HL7.FHIR.IN.CORE\HCX Encounter

FHIR Implementation Guide for HCX - Local Development build (v0.0.1). See the Directory of published versions

Resource Profile: HCX Encounter

Defining URL:

http://hl7.org/fhir/StructureDefinition/HCXEncounter

Version:

0.0.1

Name:

Encounter

Status:

Draft as of 2019-11-01T09:29:23+11:00 (Standards Status: Trial Use)

Definition:

An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.

Publisher:

HL7 International - HCX

Committee:

Patient Administration

Maturity:

Source Resource:

XML / JSON / Turtle

The official URL for this profile is:

http://hl7.org/fhir/StructureDefinition/HCXEncounter

Formal Views of Profile Content

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

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

This structure is derived from Encounter

Summary

Mandatory: 1 element

Maturity: 2

This structure is derived from Encounter

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
identifier	Σ	1..*	Identifier	Identifier(s) by which this encounter is known
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identifier(s) by which this encounter is known
status	?!Σ	1..1	code	planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory		0..*	BackboneElement	List of past encounter statuses
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period		1..1	Period	The time that the episode was in the specified status
class	Σ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
classHistory		0..*	BackboneElement	List of past encounter classes
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient \| outpatient \| ambulatory \| emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class
type	Σ	0..*	CodeableConcept	Specific type of encounter Binding: EncounterType (example): The type of encounter.
serviceType	Σ	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject	Σ	0..1	Reference(Patient \| Group)	The patient or group present at the encounter
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
participant	Σ	0..*	BackboneElement	List of participants involved in the encounter
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner \| PractitionerRole \| RelatedPerson)	Persons involved in the encounter other than the patient
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period		0..1	Period	The start and end time of the encounter
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	Σ	0..*	Reference(Condition \| Procedure \| Observation \| ImmunizationRecommendation)	Reason the encounter takes place (reference)
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition \| Procedure)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin		0..1	Reference(Location \| Organization)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission		0..1	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination		0..1	Reference(Location \| Organization)	Location/organization to which the patient is discharged
dischargeDisposition		0..1	CodeableConcept	Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition.
location		0..*	BackboneElement	List of locations where the patient has been
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(Location)	Location the encounter takes place
status		0..1	code	planned \| active \| reserved \| completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider		0..1	Reference(Organization)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
Documentation for this format

This structure is derived from Encounter

Summary

Mandatory: 1 element

Maturity: 2

Differential View

This structure is derived from Encounter

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
identifier	Σ	1..*	Identifier	Identifier(s) by which this encounter is known
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identifier(s) by which this encounter is known
status	?!Σ	1..1	code	planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory		0..*	BackboneElement	List of past encounter statuses
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period		1..1	Period	The time that the episode was in the specified status
class	Σ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
classHistory		0..*	BackboneElement	List of past encounter classes
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient \| outpatient \| ambulatory \| emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class
type	Σ	0..*	CodeableConcept	Specific type of encounter Binding: EncounterType (example): The type of encounter.
serviceType	Σ	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject	Σ	0..1	Reference(Patient \| Group)	The patient or group present at the encounter
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
participant	Σ	0..*	BackboneElement	List of participants involved in the encounter
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner \| PractitionerRole \| RelatedPerson)	Persons involved in the encounter other than the patient
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period		0..1	Period	The start and end time of the encounter
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	Σ	0..*	Reference(Condition \| Procedure \| Observation \| ImmunizationRecommendation)	Reason the encounter takes place (reference)
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition \| Procedure)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin		0..1	Reference(Location \| Organization)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission		0..1	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination		0..1	Reference(Location \| Organization)	Location/organization to which the patient is discharged
dischargeDisposition		0..1	CodeableConcept	Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition.
location		0..*	BackboneElement	List of locations where the patient has been
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(Location)	Location the encounter takes place
status		0..1	code	planned \| active \| reserved \| completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider		0..1	Reference(Organization)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path	Conformance	ValueSet
Encounter.language	preferred	CommonLanguages Max Binding: AllLanguages
Encounter.status	required	EncounterStatus
Encounter.statusHistory.status	required	EncounterStatus
Encounter.class	extensible	ActEncounterCode
Encounter.classHistory.class	extensible	ActEncounterCode
Encounter.type	example	EncounterType
Encounter.serviceType	example	ServiceType
Encounter.priority	example	ActPriority
Encounter.participant.type	extensible	ParticipantType
Encounter.reasonCode	preferred	EncounterReasonCodes
Encounter.diagnosis.use	preferred	DiagnosisRole
Encounter.hospitalization.admitSource	preferred	AdmitSource
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator
Encounter.hospitalization.dietPreference	example	Diet
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements
Encounter.hospitalization.dischargeDisposition	example	DischargeDisposition
Encounter.location.status	required	EncounterLocationStatus
Encounter.location.physicalType	example	LocationType

Constraints

Id	Path	Details	Requirements
dom-2	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	Encounter	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-4	Encounter	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-5	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	Encounter.meta	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.implicitRules	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.status	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.statusHistory	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.statusHistory.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.statusHistory.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.statusHistory.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.statusHistory.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.statusHistory.status	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.statusHistory.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.class	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.classHistory	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.classHistory.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.classHistory.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.classHistory.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.classHistory.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.classHistory.class	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.classHistory.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.serviceType	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.priority	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.subject	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.episodeOfCare	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.basedOn	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.participant	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.participant.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.participant.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.participant.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.participant.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.participant.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.participant.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.participant.individual	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.appointment	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.length	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.reasonCode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.reasonReference	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.diagnosis	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.diagnosis.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.diagnosis.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.diagnosis.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.diagnosis.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.diagnosis.condition	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.diagnosis.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.diagnosis.rank	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.account	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.hospitalization	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.hospitalization.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.hospitalization.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.hospitalization.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.hospitalization.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.hospitalization.preAdmissionIdentifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.hospitalization.origin	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.hospitalization.admitSource	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.hospitalization.reAdmission	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.hospitalization.dietPreference	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.hospitalization.specialCourtesy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.hospitalization.specialArrangement	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.hospitalization.destination	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.hospitalization.dischargeDisposition	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.location	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.location.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.location.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.location.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.location.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.location.location	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.location.status	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.location.physicalType	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.location.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.serviceProvider	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.partOf	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())