HL7中国FHIR Connectathon测试实施指南
2024.5.5 - release

本指南适用于HL7中国的FHIR Connectathon测试。

Resource Profile: 核酸检测诊疗活动结构定义

Defining URL:http://hl7.org.cn/fhir/StructureDefinition/profile-covid19-encounter
Version:2024.5.5
Name:Covid19Encounter
Title:核酸检测诊疗活动结构定义
Status:Active as of 2024-05-05 21:11:47+0800
Definition:

核酸检测诊疗活动资源本地化定义。

Publisher:HL7中国. HL7中国,
Source Resource:XML / JSON / Turtle

本定义的正式URL为: 

http://hl7.org.cn/fhir/StructureDefinition/profile-covid19-encounter

定义内容的视图

关于定义、差异、快照以及如何解读这些表示法。

这种结构源自 Encounter

Summary

Mandatory: 4 elements

这种结构源自 Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*EncounterAn interaction during which services are provided to the patient
... status 1..1code诊疗活动的状态，默认值可以设为final
... class 0..*CodeableConcept诊疗活动活动的分类，固定为FLD
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: FLD
... type 1..*CodeableConcept诊疗活动活动的类型。核酸检测活动为TEST
Binding: http://terminology.hl7.org/CodeSystem/encounter-type (required)
.... coding 0..*CodingCode defined by a terminology system
Required Pattern: At least the following
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/encounter-type
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: TEST
... serviceProvider 1..1Reference(Organization)提供核酸检测的服务机构
... actualPeriod 1..1Period核酸检测活动的起止时间
... location 0..*BackboneElement核酸检测的地点

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*EncounterAn interaction during which services are provided to the patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguagesStarter Set
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifier(s) by which this encounter is known
... status ?!Σ1..1code诊疗活动的状态，默认值可以设为final
Binding: EncounterStatus (required): Current state of the encounter.

... class Σ0..*CodeableConcept诊疗活动活动的分类，固定为FLD
Binding: Encounter class (preferred): Classification of the encounter.



Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: FLD
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... priority 0..1CodeableConceptIndicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... type Σ1..*CodeableConcept诊疗活动活动的类型。核酸检测活动为TEST
Binding: http://terminology.hl7.org/CodeSystem/encounter-type (required)
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/encounter-type
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: TEST
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... serviceType Σ0..*CodeableReference(HealthcareService)Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.


... subject Σ1..1Reference(Patient)核酸检测的居民
... subjectStatus 0..1CodeableConceptThe current status of the subject in relation to the Encounter
Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter.

... episodeOfCare Σ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... basedOn 0..*Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest)The request that initiated this encounter
... careTeam 0..*Reference(CareTeam)The group(s) that are allocated to participate in this encounter
... partOf 0..1Reference(Encounter)Another Encounter this encounter is part of
... serviceProvider 1..1Reference(Organization)提供核酸检测的服务机构
... participant ΣC0..*BackboneElementList of participants involved in the encounter
enc-1: A type must be provided when no explicit actor is specified
enc-2: A type cannot be provided for a patient or group participant
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type ΣC0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.


.... period 0..1PeriodPeriod of time during the encounter that the participant participated
.... actor ΣC0..1Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService)The individual, device, or service participating in the encounter
... appointment Σ0..*Reference(Appointment)The appointment that scheduled this encounter
... virtualService 0..*VirtualServiceDetailConnection details of a virtual service (e.g. conference call)
... actualPeriod 1..1Period核酸检测活动的起止时间
... plannedStartDate 0..1dateTimeThe planned start date/time (or admission date) of the encounter
... plannedEndDate 0..1dateTimeThe planned end date/time (or discharge date) of the encounter
... length 0..1DurationActual quantity of time the encounter lasted (less time absent)
... reason Σ0..*BackboneElementThe list of medical reasons that are expected to be addressed during the episode of care
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... use Σ0..*CodeableConceptWhat the reason value should be used for/as
Binding: EncounterReasonUse (example)
.... value Σ0..*CodeableReference(Condition | DiagnosticReport | Observation | ImmunizationRecommendation | Procedure)Reason the encounter takes place (core or reference)
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... diagnosis Σ0..*BackboneElementThe list of diagnosis relevant to this encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... condition Σ0..*CodeableReference(Condition)The diagnosis relevant to the encounter
Binding: ConditionProblemDiagnosisCodes (example)
.... use 0..*CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.


... account 0..*Reference(Account)The set of accounts that may be used for billing for this Encounter
... dietPreference 0..*CodeableConceptDiet preferences reported by the patient
Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements.


... specialArrangement 0..*CodeableConceptWheelchair, translator, stretcher, etc
Binding: SpecialArrangements (preferred): Special arrangements.


... specialCourtesy 0..*CodeableConceptSpecial courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.


... admission 0..1BackboneElementDetails about the admission to a healthcare service
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin 0..1Reference(Location | Organization)The location/organization from which the patient came before admission
.... admitSource 0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.

.... reAdmission 0..1CodeableConceptIndicates that the patient is being re-admitted
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this admission encounter.

.... destination 0..1Reference(Location | Organization)Location/organization to which the patient is discharged
.... dischargeDisposition 0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

... location 0..*BackboneElement核酸检测的地点
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... location 1..1Reference(Location)Location the encounter takes place
.... status 0..1codeplanned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... form 0..1CodeableConceptThe physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.)
Binding: LocationForm (example): Physical form of the location.

.... period 0..1PeriodTime period during which the patient was present at the location

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*EncounterAn interaction during which services are provided to the patient

doco Documentation for this format

这种结构源自 Encounter

Summary

Mandatory: 4 elements

差异视图

这种结构源自 Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*EncounterAn interaction during which services are provided to the patient
... status 1..1code诊疗活动的状态，默认值可以设为final
... class 0..*CodeableConcept诊疗活动活动的分类，固定为FLD
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: FLD
... type 1..*CodeableConcept诊疗活动活动的类型。核酸检测活动为TEST
Binding: http://terminology.hl7.org/CodeSystem/encounter-type (required)
.... coding 0..*CodingCode defined by a terminology system
Required Pattern: At least the following
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/encounter-type
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: TEST
... serviceProvider 1..1Reference(Organization)提供核酸检测的服务机构
... actualPeriod 1..1Period核酸检测活动的起止时间
... location 0..*BackboneElement核酸检测的地点

doco Documentation for this format

快照视图

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*EncounterAn interaction during which services are provided to the patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguagesStarter Set
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifier(s) by which this encounter is known
... status ?!Σ1..1code诊疗活动的状态，默认值可以设为final
Binding: EncounterStatus (required): Current state of the encounter.

... class Σ0..*CodeableConcept诊疗活动活动的分类，固定为FLD
Binding: Encounter class (preferred): Classification of the encounter.



Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: FLD
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... priority 0..1CodeableConceptIndicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... type Σ1..*CodeableConcept诊疗活动活动的类型。核酸检测活动为TEST
Binding: http://terminology.hl7.org/CodeSystem/encounter-type (required)
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/encounter-type
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: TEST
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... serviceType Σ0..*CodeableReference(HealthcareService)Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.


... subject Σ1..1Reference(Patient)核酸检测的居民
... subjectStatus 0..1CodeableConceptThe current status of the subject in relation to the Encounter
Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter.

... episodeOfCare Σ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... basedOn 0..*Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest)The request that initiated this encounter
... careTeam 0..*Reference(CareTeam)The group(s) that are allocated to participate in this encounter
... partOf 0..1Reference(Encounter)Another Encounter this encounter is part of
... serviceProvider 1..1Reference(Organization)提供核酸检测的服务机构
... participant ΣC0..*BackboneElementList of participants involved in the encounter
enc-1: A type must be provided when no explicit actor is specified
enc-2: A type cannot be provided for a patient or group participant
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type ΣC0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.


.... period 0..1PeriodPeriod of time during the encounter that the participant participated
.... actor ΣC0..1Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService)The individual, device, or service participating in the encounter
... appointment Σ0..*Reference(Appointment)The appointment that scheduled this encounter
... virtualService 0..*VirtualServiceDetailConnection details of a virtual service (e.g. conference call)
... actualPeriod 1..1Period核酸检测活动的起止时间
... plannedStartDate 0..1dateTimeThe planned start date/time (or admission date) of the encounter
... plannedEndDate 0..1dateTimeThe planned end date/time (or discharge date) of the encounter
... length 0..1DurationActual quantity of time the encounter lasted (less time absent)
... reason Σ0..*BackboneElementThe list of medical reasons that are expected to be addressed during the episode of care
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... use Σ0..*CodeableConceptWhat the reason value should be used for/as
Binding: EncounterReasonUse (example)
.... value Σ0..*CodeableReference(Condition | DiagnosticReport | Observation | ImmunizationRecommendation | Procedure)Reason the encounter takes place (core or reference)
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... diagnosis Σ0..*BackboneElementThe list of diagnosis relevant to this encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... condition Σ0..*CodeableReference(Condition)The diagnosis relevant to the encounter
Binding: ConditionProblemDiagnosisCodes (example)
.... use 0..*CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.


... account 0..*Reference(Account)The set of accounts that may be used for billing for this Encounter
... dietPreference 0..*CodeableConceptDiet preferences reported by the patient
Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements.


... specialArrangement 0..*CodeableConceptWheelchair, translator, stretcher, etc
Binding: SpecialArrangements (preferred): Special arrangements.


... specialCourtesy 0..*CodeableConceptSpecial courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.


... admission 0..1BackboneElementDetails about the admission to a healthcare service
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin 0..1Reference(Location | Organization)The location/organization from which the patient came before admission
.... admitSource 0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.

.... reAdmission 0..1CodeableConceptIndicates that the patient is being re-admitted
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this admission encounter.

.... destination 0..1Reference(Location | Organization)Location/organization to which the patient is discharged
.... dischargeDisposition 0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

... location 0..*BackboneElement核酸检测的地点
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... location 1..1Reference(Location)Location the encounter takes place
.... status 0..1codeplanned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... form 0..1CodeableConceptThe physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.)
Binding: LocationForm (example): Physical form of the location.

.... period 0..1PeriodTime period during which the patient was present at the location

doco Documentation for this format

 

本定义的其它表示法: Schematron

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|5.0.0
from the FHIR Standard
Encounter.classpreferredPattern: FLD
http://terminology.hl7.org/ValueSet/encounter-class
Encounter.priorityexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.typerequiredhttp://terminology.hl7.org/CodeSystem/encounter-type
http://terminology.hl7.org/CodeSystem/encounter-type
Encounter.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Encounter.subjectStatusexampleEncounterSubjectStatus
http://hl7.org/fhir/ValueSet/encounter-subject-status
from the FHIR Standard
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reason.useexampleEncounterReasonUse
http://hl7.org/fhir/ValueSet/encounter-reason-use
from the FHIR Standard
Encounter.reason.valuepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Encounter.diagnosis.conditionexampleConditionProblemDiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Encounter.diagnosis.usepreferredEncounterDiagnosisUse
http://hl7.org/fhir/ValueSet/encounter-diagnosis-use
from the FHIR Standard
Encounter.dietPreferenceexampleEncounterDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.admission.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
from the FHIR Standard
Encounter.admission.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.admission.dischargeDispositionexampleDischargeDisposition
http://hl7.org/fhir/ValueSet/encounter-discharge-disposition
from the FHIR Standard
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|5.0.0
from the FHIR Standard
Encounter.location.formexampleLocationForm
http://hl7.org/fhir/ValueSet/location-form
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorEncounterIf 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-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
enc-1errorEncounter.participantA type must be provided when no explicit actor is specified
: actor.exists() or type.exists()
enc-2errorEncounter.participantA type cannot be provided for a patient or group participant
: actor.exists(resolve() is Patient or resolve() is Group) implies type.exists().not()
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()