QI-Core Implementation Guide: STU 4 (v4.0.0 for FHIR 4.0.1)

QI-Core Implementation Guide - This is the current published version.. See the Directory of published versions

D.4.1 StructureDefinition-qicore-encounter

Introduction:

The following example illustrates an inpatient encounter reference.


define "Inpatient Encounter":
  [Encounter: "Encounter Inpatient"] EncounterInpatient
    where EncounterInpatient.status = 'finished'
      and "LengthInDays"(EncounterInpatient.period) <= 120
      and EncounterInpatient.period ends during "Measurement Period"
See the patterns page for implementation and usage patterns.

Examples:

Inpatient Admission for Appendicitis

D.4.1.1 Formal Views of Profile Content

The official URL for this profile is: 

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter

Profile of Encounter for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

This profile builds on USCoreEncounterProfile.

This profile was published on Wed Aug 22 00:00:00 UTC 2018 as a draft by Health Level Seven, Inc. - CQI WG.

Description of Profiles, Differentials, and Snapshots.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*USCoreEncounterProfile
... request-statusReason S0..1CodeableConceptReason for current status
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
Binding: (unbound) (example)
... qicore-encounter-procedure S0..*(Complex)Encounter Procedure Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-procedure
... status 1..1code
... class S1..1Coding
... type S1..*CodeableConcept
... priority 0..1CodeableConceptBinding: SNOMED CT Priorities Codes (preferred)
... subject S1..1Reference(QICorePatient)
... basedOn 0..*Reference(QICoreServiceRequest)
... participant S0..*BackboneElement
.... individual S0..1Reference(QICorePractitioner)
... period S0..1Period
... length S0..1Duration
... reasonCode S0..*CodeableConcept
... diagnosis S0..*BackboneElement
.... qicore-encounter-diagnosisPresentOnAdmission S1..1CodeableConceptonAdmission
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-diagnosisPresentOnAdmission
Binding: ExampleDiagnosisOnAdmissionCodes (required)
.... condition S1..1Reference(QICoreCondition | QICoreProcedure)
.... use S0..1CodeableConcept
.... rank S0..1positiveInt
... hospitalization S0..1BackboneElement
.... origin 0..1Reference(QICoreLocation)
.... admitSource S0..1CodeableConcept
.... reAdmission S0..1CodeableConcept
.... destination 0..1Reference(QICoreLocation)
.... dischargeDisposition S0..1CodeableConcept
... location S0..*BackboneElement
.... location S1..1Reference(QICoreLocation)
.... period 0..1Period
... serviceProvider S0..1Reference(QICoreOrganization)
... partOf 0..1Reference(QICoreEncounter)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter I0..*USCoreEncounterProfileAn interaction during which services are provided to the patient
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionExtension
Slice: Unordered, Open by value:url
... request-statusReason SI0..1CodeableConceptReason for current status
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
Binding: (unbound) (example)
... qicore-encounter-procedure SI0..*(Complex)Encounter Procedure Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-procedure
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier SΣI0..*IdentifierIdentifier(s) by which this encounter is known
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!ΣI0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type ΣI0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
.... system SΣI1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣI1..1stringThe value that is unique
Example General: 123456
.... period ΣI0..1PeriodTime period when id is/was valid for use
.... assigner ΣI0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!ΣI1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required)
... statusHistory I0..*BackboneElementList of past encounter statuses
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... status I1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required)
.... period I1..1PeriodThe time that the episode was in the specified status
... class SΣI1..1CodingClassification of patient encounter
Binding: V3 Value SetActEncounterCode (extensible)
... classHistory I0..*BackboneElementList of past encounter classes
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... class I1..1Codinginpatient | outpatient | ambulatory | emergency +
Binding: V3 Value SetActEncounterCode (extensible)
.... period I1..1PeriodThe time that the episode was in the specified class
... type SΣI1..*CodeableConceptSpecific type of encounter
Binding: US Core Encounter Type (extensible)
... serviceType ΣI0..1CodeableConceptSpecific type of service
Binding: ServiceType (example)
... priority I0..1CodeableConceptIndicates the urgency of the encounter
Binding: SNOMED CT Priorities Codes (preferred)
... subject SΣI1..1Reference(QICorePatient)The patient or group present at the encounter
... episodeOfCare ΣI0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... basedOn I0..*Reference(QICoreServiceRequest)The ServiceRequest that initiated this encounter
... participant SΣI0..*BackboneElementList of participants involved in the encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type SΣI0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible)
.... period SI0..1PeriodPeriod of time during the encounter that the participant participated
.... individual SΣI0..1Reference(QICorePractitioner)Persons involved in the encounter other than the patient
... appointment ΣI0..*Reference(Appointment)The appointment that scheduled this encounter
... period SI0..1PeriodThe start and end time of the encounter
... length SI0..1DurationQuantity of time the encounter lasted (less time absent)
... reasonCode SΣI0..*CodeableConceptCoded reason the encounter takes place
Binding: EncounterReasonCodes (preferred)
... reasonReference ΣI0..*Reference(Condition | Procedure | Observation | ImmunizationRecommendation)Reason the encounter takes place (reference)
... diagnosis SΣI0..*BackboneElementThe list of diagnosis relevant to this encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... qicore-encounter-diagnosisPresentOnAdmission SI1..1CodeableConceptonAdmission
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-diagnosisPresentOnAdmission
Binding: ExampleDiagnosisOnAdmissionCodes (required)
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... condition SΣI1..1Reference(QICoreCondition | QICoreProcedure)The diagnosis or procedure relevant to the encounter
.... use SI0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred)
.... rank SI0..1positiveIntRanking of the diagnosis (for each role type)
... account I0..*Reference(Account)The set of accounts that may be used for billing for this Encounter
... hospitalization SI0..1BackboneElementDetails about the admission to a healthcare service
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier I0..1IdentifierPre-admission identifier
.... origin I0..1Reference(QICoreLocation)The location/organization from which the patient came before admission
.... admitSource SI0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred)
.... reAdmission SI0..1CodeableConceptThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: v2 RE-ADMISSION INDICATOR (example)
.... dietPreference I0..*CodeableConceptDiet preferences reported by the patient
Binding: Diet (example)
.... specialCourtesy I0..*CodeableConceptSpecial courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred)
.... specialArrangement I0..*CodeableConceptWheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred)
.... destination I0..1Reference(QICoreLocation)Location/organization to which the patient is discharged
.... dischargeDisposition SI0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisposition (example)
... location SI0..*BackboneElementList of locations where the patient has been
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... location SI1..1Reference(QICoreLocation)Location the encounter takes place
.... status I0..1codeplanned | active | reserved | completed
Binding: EncounterLocationStatus (required)
.... physicalType I0..1CodeableConceptThe physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example)
.... period I0..1PeriodTime period during which the patient was present at the location
... serviceProvider SI0..1Reference(QICoreOrganization)The organization (facility) responsible for this encounter
... partOf I0..1Reference(QICoreEncounter)Another Encounter this encounter is part of

doco Documentation for this format

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*USCoreEncounterProfile
... request-statusReason S0..1CodeableConceptReason for current status
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
Binding: (unbound) (example)
... qicore-encounter-procedure S0..*(Complex)Encounter Procedure Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-procedure
... status 1..1code
... class S1..1Coding
... type S1..*CodeableConcept
... priority 0..1CodeableConceptBinding: SNOMED CT Priorities Codes (preferred)
... subject S1..1Reference(QICorePatient)
... basedOn 0..*Reference(QICoreServiceRequest)
... participant S0..*BackboneElement
.... individual S0..1Reference(QICorePractitioner)
... period S0..1Period
... length S0..1Duration
... reasonCode S0..*CodeableConcept
... diagnosis S0..*BackboneElement
.... qicore-encounter-diagnosisPresentOnAdmission S1..1CodeableConceptonAdmission
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-diagnosisPresentOnAdmission
Binding: ExampleDiagnosisOnAdmissionCodes (required)
.... condition S1..1Reference(QICoreCondition | QICoreProcedure)
.... use S0..1CodeableConcept
.... rank S0..1positiveInt
... hospitalization S0..1BackboneElement
.... origin 0..1Reference(QICoreLocation)
.... admitSource S0..1CodeableConcept
.... reAdmission S0..1CodeableConcept
.... destination 0..1Reference(QICoreLocation)
.... dischargeDisposition S0..1CodeableConcept
... location S0..*BackboneElement
.... location S1..1Reference(QICoreLocation)
.... period 0..1Period
... serviceProvider S0..1Reference(QICoreOrganization)
... partOf 0..1Reference(QICoreEncounter)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter I0..*USCoreEncounterProfileAn interaction during which services are provided to the patient
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionExtension
Slice: Unordered, Open by value:url
... request-statusReason SI0..1CodeableConceptReason for current status
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
Binding: (unbound) (example)
... qicore-encounter-procedure SI0..*(Complex)Encounter Procedure Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-procedure
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier SΣI0..*IdentifierIdentifier(s) by which this encounter is known
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!ΣI0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type ΣI0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
.... system SΣI1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣI1..1stringThe value that is unique
Example General: 123456
.... period ΣI0..1PeriodTime period when id is/was valid for use
.... assigner ΣI0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!ΣI1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required)
... statusHistory I0..*BackboneElementList of past encounter statuses
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... status I1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required)
.... period I1..1PeriodThe time that the episode was in the specified status
... class SΣI1..1CodingClassification of patient encounter
Binding: V3 Value SetActEncounterCode (extensible)
... classHistory I0..*BackboneElementList of past encounter classes
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... class I1..1Codinginpatient | outpatient | ambulatory | emergency +
Binding: V3 Value SetActEncounterCode (extensible)
.... period I1..1PeriodThe time that the episode was in the specified class
... type SΣI1..*CodeableConceptSpecific type of encounter
Binding: US Core Encounter Type (extensible)
... serviceType ΣI0..1CodeableConceptSpecific type of service
Binding: ServiceType (example)
... priority I0..1CodeableConceptIndicates the urgency of the encounter
Binding: SNOMED CT Priorities Codes (preferred)
... subject SΣI1..1Reference(QICorePatient)The patient or group present at the encounter
... episodeOfCare ΣI0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... basedOn I0..*Reference(QICoreServiceRequest)The ServiceRequest that initiated this encounter
... participant SΣI0..*BackboneElementList of participants involved in the encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type SΣI0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible)
.... period SI0..1PeriodPeriod of time during the encounter that the participant participated
.... individual SΣI0..1Reference(QICorePractitioner)Persons involved in the encounter other than the patient
... appointment ΣI0..*Reference(Appointment)The appointment that scheduled this encounter
... period SI0..1PeriodThe start and end time of the encounter
... length SI0..1DurationQuantity of time the encounter lasted (less time absent)
... reasonCode SΣI0..*CodeableConceptCoded reason the encounter takes place
Binding: EncounterReasonCodes (preferred)
... reasonReference ΣI0..*Reference(Condition | Procedure | Observation | ImmunizationRecommendation)Reason the encounter takes place (reference)
... diagnosis SΣI0..*BackboneElementThe list of diagnosis relevant to this encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... qicore-encounter-diagnosisPresentOnAdmission SI1..1CodeableConceptonAdmission
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-diagnosisPresentOnAdmission
Binding: ExampleDiagnosisOnAdmissionCodes (required)
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... condition SΣI1..1Reference(QICoreCondition | QICoreProcedure)The diagnosis or procedure relevant to the encounter
.... use SI0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred)
.... rank SI0..1positiveIntRanking of the diagnosis (for each role type)
... account I0..*Reference(Account)The set of accounts that may be used for billing for this Encounter
... hospitalization SI0..1BackboneElementDetails about the admission to a healthcare service
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier I0..1IdentifierPre-admission identifier
.... origin I0..1Reference(QICoreLocation)The location/organization from which the patient came before admission
.... admitSource SI0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred)
.... reAdmission SI0..1CodeableConceptThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: v2 RE-ADMISSION INDICATOR (example)
.... dietPreference I0..*CodeableConceptDiet preferences reported by the patient
Binding: Diet (example)
.... specialCourtesy I0..*CodeableConceptSpecial courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred)
.... specialArrangement I0..*CodeableConceptWheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred)
.... destination I0..1Reference(QICoreLocation)Location/organization to which the patient is discharged
.... dischargeDisposition SI0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisposition (example)
... location SI0..*BackboneElementList of locations where the patient has been
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... location SI1..1Reference(QICoreLocation)Location the encounter takes place
.... status I0..1codeplanned | active | reserved | completed
Binding: EncounterLocationStatus (required)
.... physicalType I0..1CodeableConceptThe physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example)
.... period I0..1PeriodTime period during which the patient was present at the location
... serviceProvider SI0..1Reference(QICoreOrganization)The organization (facility) responsible for this encounter
... partOf I0..1Reference(QICoreEncounter)Another Encounter this encounter is part of

doco Documentation for this format

 

D.4.1.2 Terminology Bindings

Terminology Bindings

PathConformanceValueSet
Encounter.languagepreferredCommonLanguages
Max Binding: AllLanguages
Encounter.identifier.userequiredIdentifierUse
Encounter.identifier.typeextensibleIdentifier Type Codes
Encounter.statusrequiredEncounterStatus
Encounter.statusHistory.statusrequiredEncounterStatus
Encounter.classextensiblev3.ActEncounterCode
Encounter.classHistory.classextensiblev3.ActEncounterCode
Encounter.typeextensibleUSCoreEncounterType
Encounter.serviceTypeexampleServiceType
Encounter.prioritypreferredQICorePriority
Encounter.participant.typeextensibleParticipantType
Encounter.reasonCodepreferredEncounterReasonCodes
Encounter.diagnosis.usepreferredDiagnosisRole
Encounter.hospitalization.admitSourcepreferredAdmitSource
Encounter.hospitalization.reAdmissionexamplev2.0092
Encounter.hospitalization.dietPreferenceexampleDiet
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
Encounter.location.statusrequiredEncounterLocationStatus
Encounter.location.physicalTypeexampleLocationType

D.4.1.3 Constraints

Constraints

IdPathDetailsRequirements
dom-2EncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3EncounterIf 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-4EncounterIf 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-5EncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6EncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1Encounter.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.extension:statusReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.extension:statusReasonMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.extension:procedureAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.extension:procedureMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.identifier.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.identifier.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.identifier.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.identifier.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.identifier.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.identifier.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.identifier.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.identifier.assignerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.statusHistoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.statusHistory.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.statusHistory.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.statusHistory.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.statusHistory.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.statusHistory.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.statusHistory.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.classAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.classHistoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.classHistory.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.classHistory.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.classHistory.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.classHistory.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.classHistory.classAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.classHistory.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.serviceTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.priorityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.episodeOfCareAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.basedOnAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.participantAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.participant.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.participant.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.participant.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.participant.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.participant.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.participant.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.participant.individualAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.appointmentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.lengthAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.reasonCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.reasonReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.diagnosisAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.diagnosis.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.diagnosis.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.diagnosis.extension:diagnosisPresentOnAdmissionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.diagnosis.extension:diagnosisPresentOnAdmissionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.diagnosis.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.diagnosis.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.diagnosis.conditionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.diagnosis.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.diagnosis.rankAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.accountAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.hospitalizationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.hospitalization.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.hospitalization.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.hospitalization.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.hospitalization.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.hospitalization.preAdmissionIdentifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.hospitalization.originAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.hospitalization.admitSourceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.hospitalization.reAdmissionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.hospitalization.dietPreferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.hospitalization.specialCourtesyAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.hospitalization.specialArrangementAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.hospitalization.destinationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.hospitalization.dischargeDispositionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.locationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.location.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.location.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.location.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.location.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.location.locationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.location.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.location.physicalTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.location.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.serviceProviderAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.partOfAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())