Patient Flags - NHS England - Implementation Guide STU1
0.4.0 - ci-build

Patient Flags - NHS England - Implementation Guide STU1 - Local Development build (v0.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ProgrammeFlag - Detailed Descriptions

Draft as of 2024-02-14

Definitions for the ProgrammeFlag resource profile.

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

0. Flag
2. Flag.extension
SlicingThis element introduces a set of slices on Flag.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 4. Flag.extension:flagNotes
    Slice NameflagNotes
    Control0..1
    TypeExtension(Extension for Flag Adjustment Notes) (Extension Type: Annotation)
    6. Flag.category
    Control2..?
    SlicingThis element introduces a set of slices on Flag.category. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • pattern @ $this
    • 8. Flag.category:patientFlag
      Slice NamepatientFlag
      Control1..*
      BindingThe codes SHALL be taken from NHSE Patient Flag Category
      (required to https://fhir.nhs.uk/England/ValueSet/PatientFlagCategory)
      Must Supporttrue
      10. Flag.category:programmeFlag
      Slice NameprogrammeFlag
      Control1..*
      BindingThe codes SHALL be taken from NHSE Programme Flag Category
      (required to https://fhir.nhs.uk/England/ValueSet/ProgrammeFlagCategory)
      Must Supporttrue
      12. Flag.code
      BindingUnless not suitable, these codes SHALL be taken from NHSE Programme Flag Code
      (extensible to https://fhir.nhs.uk/England/ValueSet/ProgrammeFlagCode)
      Must Supporttrue

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

      0. Flag
      Definition

      Prospective warnings of potential issues when providing care to the patient.

      ShortKey information to flag to healthcare providers
      Control0..*
      Is Modifierfalse
      Summaryfalse
      Alternate NamesBarriers to Care, Alert, Warning
      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
      dom-6: A resource should have narrative for robust management (text.`div`.exists())
      2. Flag.implicitRules
      Definition

      A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

      ShortA set of rules under which this content was created
      Comments

      Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

      Control0..1
      Typeuri
      Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      4. Flag.extension
      Definition

      An Extension


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

      ShortExtensionAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Flag.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 6. Flag.extension:flagNotes
        Slice NameflagNotes
        Definition

        Captures the additional information for an Adjustment within a Reasonable Adjustment Flag.

        ShortExtension for Flag Adjustment Notes
        Control0..1
        This element is affected by the following invariants: ele-1
        TypeExtension(Extension for Flag Adjustment Notes) (Extension Type: Annotation)
        Is Modifierfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        8. Flag.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
        Summaryfalse
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        10. Flag.status
        Definition

        Supports basic workflow.

        Shortactive | inactive | entered-in-error
        Comments

        This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

        Control1..1
        BindingThe codes SHALL be taken from FlagStatushttp://hl7.org/fhir/ValueSet/flag-status|4.0.1
        (required to http://hl7.org/fhir/ValueSet/flag-status|4.0.1)

        Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error.

        Typecode
        Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        12. Flag.category
        Definition

        Allows a flag to be divided into different categories like clinical, administrative etc. Intended to be used as a means of filtering which flags are displayed to particular user or in a given context.

        ShortClinical, administrative, etc.
        Comments

        The value set will often need to be adjusted based on local business rules and usage context.

        Control20..*
        BindingFor example codes, see FlagCategoryhttp://hl7.org/fhir/ValueSet/flag-category
        (example to http://hl7.org/fhir/ValueSet/flag-category)

        A general category for flags for filtering/display purposes.

        TypeCodeableConcept
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on Flag.category. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • pattern @ $this
        • 14. Flag.category:patientFlag
          Slice NamepatientFlag
          Definition

          Allows a flag to be divided into different categories like clinical, administrative etc. Intended to be used as a means of filtering which flags are displayed to particular user or in a given context.

          ShortClinical, administrative, etc.
          Comments

          The value set will often need to be adjusted based on local business rules and usage context.

          Control10..*
          BindingThe codes SHALL be taken from For example codes, see NHSE Patient Flag Categoryhttp://hl7.org/fhir/ValueSet/flag-category
          (required to https://fhir.nhs.uk/England/ValueSet/PatientFlagCategory)
          TypeCodeableConcept
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          16. Flag.category:programmeFlag
          Slice NameprogrammeFlag
          Definition

          Allows a flag to be divided into different categories like clinical, administrative etc. Intended to be used as a means of filtering which flags are displayed to particular user or in a given context.

          ShortClinical, administrative, etc.
          Comments

          The value set will often need to be adjusted based on local business rules and usage context.

          Control10..*
          BindingThe codes SHALL be taken from For example codes, see NHSE Programme Flag Categoryhttp://hl7.org/fhir/ValueSet/flag-category
          (required to https://fhir.nhs.uk/England/ValueSet/ProgrammeFlagCategory)
          TypeCodeableConcept
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          18. Flag.code
          Definition

          The coded value or textual component of the flag to display to the user.

          ShortCoded or textual message to display to user
          Comments

          If non-coded, use CodeableConcept.text. This element should always be included in the narrative.

          Control1..1
          BindingUnless not suitable, these codes SHALL be taken from For example codes, see NHSE Programme Flag Codehttp://hl7.org/fhir/ValueSet/flag-code
          (extensible to https://fhir.nhs.uk/England/ValueSet/ProgrammeFlagCode)
          TypeCodeableConcept
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          20. Flag.subject
          Definition

          The patient, location, group, organization, or practitioner etc. this is about record this flag is associated with.

          ShortWho/What is flag about?
          Control1..1
          TypeReference(Patient, Location, Group, Organization, Practitioner, PlanDefinition, Medication, Procedure)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

          0. Flag
          Definition

          Prospective warnings of potential issues when providing care to the patient.

          ShortKey information to flag to healthcare providers
          Control0..*
          Is Modifierfalse
          Summaryfalse
          Alternate NamesBarriers to Care, Alert, Warning
          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
          dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
          dom-6: A resource should have narrative for robust management (text.`div`.exists())
          2. Flag.id
          Definition

          The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

          ShortLogical id of this artifact
          Comments

          The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

          Control0..1
          Typeid
          Is Modifierfalse
          Summarytrue
          4. Flag.meta
          Definition

          The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

          ShortMetadata about the resource
          Control0..1
          TypeMeta
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          6. Flag.implicitRules
          Definition

          A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

          ShortA set of rules under which this content was created
          Comments

          Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

          Control0..1
          Typeuri
          Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          8. Flag.language
          Definition

          The base language in which the resource is written.

          ShortLanguage of the resource content
          Comments

          Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

          Control0..1
          BindingThe codes SHOULD be taken from CommonLanguages
          (preferred to http://hl7.org/fhir/ValueSet/languages)

          A human language.

          Additional BindingsPurpose
          AllLanguagesMax Binding
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          10. Flag.text
          Definition

          A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

          ShortText summary of the resource, for human interpretation
          Comments

          Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

          Control0..1
          TypeNarrative
          Is Modifierfalse
          Summaryfalse
          Alternate Namesnarrative, html, xhtml, display
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          12. Flag.contained
          Definition

          These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

          ShortContained, inline Resources
          Comments

          This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

          Control0..*
          TypeResource
          Is Modifierfalse
          Summaryfalse
          Alternate Namesinline resources, anonymous resources, contained resources
          14. Flag.extension
          Definition

          An Extension

          ShortExtension
          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Flag.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 16. Flag.extension:flagNotes
            Slice NameflagNotes
            Definition

            Captures the additional information for an Adjustment within a Reasonable Adjustment Flag.

            ShortExtension for Flag Adjustment Notes
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(Extension for Flag Adjustment Notes) (Extension Type: Annotation)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            18. Flag.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
            Summaryfalse
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            20. Flag.identifier
            Definition

            Business identifiers assigned to this flag by the performer or other systems which remain constant as the resource is updated and propagates from server to server.

            ShortBusiness identifier
            Comments

            This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..*
            TypeIdentifier
            Is Modifierfalse
            Summarytrue
            Requirements

            Allows identification of the flag as it is known by various participating systems and in a way that remains consistent across servers.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            22. Flag.status
            Definition

            Supports basic workflow.

            Shortactive | inactive | entered-in-error
            Comments

            This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

            Control1..1
            BindingThe codes SHALL be taken from FlagStatus
            (required to http://hl7.org/fhir/ValueSet/flag-status|4.0.1)

            Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error.

            Typecode
            Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            24. Flag.category
            Definition

            Allows a flag to be divided into different categories like clinical, administrative etc. Intended to be used as a means of filtering which flags are displayed to particular user or in a given context.

            ShortClinical, administrative, etc.
            Comments

            The value set will often need to be adjusted based on local business rules and usage context.

            Control2..*
            BindingFor example codes, see FlagCategory
            (example to http://hl7.org/fhir/ValueSet/flag-category)

            A general category for flags for filtering/display purposes.

            TypeCodeableConcept
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            SlicingThis element introduces a set of slices on Flag.category. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • pattern @ $this
            • 26. Flag.category:patientFlag
              Slice NamepatientFlag
              Definition

              Allows a flag to be divided into different categories like clinical, administrative etc. Intended to be used as a means of filtering which flags are displayed to particular user or in a given context.

              ShortClinical, administrative, etc.
              Comments

              The value set will often need to be adjusted based on local business rules and usage context.

              Control1..*
              BindingThe codes SHALL be taken from NHSE Patient Flag Category
              (required to https://fhir.nhs.uk/England/ValueSet/PatientFlagCategory)
              TypeCodeableConcept
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              28. Flag.category:programmeFlag
              Slice NameprogrammeFlag
              Definition

              Allows a flag to be divided into different categories like clinical, administrative etc. Intended to be used as a means of filtering which flags are displayed to particular user or in a given context.

              ShortClinical, administrative, etc.
              Comments

              The value set will often need to be adjusted based on local business rules and usage context.

              Control1..*
              BindingThe codes SHALL be taken from NHSE Programme Flag Category
              (required to https://fhir.nhs.uk/England/ValueSet/ProgrammeFlagCategory)
              TypeCodeableConcept
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              30. Flag.code
              Definition

              The coded value or textual component of the flag to display to the user.

              ShortCoded or textual message to display to user
              Comments

              If non-coded, use CodeableConcept.text. This element should always be included in the narrative.

              Control1..1
              BindingUnless not suitable, these codes SHALL be taken from NHSE Programme Flag Code
              (extensible to https://fhir.nhs.uk/England/ValueSet/ProgrammeFlagCode)
              TypeCodeableConcept
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              32. Flag.subject
              Definition

              The patient, location, group, organization, or practitioner etc. this is about record this flag is associated with.

              ShortWho/What is flag about?
              Control1..1
              TypeReference(Patient, Location, Group, Organization, Practitioner, PlanDefinition, Medication, Procedure)
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              34. Flag.period
              Definition

              The period of time from the activation of the flag to inactivation of the flag. If the flag is active, the end of the period should be unspecified.

              ShortTime period when flag is active
              Control0..1
              TypePeriod
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              36. Flag.encounter
              Definition

              This alert is only relevant during the encounter.

              ShortAlert relevant during encounter
              Comments

              If both Flag.encounter and Flag.period are valued, then Flag.period.start shall not be before Encounter.period.start and Flag.period.end shall not be after Encounter.period.end.

              Control0..1
              TypeReference(Encounter)
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              38. Flag.author
              Definition

              The person, organization or device that created the flag.

              ShortFlag creator
              Control0..1
              TypeReference(Device, Organization, Patient, Practitioner, PractitionerRole)
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))