StructureDefinition-UKCore-Device

• dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources
  contained.contained.empty()
• dom-4: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-3: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-6:A resource should have narrative for robust management
  text.`div`.exists()
• dom-5:If a resource is contained in another resource, it SHALL NOT have a security label
  contained.meta.security.empty()

• rim:Entity. Role, or Act
• rim:Device

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• rim:N/A

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a

A human language.

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• rim:N/A
• rim:Act.text?

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

• rim:Entity. Role, or Act
• rim:N/A

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

The barcode string from a barcode present on a device label or package may identify the instance, include names given to the device in local usage, or may identify the type of device. If the identifier identifies the type of device, Device.type element should be used.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• v2:CX / EI (occasionally, more often EI maps to a resource id or a URL)
• rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
• servd:Identifier
• w5:FiveWs.identifier
• rim:.id
• udi:The serial number which is a component of the production identifier (PI), a conditional, variable portion of a UDI. The identifier.type code should be set to “SNO”(Serial Number) and the system left empty.

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ref-1:SHALL have a contained resource if a local reference is provided
  reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

• rim:n/a
• rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)

UDI may identify an unique instance of a device, or it may only identify the type of the device. See UDI mappings for a complete mapping of UDI parts to Device.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• w5:FiveWs.identifier
• rim:.id and .code

• rim:n/a

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

Note that FHIR strings SHALL NOT exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• w5:FiveWs.what[x]
• rim:Role.id.extension
• udi:The device identifier (DI), a mandatory, fixed portion of a UDI that identifies the labeler and the specific version or model of a device.

see http://en.wikipedia.org/wiki/Uniform_resource_identifier

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• rim:Role.id.root
• udi:All UDIs are to be issued under a system operated by an Jurisdiction-accredited issuing agency. GS1 DIs: http://hl7.org/fhir/NamingSystem/gs1 HIBCC DIs: http://hl7.org/fhir/NamingSystem/hibcc ICCBBA DIs for blood containers: http://hl7.org/fhir/NamingSystem/iccbba-blood ICCBA DIs for other devices: http://hl7.org/fhir/NamingSystem/iccbba-other

Allows a recipient of a UDI to know which database will contain the UDI-associated metadata.

see http://en.wikipedia.org/wiki/Uniform_resource_identifier

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• rim:Role.scoper

The AIDC form of UDIs should be scanned or otherwise used for the identification of the device whenever possible to minimize errors in records resulting from manual transcriptions. If separate barcodes for DI and PI are present, concatenate the string with DI first and in order of human readable expression on label.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• rim:Role.id.extension
• udi:A unique device identifier (UDI) on a device label a form that uses automatic identification and data capture (AIDC) technology.

If separate barcodes for DI and PI are present, concatenate the string with DI first and in order of human readable expression on label.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• rim:Role.id.extension
• udi:A unique device identifier (UDI) on a device label in plain text

Codes to identify how UDI data was entered.

Supports a way to distinguish hand entered from machine read data.

Note that FHIR strings SHALL NOT exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• rim:NA

The availability status of the device.

This element is labeled as a modifier because the status contains the codes inactive and entered-in-error that mark the device (record)as not currently valid.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• w5:FiveWs.status
• rim:.statusCode

The availability status reason of the device.

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• v2:CE/CNE/CWE
• rim:CD
• orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
• w5:FiveWs.status

For example, this applies to devices in the United States regulated under Code of Federal Regulation 21CFR§1271.290(c).

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• w5:FiveWs.what[x]
• rim:.lotNumberText
• udi:The lot or batch number within which a device was manufactured - which is a component of the production identifier (PI), a conditional, variable portion of a UDI.

Note that FHIR strings SHALL NOT exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• w5:FiveWs.what[x]
• rim:.playedRole[typeCode=MANU].scoper.name
• udi:N/A

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• w5:FiveWs.what[x]
• rim:.existenceTime.low
• udi:The date a specific device was manufactured - which is a component of the production identifier (PI), a conditional, variable portion of a UDI. For FHIR, The datetime syntax must converted to YYYY-MM-DD[THH:MM:SS]. If hour is present, the minutes and seconds should both be set to “00”.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• w5:FiveWs.what[x]
• rim:.expirationTime
• udi:the expiration date of a specific device - which is a component of the production identifier (PI), a conditional, variable portion of a UDI. For FHIR, The datetime syntax must converted to YYYY-MM-DD[THH:MM:SS]. If hour is present, the minutes and seconds should both be set to “00”.

Note that FHIR strings SHALL NOT exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• w5:FiveWs.what[x]
• rim:.lotNumberText
• udi:The lot or batch number within which a device was manufactured - which is a component of the production identifier (PI), a conditional, variable portion of a UDI.

Alphanumeric Maximum 20.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• w5:FiveWs.what[x]
• rim:.playedRole[typeCode=MANU].id

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a

• rim:n/a

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

Note that FHIR strings SHALL NOT exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a

The type of name the device is referred by.

Note that FHIR strings SHALL NOT exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• w5:FiveWs.what[x]
• rim:.playedRole[typeCode=MANU].code

Note that FHIR strings SHALL NOT exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• w5:FiveWs.what[x]
• rim:.softwareName (included as part)

Alphanumeric Maximum 20.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• w5:FiveWs.what[x]
• rim:.playedRole[typeCode=MANU].id

A code from the SNOMED Clinical Terminology UK coding system that describes a type of device.

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• v2:CE/CNE/CWE
• rim:CD
• orim:fhir:CodeableConcept rdfs:subClassOf dt:CD

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a

• rim:n/a

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• v2:CE/CNE/CWE
• rim:CD
• orim:fhir:CodeableConcept rdfs:subClassOf dt:CD

Note that FHIR strings SHALL NOT exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• w5:FiveWs.what[x]

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a

• rim:n/a

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• v2:CE/CNE/CWE
• rim:CD
• orim:fhir:CodeableConcept rdfs:subClassOf dt:CD

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• v2:CX / EI (occasionally, more often EI maps to a resource id or a URL)
• rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
• servd:Identifier
• w5:FiveWs.what[x]

Note that FHIR strings SHALL NOT exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a

• rim:n/a

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• v2:CE/CNE/CWE
• rim:CD
• orim:fhir:CodeableConcept rdfs:subClassOf dt:CD

The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• qty-3:If a code for the unit is present, the system SHALL also be present
  code.empty() or system.exists()

• rim:n/a
• v2:SN (see also Range) or CQ
• rim:PQ, IVL<PQ>, MO, CO, depending on the values

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• v2:CE/CNE/CWE
• rim:CD
• orim:fhir:CodeableConcept rdfs:subClassOf dt:CD

If the device is implanted in a patient, then need to associate the device to the patient.

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ref-1:SHALL have a contained resource if a local reference is provided
  reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

• rim:n/a
• rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
• w5:FiveWs.subject[x]
• rim:.playedRole[typeCode=USED].scoper.playedRole[typeCode=PAT]
• w5:FiveWs.subject

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ref-1:SHALL have a contained resource if a local reference is provided
  reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

• rim:n/a
• rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
• w5:FiveWs.source
• rim:.playedRole[typeCode=OWN].scoper

used for troubleshooting etc.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• cpt-2:A system is required if a value is provided.
  value.empty() or system.exists()

• rim:n/a
• v2:XTN
• rim:TEL
• servd:ContactPoint
• w5:FiveWs.source
• rim:.scopedRole[typeCode=CON].player

Device.location can be used to track device location.

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ref-1:SHALL have a contained resource if a local reference is provided
  reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

• rim:n/a
• rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
• w5:FiveWs.where[x]
• rim:.playedRole[typeCode=LOCE].scoper

If the device is running a FHIR server, the network address should be the Base URL from which a conformance statement may be retrieved.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• w5:FiveWs.where[x]
• rim:.telecom

For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• v2:N/A
• rim:Act
• rim:.text

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())

• rim:n/a
• v2:CE/CNE/CWE
• rim:CD
• orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
• rim:NA

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

• ele-1:All FHIR elements must have a @value or children
  hasValue() or (children().count() > id.count())
• ref-1:SHALL have a contained resource if a local reference is provided
  reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

• rim:n/a
• rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)