Annuaire Santé
1.1.0-snapshot-2 - qa-preview France flag

This page is part of the Guide d'implémentation FHIR - Annuaire de santé (v1.1.0-snapshot-2: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

Extension: AsEducationLevelExtension - Detailed Descriptions

Active as of 2024-08-22

Definitions for the as-ext-education-level extension.

Guidance on how to interpret the contents of this table can be found here

0. Extension
Definition

Le niveau de formation.

ShortniveauFormation
2. Extension.extension:academicDegree
Slice NameacademicDegree
Short[Donnée restreinte] : Nature du cycle de formation (natureCycleFormation).
Control0..1
4. Extension.extension:academicDegree.extension
Control0..0
6. Extension.extension:academicDegree.url
Fixed ValueacademicDegree
8. Extension.extension:academicDegree.value[x]
BindingThe codes SHALL be taken from JDV_J86-NatCycleForm-RASS
(required to https://mos.esante.gouv.fr/NOS/JDV_J86-NatCycleForm-RASS/FHIR/JDV-J86-NatCycleForm-RASS)
TypeCodeableConcept
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
10. Extension.extension:achievedLevel
Slice NameachievedLevel
Short[Donnée restreinte] : Niveau de formation acquis dans le cycle de formation du professionnel (niveauFormationAcquis).
Control0..1
12. Extension.extension:achievedLevel.extension
Control0..0
14. Extension.extension:achievedLevel.url
Fixed ValueachievedLevel
16. Extension.extension:achievedLevel.value[x]
BindingThe codes SHALL be taken from JDV_J87-NiveauFormAcquis-RASS
(required to https://mos.esante.gouv.fr/NOS/JDV_J87-NiveauFormAcquis-RASS/FHIR/JDV-J87-NiveauFormAcquis-RASS)
TypeCodeableConcept
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
18. Extension.extension:academicYear
Slice NameacademicYear
Short[Donnée restreinte] : Année universitaire du professionnel (anneeUniversitaire). Exemple : 2015-2016.
Control0..1
20. Extension.extension:academicYear.extension
Control0..0
22. Extension.extension:academicYear.url
Fixed ValueacademicYear
24. Extension.extension:academicYear.value[x]
BindingThe codes SHALL be taken from JDV_J88-AnneeUniversitaire-RASS
(required to https://mos.esante.gouv.fr/NOS/JDV_J88-AnneeUniversitaire-RASS/FHIR/JDV-J88-AnneeUniversitaire-RASS)
TypeCodeableConcept
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
26. Extension.url
Fixed Valuehttps://interop.esante.gouv.fr/ig/fhir/annuaire/StructureDefinition/as-ext-education-level
28. Extension.value[x]
Control0..0

Guidance on how to interpret the contents of this table can be found here

0. Extension
Definition

Le niveau de formation.


Optional Extension Element - found in all resources.

ShortniveauFormationOptional Extensions Element
Control0..*
This element is affected by the following invariants: ele-1
Invariantsele-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())
2. Extension.extension:academicDegree
Slice NameacademicDegree
Definition

An Extension

Short[Donnée restreinte] : Nature du cycle de formation (natureCycleFormation).Additional content defined by implementations
Control0..1*
This element is affected by the following invariants: ele-1
TypeExtension
Invariantsele-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())
4. Extension.extension:academicDegree.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
Comments

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.

Control0..0*
This element is affected by the following invariants: ele-1
TypeExtension
Alternate Namesextensions, user content
Invariantsele-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())
SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. Extension.extension:academicDegree.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Control1..1
    Typeuri
    XML FormatIn the XML format, this property is represented as an attribute.
    Fixed ValueacademicDegree
    8. Extension.extension:academicDegree.value[x]
    Definition

    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortValue of extension
    Control0..1
    This element is affected by the following invariants: ele-1
    BindingThe codes SHALL be taken from For codes, see JDV_J86-NatCycleForm-RASS
    (required to https://mos.esante.gouv.fr/NOS/JDV_J86-NatCycleForm-RASS/FHIR/JDV-J86-NatCycleForm-RASS)
    TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    10. Extension.extension:achievedLevel
    Slice NameachievedLevel
    Definition

    An Extension

    Short[Donnée restreinte] : Niveau de formation acquis dans le cycle de formation du professionnel (niveauFormationAcquis).Additional content defined by implementations
    Control0..1*
    This element is affected by the following invariants: ele-1
    TypeExtension
    Invariantsele-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())
    12. Extension.extension:achievedLevel.extension
    Definition

    An Extension


    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortExtensionAdditional content defined by implementations
    Comments

    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.

    Control0..0*
    This element is affected by the following invariants: ele-1
    TypeExtension
    Alternate Namesextensions, user content
    Invariantsele-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())
    SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 14. Extension.extension:achievedLevel.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      XML FormatIn the XML format, this property is represented as an attribute.
      Fixed ValueachievedLevel
      16. Extension.extension:achievedLevel.value[x]
      Definition

      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortValue of extension
      Control0..1
      This element is affected by the following invariants: ele-1
      BindingThe codes SHALL be taken from For codes, see JDV_J87-NiveauFormAcquis-RASS
      (required to https://mos.esante.gouv.fr/NOS/JDV_J87-NiveauFormAcquis-RASS/FHIR/JDV-J87-NiveauFormAcquis-RASS)
      TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      18. Extension.extension:academicYear
      Slice NameacademicYear
      Definition

      An Extension

      Short[Donnée restreinte] : Année universitaire du professionnel (anneeUniversitaire). Exemple : 2015-2016.Additional content defined by implementations
      Control0..1*
      This element is affected by the following invariants: ele-1
      TypeExtension
      Invariantsele-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())
      20. Extension.extension:academicYear.extension
      Definition

      An Extension


      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortExtensionAdditional content defined by implementations
      Comments

      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.

      Control0..0*
      This element is affected by the following invariants: ele-1
      TypeExtension
      Alternate Namesextensions, user content
      Invariantsele-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())
      SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 22. Extension.extension:academicYear.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        XML FormatIn the XML format, this property is represented as an attribute.
        Fixed ValueacademicYear
        24. Extension.extension:academicYear.value[x]
        Definition

        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        ShortValue of extension
        Control0..1
        This element is affected by the following invariants: ele-1
        BindingThe codes SHALL be taken from For codes, see JDV_J88-AnneeUniversitaire-RASS
        (required to https://mos.esante.gouv.fr/NOS/JDV_J88-AnneeUniversitaire-RASS/FHIR/JDV-J88-AnneeUniversitaire-RASS)
        TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        26. Extension.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        XML FormatIn the XML format, this property is represented as an attribute.
        Fixed Valuehttps://interop.esante.gouv.fr/ig/fhir/annuaire/StructureDefinition/as-ext-education-level
        28. Extension.value[x]
        Definition

        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        ShortValue of extension
        Control0..01
        This element is affected by the following invariants: ele-1
        TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

        Guidance on how to interpret the contents of this table can be found here

        0. Extension
        Definition

        Le niveau de formation.

        ShortniveauFormation
        Control0..*
        This element is affected by the following invariants: ele-1
        Invariantsele-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())
        2. Extension.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        XML FormatIn the XML format, this property is represented as an attribute.
        4. Extension.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        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.

        Control0..*
        This element is affected by the following invariants: ele-1
        TypeExtension
        Standard StatusNormative (from Normative)
        Alternate Namesextensions, user content
        Invariantsele-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())
        SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 6. Extension.extension:academicDegree
          Slice NameacademicDegree
          Definition

          An Extension

          Short[Donnée restreinte] : Nature du cycle de formation (natureCycleFormation).
          Control0..1
          This element is affected by the following invariants: ele-1
          TypeExtension
          Invariantsele-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())
          8. Extension.extension:academicDegree.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          XML FormatIn the XML format, this property is represented as an attribute.
          10. Extension.extension:academicDegree.extension
          Definition

          An Extension

          ShortExtension
          Control0..0
          This element is affected by the following invariants: ele-1
          TypeExtension
          Invariantsele-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())
          SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 12. Extension.extension:academicDegree.url
            Definition

            Source of the definition for the extension code - a logical name or a URL.

            Shortidentifies the meaning of the extension
            Comments

            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

            Control1..1
            Typeuri
            XML FormatIn the XML format, this property is represented as an attribute.
            Fixed ValueacademicDegree
            14. Extension.extension:academicDegree.value[x]
            Definition

            Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

            ShortValue of extension
            Control0..1
            This element is affected by the following invariants: ele-1
            BindingThe codes SHALL be taken from JDV_J86-NatCycleForm-RASS
            (required to https://mos.esante.gouv.fr/NOS/JDV_J86-NatCycleForm-RASS/FHIR/JDV-J86-NatCycleForm-RASS)
            TypeCodeableConcept
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            16. Extension.extension:achievedLevel
            Slice NameachievedLevel
            Definition

            An Extension

            Short[Donnée restreinte] : Niveau de formation acquis dans le cycle de formation du professionnel (niveauFormationAcquis).
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension
            Invariantsele-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())
            18. Extension.extension:achievedLevel.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            XML FormatIn the XML format, this property is represented as an attribute.
            20. Extension.extension:achievedLevel.extension
            Definition

            An Extension

            ShortExtension
            Control0..0
            This element is affected by the following invariants: ele-1
            TypeExtension
            Invariantsele-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())
            SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 22. Extension.extension:achievedLevel.url
              Definition

              Source of the definition for the extension code - a logical name or a URL.

              Shortidentifies the meaning of the extension
              Comments

              The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

              Control1..1
              Typeuri
              XML FormatIn the XML format, this property is represented as an attribute.
              Fixed ValueachievedLevel
              24. Extension.extension:achievedLevel.value[x]
              Definition

              Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

              ShortValue of extension
              Control0..1
              This element is affected by the following invariants: ele-1
              BindingThe codes SHALL be taken from JDV_J87-NiveauFormAcquis-RASS
              (required to https://mos.esante.gouv.fr/NOS/JDV_J87-NiveauFormAcquis-RASS/FHIR/JDV-J87-NiveauFormAcquis-RASS)
              TypeCodeableConcept
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              26. Extension.extension:academicYear
              Slice NameacademicYear
              Definition

              An Extension

              Short[Donnée restreinte] : Année universitaire du professionnel (anneeUniversitaire). Exemple : 2015-2016.
              Control0..1
              This element is affected by the following invariants: ele-1
              TypeExtension
              Invariantsele-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())
              28. Extension.extension:academicYear.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              XML FormatIn the XML format, this property is represented as an attribute.
              30. Extension.extension:academicYear.extension
              Definition

              An Extension

              ShortExtension
              Control0..0
              This element is affected by the following invariants: ele-1
              TypeExtension
              Invariantsele-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())
              SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 32. Extension.extension:academicYear.url
                Definition

                Source of the definition for the extension code - a logical name or a URL.

                Shortidentifies the meaning of the extension
                Comments

                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                Control1..1
                Typeuri
                XML FormatIn the XML format, this property is represented as an attribute.
                Fixed ValueacademicYear
                34. Extension.extension:academicYear.value[x]
                Definition

                Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                ShortValue of extension
                Control0..1
                This element is affected by the following invariants: ele-1
                BindingThe codes SHALL be taken from JDV_J88-AnneeUniversitaire-RASS
                (required to https://mos.esante.gouv.fr/NOS/JDV_J88-AnneeUniversitaire-RASS/FHIR/JDV-J88-AnneeUniversitaire-RASS)
                TypeCodeableConcept
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                36. Extension.url
                Definition

                Source of the definition for the extension code - a logical name or a URL.

                Shortidentifies the meaning of the extension
                Comments

                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                Control1..1
                Typeuri
                XML FormatIn the XML format, this property is represented as an attribute.
                Fixed Valuehttps://interop.esante.gouv.fr/ig/fhir/annuaire/StructureDefinition/as-ext-education-level
                38. Extension.value[x]
                Definition

                Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                ShortValue of extension
                Control0..0
                This element is affected by the following invariants: ele-1
                TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))