSV, Excel, Schematron