PAS Encounter - Da Vinci Prior Authorization Support (PAS) FHIR IG v2.2.0-snapshot

Logical id of this artifact

Meta

Metadata about the resource

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

versionId

Σ

0..1

Version specific identifier

lastUpdated

SΣ

0..1

instant

When the resource last changed

source

Σ

0..1

canonical(StructureDefinition)

Identifies where the resource comes from

profile

Σ

0..*

Profiles this resource claims to conform to

security

Σ

0..*

Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.

tag

Σ

0..*

Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

implicitRules

?!Σ

0..1

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

text

0..1

Narrative

Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

contained

0..*

Resource

Contained, inline Resources

Slices for extension

0..*

Extension
Slice: Unordered, Open by value:url

extension:patientStatus

S

0..1

extension:nursingHomeResidentialStatus

Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-patientStatus
Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/03/00/1352 (required): Codes indicating patient status as of the 'statement covers through date'. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.

S

0..1

(Complex)

Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus

id

0..1

Unique id for inter-element referencing

0..0

Extension
Slice: Unordered, Open by value:url

url

1..1

"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus"

value[x]

S

0..1

Value of extension
Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/04/00/1345 (required): Codes specifying the status of a nursing home resident at the time of service. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.

?!

0..*

Extensions that cannot be ignored

identifier

SΣ

0..*

Identifier(s) by which this encounter is known

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

use

?!Σ

0..1

usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

Σ

0..1

Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

system

SΣ

1..1

The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

value

SΣ

1..1

The value that is unique
Example General: 123456

Σ

0..1

Time period when id is/was valid for use

assigner

Σ

0..1

Reference(Organization)

Organization that issued id (may be just text)

?!SΣ

1..1

statusHistory

0..*

List of past encounter statuses

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

1..1

The time that the episode was in the specified status

SΣ

1..1

Classification of patient encounter
Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.

classHistory

0..*

List of past encounter classes

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.

1..1

The time that the episode was in the specified class

SΣ

1..*

Specific type of encounter
Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/01/00/1315 (required): Codes indicating the priority of this admission. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.

serviceType

Σ

0..1

Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

priority

0..1

Reference(PAS Beneficiary Patient(2.2.0-snapshot))

Indicates the urgency of the encounter
Binding: ActPriority (3.0.0) (example): Indicates the urgency of the encounter.

subject

SΣ

1..1

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

SΣ

0..*

List of participants involved in the encounter

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

SΣ

0..*

Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.

S

0..1

Reference(US Core Practitioner Profile(7.0.0) S | US Core PractitionerRole Profile(7.0.0) | US Core RelatedPerson Profile(7.0.0))

Period of time during the encounter that the participant participated

individual

SΣ

0..1

Persons involved in the encounter other than the patient

appointment

Σ

0..*

Reference(Appointment)

The appointment that scheduled this encounter

S

0..1

The start and end time of the encounter

length

0..1

Duration

Quantity of time the encounter lasted (less time absent)

reasonCode

SΣ

0..*

Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) S | US Core Condition Encounter Diagnosis Profile(7.0.0) S | US Core Procedure Profile(7.0.0) | Observation | ImmunizationRecommendation)

Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.

reasonReference

SΣ

0..*

Reason the encounter takes place (reference)

diagnosis

Σ

0..*

The list of diagnosis relevant to this encounter

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

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

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

S

0..1

Details about the admission to a healthcare service

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

preAdmissionIdentifier

0..1

Pre-admission identifier

origin

0..1

The location/organization from which the patient came before admission

admitSource

S

0..1

From where patient was admitted (physician referral, transfer)
Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/02/00/1314 (required): Codes indicating the source of this admission. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.

reAdmission

0..1

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..*

Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.

specialCourtesy

0..*

Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.

specialArrangement

0..*

Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.

destination

0..1

Location/organization to which the patient is discharged

dischargeDisposition

S

0..1

Category or kind of location after discharge
Binding: USCoreDischargeDisposition (7.0.0) (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17

S

0..*

List of locations where the patient has been

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

Reference(US Core Location Profile(7.0.0))

S

1..1

Location the encounter takes place

0..1

planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

physicalType

0..1

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.

0..1

Reference(US Core Organization Profile(7.0.0))

Time period during which the patient was present at the location

serviceProvider

S

0..1

The organization (facility) responsible for this encounter

partOf

0..1

Reference(Encounter)

Another Encounter this encounter is part of

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.meta.security	Base	extensible	SecurityLabels	📦4.0.1	FHIR Std.
Encounter.meta.tag	Base	example	Common Tags	📦4.0.1	FHIR Std.
Encounter.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Encounter.extension:nursingHomeResidentialStatus.value[x]	Base	required	https://valueset.x12.org/x217/005010/request/2000E/CL1/1/04/00/1345	Not State	Unknown
Encounter.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier.type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.statusHistory.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📍3.0.0	THO v7.0
Encounter.classHistory.class	Base	extensible	ActEncounterCode	📍3.0.0	THO v7.0
Encounter.type	Base	required	https://valueset.x12.org/x217/005010/request/2000E/CL1/1/01/00/1315	Not State	Unknown
Encounter.serviceType	Base	example	Service type	📦4.0.1	FHIR Std.
Encounter.priority	Base	example	ActPriority	📍3.0.0	THO v7.0
Encounter.participant.type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.reasonCode	Base	preferred	Encounter Reason Codes	📦4.0.1	FHIR Std.
Encounter.diagnosis.use	Base	preferred	DiagnosisRole	📦4.0.1	FHIR Std.
Encounter.hospitalization.admitSource	Base	required	https://valueset.x12.org/x217/005010/request/2000E/CL1/1/02/00/1314	Not State	Unknown
Encounter.hospitalization.reAdmission	Base	example	hl7VS-re-admissionIndicator	📦2.0.0	THO v7.0
Encounter.hospitalization.dietPreference	Base	example	Diet	📦4.0.1	FHIR Std.
Encounter.hospitalization.specialCourtesy	Base	preferred	Special courtesy	📦4.0.1	FHIR Std.
Encounter.hospitalization.specialArrangement	Base	preferred	Special arrangements	📦4.0.1	FHIR Std.
Encounter.hospitalization.dischargeDisposition	Base	preferred	US Core Discharge Disposition	📍7.0.0	US Core v7.0
Encounter.location.status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location.physicalType	Base	example	Location type	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	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	error	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	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Encounter	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	ALL extensions	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`

Summary

Must-Support: 4 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

PAS Beneficiary Patient (http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-beneficiary|2.2.0-snapshot)

Extensions

This structure refers to these extensions:

Maturity: 4

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Encounter		0..*	USCoreEncounterProfile(7.0.0)	An interaction during which services are provided to the patient This profile also complies with the profiles US Core Encounter Profile (3.1.1) and US Core Encounter Profile (6.1.0)
meta	SΣ	0..1	Meta	Metadata about the resource
lastUpdated	SΣ	0..1	instant	When the resource last changed
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:patientStatus	S	0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-patientStatus Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/03/00/1352 (required): Codes indicating patient status as of the 'statement covers through date'. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
extension:nursingHomeResidentialStatus	S	0..1	(Complex)	Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus"
value[x]	S	0..1	CodeableConcept	Value of extension Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/04/00/1345 (required): Codes specifying the status of a nursing home resident at the time of service. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifier(s) by which this encounter is known
use	?!Σ	0..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled + Binding: EncounterStatus (required): Current state of the encounter. Fixed Value: planned
class	SΣ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.
type	SΣ	1..*	CodeableConcept	Specific type of encounter Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/01/00/1315 (required): Codes indicating the priority of this admission. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
subject	SΣ	1..1	Reference(PAS Beneficiary Patient(2.2.0-snapshot))	The patient or group present at the encounter
participant	SΣ	0..*	BackboneElement	List of participants involved in the encounter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period	S	0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(US Core Practitioner Profile(7.0.0) S \| US Core PractitionerRole Profile(7.0.0) \| US Core RelatedPerson Profile(7.0.0))	Persons involved in the encounter other than the patient
period	S	0..1	Period	The start and end time of the encounter
reasonCode	SΣ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	SΣ	0..*	Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) S \| US Core Condition Encounter Diagnosis Profile(7.0.0) S \| US Core Procedure Profile(7.0.0) \| Observation \| ImmunizationRecommendation)	Reason the encounter takes place (reference)
hospitalization	S	0..1	BackboneElement	Details about the admission to a healthcare service
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
admitSource	S	0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/02/00/1314 (required): Codes indicating the source of this admission. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
dischargeDisposition	S	0..1	CodeableConcept	Category or kind of location after discharge Binding: USCoreDischargeDisposition (7.0.0) (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17
location	S	0..*	BackboneElement	List of locations where the patient has been
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(US Core Location Profile(7.0.0))	Location the encounter takes place
serviceProvider	S	0..1	Reference(US Core Organization Profile(7.0.0))	The organization (facility) responsible for this encounter
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.extension:nursingHomeResidentialStatus.value[x]	Base	required	https://valueset.x12.org/x217/005010/request/2000E/CL1/1/04/00/1345	Not State	Unknown
Encounter.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📍3.0.0	THO v7.0
Encounter.type	Base	required	https://valueset.x12.org/x217/005010/request/2000E/CL1/1/01/00/1315	Not State	Unknown
Encounter.participant.type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.reasonCode	Base	preferred	Encounter Reason Codes	📦4.0.1	FHIR Std.
Encounter.hospitalization.admitSource	Base	required	https://valueset.x12.org/x217/005010/request/2000E/CL1/1/02/00/1314	Not State	Unknown
Encounter.hospitalization.dischargeDisposition	Base	preferred	US Core Discharge Disposition	📍7.0.0	US Core v7.0

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	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	error	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	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Encounter	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	ALL extensions	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`

Differential View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Encounter		0..*	USCoreEncounterProfile(7.0.0)	An interaction during which services are provided to the patient This profile also complies with the profiles US Core Encounter Profile (3.1.1) and US Core Encounter Profile (6.1.0)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:patientStatus	S	0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-patientStatus Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/03/00/1352 (required): Codes indicating patient status as of the 'statement covers through date'. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
extension:nursingHomeResidentialStatus	S	0..1	(Complex)	Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus
value[x]	S	0..1	CodeableConcept	Value of extension Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/04/00/1345 (required): Codes specifying the status of a nursing home resident at the time of service. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
status		1..1	code	planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled + Fixed Value: planned
type		1..*	CodeableConcept	Specific type of encounter Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/01/00/1315 (required): Codes indicating the priority of this admission. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
subject		1..1	Reference(PAS Beneficiary Patient(2.2.0-snapshot))	The patient or group present at the encounter
hospitalization
admitSource	S	0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/02/00/1314 (required): Codes indicating the source of this admission. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Encounter.extension:nursingHomeResidentialStatus.value[x]	Base	required	https://valueset.x12.org/x217/005010/request/2000E/CL1/1/04/00/1345	Not State	Unknown
Encounter.type	Base	required	https://valueset.x12.org/x217/005010/request/2000E/CL1/1/01/00/1315	Not State	Unknown
Encounter.hospitalization.admitSource	Base	required	https://valueset.x12.org/x217/005010/request/2000E/CL1/1/02/00/1314	Not State	Unknown

Snapshot ViewView

Description & Constraints Filter: Filters

Encounter

0..*

USCoreEncounterProfile(7.0.0)

An interaction during which services are provided to the patient
This profile also complies with the profiles US Core Encounter Profile (3.1.1) and US Core Encounter Profile (6.1.0)

id

Σ

0..1

Logical id of this artifact

Meta

Metadata about the resource

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

versionId

Σ

0..1

Version specific identifier

lastUpdated

SΣ

0..1

instant

When the resource last changed

source

Σ

0..1

canonical(StructureDefinition)

Identifies where the resource comes from

profile

Σ

0..*

Profiles this resource claims to conform to

security

Σ

0..*

Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.

tag

Σ

0..*

Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

implicitRules

?!Σ

0..1

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

text

0..1

Narrative

Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

contained

0..*

Resource

Contained, inline Resources

Slices for extension

0..*

Extension
Slice: Unordered, Open by value:url

extension:patientStatus

S

0..1

extension:nursingHomeResidentialStatus

Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-patientStatus
Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/03/00/1352 (required): Codes indicating patient status as of the 'statement covers through date'. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.

S

0..1

(Complex)

Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus

id

0..1

Unique id for inter-element referencing

0..0

Extension
Slice: Unordered, Open by value:url

url

1..1

"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus"

value[x]

S

0..1

Value of extension
Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/04/00/1345 (required): Codes specifying the status of a nursing home resident at the time of service. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.

?!

0..*

Extensions that cannot be ignored

identifier

SΣ

0..*

Identifier(s) by which this encounter is known

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

use

?!Σ

0..1

usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

Σ

0..1

Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

system

SΣ

1..1

The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

value

SΣ

1..1

The value that is unique
Example General: 123456

Σ

0..1

Time period when id is/was valid for use

assigner

Σ

0..1

Reference(Organization)

Organization that issued id (may be just text)

?!SΣ

1..1

statusHistory

0..*

List of past encounter statuses

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

1..1

The time that the episode was in the specified status

SΣ

1..1

Classification of patient encounter
Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.

classHistory

0..*

List of past encounter classes

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.

1..1

The time that the episode was in the specified class

SΣ

1..*

Specific type of encounter
Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/01/00/1315 (required): Codes indicating the priority of this admission. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.

serviceType

Σ

0..1

Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

priority

0..1

Reference(PAS Beneficiary Patient(2.2.0-snapshot))

Indicates the urgency of the encounter
Binding: ActPriority (3.0.0) (example): Indicates the urgency of the encounter.

subject

SΣ

1..1

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

SΣ

0..*

List of participants involved in the encounter

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

SΣ

0..*

Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.

S

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Reference(US Core Practitioner Profile(7.0.0) S | US Core PractitionerRole Profile(7.0.0) | US Core RelatedPerson Profile(7.0.0))

Period of time during the encounter that the participant participated

individual

SΣ

0..1

Persons involved in the encounter other than the patient

appointment

Σ

0..*

Reference(Appointment)

The appointment that scheduled this encounter

S

0..1

The start and end time of the encounter

length

0..1

Duration

Quantity of time the encounter lasted (less time absent)

reasonCode

SΣ

0..*

Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) S | US Core Condition Encounter Diagnosis Profile(7.0.0) S | US Core Procedure Profile(7.0.0) | Observation | ImmunizationRecommendation)

Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.

reasonReference

SΣ

0..*

Reason the encounter takes place (reference)

diagnosis

Σ

0..*

The list of diagnosis relevant to this encounter

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

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

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

S

0..1

Details about the admission to a healthcare service

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

preAdmissionIdentifier

0..1

Pre-admission identifier

origin

0..1

The location/organization from which the patient came before admission

admitSource

S

0..1

From where patient was admitted (physician referral, transfer)
Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/02/00/1314 (required): Codes indicating the source of this admission. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.

reAdmission

0..1

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..*

Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.

specialCourtesy

0..*

Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.

specialArrangement

0..*

Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.

destination

0..1

Location/organization to which the patient is discharged

dischargeDisposition

S

0..1

Category or kind of location after discharge
Binding: USCoreDischargeDisposition (7.0.0) (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17

S

0..*

List of locations where the patient has been

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

Reference(US Core Location Profile(7.0.0))

S

1..1

Location the encounter takes place

0..1

planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

physicalType

0..1

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.

0..1