CHMED20AF

StructureDefinition: chmed20af-card-dosage-structured-normal

Formal Views of Profile Content

The official URL for this profile is:

http://chmed20af.emediplan.ch/fhir/StructureDefinition/chmed20af-card-dosage-structured-normal

Dosage Structured Normal of Medication Card document.

This profile builds on CHEMEDDosageStructuredNormal.

This profile was published on Wed Jun 30 14:02:48 CEST 2021 as a draft by IG eMediplan.

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

Text Summary
Differential Table
Snapshot Table
Snapshot Table (Must Support)
All

This structure is derived from CHEMEDDosageStructuredNormal

Summary

Must-Support: 12 elements

Structures

This structure refers to these other structures:

http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ratio

This structure is derived from CHEMEDDosageStructuredNormal

Name	Flags	Card.	Type	Description & Constraints
Dosage		0..*	CHEMEDDosageStructuredNormal	How the medication is/was taken or should be taken
timing	S	0..1	Timing	When medication should be administered
repeat	S	0..1	Element	When the event is to occur
bounds[x]	S	0..1	Duration, Range, Period	Length/Range of lengths, or (Start and/or end) limits
when	S	0..*	code	Code for time period of occurrence
route	S	0..1	CodeableConcept	Route of administration
coding	S	1..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
doseAndRate	S	0..1	Element	Amount of medication administered
dose[x]	S	0..1	CHEMEDRangeWithEmedUnits, CHEMEDQuantityWithEmedUnits	Amount of medication per dose
maxDosePerPeriod	S	0..1	CHEMEDRatioWithEmedUnits	Upper limit on medication per unit of time
Documentation for this format

This structure is derived from CHEMEDDosageStructuredNormal

Name	Flags	Card.	Type	Description & Constraints
Dosage		0..*	CHEMEDDosageStructuredNormal	How the medication is/was taken or should be taken
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	SΣ	0..1	Timing	When medication should be administered
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	Σ	0..*	dateTime	When the event occurs
repeat	SΣI	0..1	Element	When the event is to occur
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	SΣ	0..1		Length/Range of lengths, or (Start and/or end) limits
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	Σ	0..1	positiveInt	Number of times to repeat
countMax	Σ	0..1	positiveInt	Maximum number of times to repeat
duration	Σ	0..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)
durationUnit	Σ	0..1	code	s \| min \| h \| d \| wk \| mo \| a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Event occurs frequency times per period
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	Σ	0..1	decimal	Event occurs frequency times per period
periodMax	Σ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	Σ	0..1	code	s \| min \| h \| d \| wk \| mo \| a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	mon \| tue \| wed \| thu \| fri \| sat \| sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	SΣ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID \| TID \| QID \| AM \| PM \| QD \| QOD \| + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	SΣ	0..1	CodeableConcept	Route of administration Binding: EDQM - RouteOfAdministration (required)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	SΣ	0..1	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	SΣ	0..1		Amount of medication per dose
doseRange			Range(CHEMEDRangeWithEmedUnits)
doseQuantity			Quantity(CHEMEDQuantityWithEmedUnits)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	SI	0..1	CHEMEDRatioWithEmedUnits	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
Documentation for this format

This structure is derived from CHEMEDDosageStructuredNormal

Name	Flags	Card.	Type	Description & Constraints
Dosage		0..*	CHEMEDDosageStructuredNormal	How the medication is/was taken or should be taken
timing	Σ	0..1	Timing	When medication should be administered
repeat	ΣI	0..1	Element	When the event is to occur
bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
when	Σ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
route	Σ	0..1	CodeableConcept	Route of administration Binding: EDQM - RouteOfAdministration (required)
coding	Σ	1..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
doseAndRate	Σ	0..1	Element	Amount of medication administered
dose[x]	Σ	0..1		Amount of medication per dose
doseRange			Range(CHEMEDRangeWithEmedUnits)
doseQuantity			Quantity(CHEMEDQuantityWithEmedUnits)
maxDosePerPeriod	I	0..1	CHEMEDRatioWithEmedUnits	Upper limit on medication per unit of time
Documentation for this format

This structure is derived from CHEMEDDosageStructuredNormal

Summary

Must-Support: 12 elements

Structures

This structure refers to these other structures:

http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ratio

Differential View

This structure is derived from CHEMEDDosageStructuredNormal

Name	Flags	Card.	Type	Description & Constraints
Dosage		0..*	CHEMEDDosageStructuredNormal	How the medication is/was taken or should be taken
timing	S	0..1	Timing	When medication should be administered
repeat	S	0..1	Element	When the event is to occur
bounds[x]	S	0..1	Duration, Range, Period	Length/Range of lengths, or (Start and/or end) limits
when	S	0..*	code	Code for time period of occurrence
route	S	0..1	CodeableConcept	Route of administration
coding	S	1..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
doseAndRate	S	0..1	Element	Amount of medication administered
dose[x]	S	0..1	CHEMEDRangeWithEmedUnits, CHEMEDQuantityWithEmedUnits	Amount of medication per dose
maxDosePerPeriod	S	0..1	CHEMEDRatioWithEmedUnits	Upper limit on medication per unit of time
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Dosage		0..*	CHEMEDDosageStructuredNormal	How the medication is/was taken or should be taken
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	SΣ	0..1	Timing	When medication should be administered
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	Σ	0..*	dateTime	When the event occurs
repeat	SΣI	0..1	Element	When the event is to occur
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	SΣ	0..1		Length/Range of lengths, or (Start and/or end) limits
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	Σ	0..1	positiveInt	Number of times to repeat
countMax	Σ	0..1	positiveInt	Maximum number of times to repeat
duration	Σ	0..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)
durationUnit	Σ	0..1	code	s \| min \| h \| d \| wk \| mo \| a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Event occurs frequency times per period
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	Σ	0..1	decimal	Event occurs frequency times per period
periodMax	Σ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	Σ	0..1	code	s \| min \| h \| d \| wk \| mo \| a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	mon \| tue \| wed \| thu \| fri \| sat \| sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	SΣ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID \| TID \| QID \| AM \| PM \| QD \| QOD \| + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	SΣ	0..1	CodeableConcept	Route of administration Binding: EDQM - RouteOfAdministration (required)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	SΣ	0..1	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	SΣ	0..1		Amount of medication per dose
doseRange			Range(CHEMEDRangeWithEmedUnits)
doseQuantity			Quantity(CHEMEDQuantityWithEmedUnits)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	SI	0..1	CHEMEDRatioWithEmedUnits	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Dosage.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions
Dosage.timing.repeat.durationUnit	required	UnitsOfTime
Dosage.timing.repeat.periodUnit	required	UnitsOfTime
Dosage.timing.repeat.dayOfWeek	required	DaysOfWeek
Dosage.timing.repeat.when	required	EventTiming
Dosage.timing.code	preferred	TimingAbbreviation
Dosage.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes
Dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes
Dosage.route	required	RouteOfAdministrationEDQM
Dosage.method	example	SNOMEDCTAdministrationMethodCodes
Dosage.doseAndRate.type	example	DoseAndRateType

Constraints

Id	Path	Details	Requirements
ele-1	Dosage	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Dosage.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Dosage.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Dosage.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Dosage.additionalInstruction	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.patientInstruction	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.timing	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.timing.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Dosage.timing.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Dosage.timing.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Dosage.timing.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Dosage.timing.event	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.timing.repeat	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
tim-1	Dosage.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	Dosage.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	Dosage.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	Dosage.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	Dosage.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	Dosage.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	Dosage.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	Dosage.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' \| 'CM' \| 'CD' \| 'CV')).not()))
tim-10	Dosage.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()
ele-1	Dosage.timing.repeat.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Dosage.timing.repeat.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Dosage.timing.repeat.bounds[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.timing.repeat.count	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.timing.repeat.countMax	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.timing.repeat.duration	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.timing.repeat.durationMax	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.timing.repeat.durationUnit	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.timing.repeat.frequency	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.timing.repeat.frequencyMax	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.timing.repeat.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.timing.repeat.periodMax	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.timing.repeat.periodUnit	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.timing.repeat.dayOfWeek	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.timing.repeat.timeOfDay	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.timing.repeat.when	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.timing.repeat.offset	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.timing.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.asNeeded[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.site	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.route	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.route.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Dosage.route.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Dosage.route.coding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.route.coding.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Dosage.route.coding.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Dosage.route.coding.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.route.coding.version	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.route.coding.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.route.coding.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.route.coding.userSelected	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.route.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.method	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.doseAndRate	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.doseAndRate.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Dosage.doseAndRate.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Dosage.doseAndRate.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.doseAndRate.dose[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.doseAndRate.rate[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.maxDosePerPeriod	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
rat-1	Dosage.maxDosePerPeriod	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ele-1	Dosage.maxDosePerAdministration	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Dosage.maxDosePerLifetime	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())