Union of http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter and http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter

This is the set of resources that conform to either of the profiles US Core Encounter Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter) and US Core Encounter Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter). E.g. what you have to deal with if you get resources conforming to one of them

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*An interaction during which services are provided to the patient
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... meta Σ0..1MetaMetadata about the resource
ele-1: All FHIR elements must have a @value or children
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... language 0..1codeLanguage of the resource content
Binding: ?? (preferred): A human language.


ele-1: All FHIR elements must have a @value or children
... text 0..1NarrativeText summary of the resource, for human interpretation
ele-1: All FHIR elements must have a @value or children
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... identifier SΣ0..*Identifierleft: Identifier(s) by which this encounter is known; right: (USCDI) Identifier(s) by which this encounter is known
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: ?? (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
.... type Σ0..1CodeableConceptDescription of identifier
Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


ele-1: All FHIR elements must have a @value or children
.... system SΣ1..1urileft: The namespace for the identifier value; right: (USCDI) The namespace for the identifier value
ele-1: All FHIR elements must have a @value or children
Example General: http://www.acme.com/identifiers/patient
.... value SΣ1..1stringleft: The value that is unique; right: (USCDI) The value that is unique
ele-1: All FHIR elements must have a @value or children
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
ele-1: All FHIR elements must have a @value or children
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
ele-1: All FHIR elements must have a @value or children
... status ?!SΣ1..1codeleft: planned | arrived | triaged | in-progress | onleave | finished | cancelled +; right: (USCDI) planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: ?? (required): Current state of the encounter.


ele-1: All FHIR elements must have a @value or children
... statusHistory 0..*BackboneElementList of past encounter statuses
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... status 1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: ?? (required): Current state of the encounter.


ele-1: All FHIR elements must have a @value or children
.... period 1..1PeriodThe time that the episode was in the specified status
ele-1: All FHIR elements must have a @value or children
... class SΣ1..1Codingleft: Classification of patient encounter; right: (USCDI) Classification of patient encounter
Binding: ?? (extensible): Classification of the encounter.


ele-1: All FHIR elements must have a @value or children
... classHistory 0..*BackboneElementList of past encounter classes
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... class 1..1Codinginpatient | outpatient | ambulatory | emergency +
Binding: ?? (extensible): Classification of the encounter.


ele-1: All FHIR elements must have a @value or children
.... period 1..1PeriodThe time that the episode was in the specified class
ele-1: All FHIR elements must have a @value or children
... type SΣ1..*CodeableConceptleft: Specific type of encounter; right: (USCDI) Specific type of encounter
Binding: ?? (extensible): Valueset to describe the Encounter Type


ele-1: All FHIR elements must have a @value or children
... serviceType Σ0..1CodeableConceptSpecific type of service
Binding: ?? (example): Broad categorization of the service that is to be provided.


ele-1: All FHIR elements must have a @value or children
... priority 0..1CodeableConceptIndicates the urgency of the encounter
Binding: ?? (example): Indicates the urgency of the encounter.


ele-1: All FHIR elements must have a @value or children
... subject SΣ1..1Reference(US Core Patient Profile | #sd-us-core-patient-us-core-patient)left: The patient or group present at the encounter; right: (USCDI) The patient or group present at the encounter
ele-1: All FHIR elements must have a @value or children
... episodeOfCare Σ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
ele-1: All FHIR elements must have a @value or children
... basedOn 0..*Reference(ServiceRequest)The ServiceRequest that initiated this encounter
ele-1: All FHIR elements must have a @value or children
... participant SΣ0..*BackboneElementleft: List of participants involved in the encounter; right: (USCDI) List of participants involved in the encounter
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... type SΣ0..*CodeableConceptleft: Role of participant in encounter; right: (USCDI) Role of participant in encounter
Binding: ?? (extensible): Role of participant in encounter.


ele-1: All FHIR elements must have a @value or children
.... period S0..1Periodleft: Period of time during the encounter that the participant participated; right: (USCDI) Period of time during the encounter that the participant participated
ele-1: All FHIR elements must have a @value or children
.... individual SΣ0..1Reference(US Core Practitioner Profile | #sd-us-core-practitioner-us-core-practitioner)left: Persons involved in the encounter other than the patient; right: (USCDI) Persons involved in the encounter other than the patient
ele-1: All FHIR elements must have a @value or children
... appointment Σ0..*Reference(Appointment)The appointment that scheduled this encounter
ele-1: All FHIR elements must have a @value or children
... period S0..1Periodleft: The start and end time of the encounter; right: (USCDI) The start and end time of the encounter
ele-1: All FHIR elements must have a @value or children
... length 0..1DurationQuantity of time the encounter lasted (less time absent)
ele-1: All FHIR elements must have a @value or children
... reasonCode SΣ0..*CodeableConceptleft: Coded reason the encounter takes place; right: (USCDI) Coded reason the encounter takes place
Binding: ?? (preferred): Reason why the encounter takes place.


ele-1: All FHIR elements must have a @value or children
... reasonReference SΣ0..*Reference(Condition | Procedure | Observation | ImmunizationRecommendation)left: Reason the encounter takes place (reference); right: (USCDI) Reason the encounter takes place (reference)
ele-1: All FHIR elements must have a @value or children
... diagnosis Σ0..*BackboneElementThe list of diagnosis relevant to this encounter
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... condition Σ1..1Reference(Condition | Procedure)The diagnosis or procedure relevant to the encounter
ele-1: All FHIR elements must have a @value or children
.... use 0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: ?? (preferred): The type of diagnosis this condition represents.


ele-1: All FHIR elements must have a @value or children
.... rank 0..1positiveIntRanking of the diagnosis (for each role type)
ele-1: All FHIR elements must have a @value or children
... account 0..*Reference(Account)The set of accounts that may be used for billing for this Encounter
ele-1: All FHIR elements must have a @value or children
... hospitalization S0..1BackboneElementleft: Details about the admission to a healthcare service; right: (USCDI) Details about the admission to a healthcare service
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
ele-1: All FHIR elements must have a @value or children
.... origin 0..1Reference(Location | Organization)The location/organization from which the patient came before admission
ele-1: All FHIR elements must have a @value or children
.... admitSource 0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: ?? (preferred): From where the patient was admitted.


ele-1: All FHIR elements must have a @value or children
.... reAdmission 0..1CodeableConceptThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: ?? (example): The reason for re-admission of this hospitalization encounter.


ele-1: All FHIR elements must have a @value or children
.... dietPreference 0..*CodeableConceptDiet preferences reported by the patient
Binding: ?? (example): Medical, cultural or ethical food preferences to help with catering requirements.


ele-1: All FHIR elements must have a @value or children
.... specialCourtesy 0..*CodeableConceptSpecial courtesies (VIP, board member)
Binding: ?? (preferred): Special courtesies.


ele-1: All FHIR elements must have a @value or children
.... specialArrangement 0..*CodeableConceptWheelchair, translator, stretcher, etc.
Binding: ?? (preferred): Special arrangements.


ele-1: All FHIR elements must have a @value or children
.... destination 0..1Reference(Location | Organization)Location/organization to which the patient is discharged
ele-1: All FHIR elements must have a @value or children
.... dischargeDisposition S0..1CodeableConceptleft: Category or kind of location after discharge; right: (USCDI) Category or kind of location after discharge
Binding: ?? (preferred): left: Discharge Disposition.; right: [National Uniform Billing Committee], manual UB-04, UB form locator 17


ele-1: All FHIR elements must have a @value or children
... location S0..*BackboneElementleft: List of locations where the patient has been; right: (USCDI) List of locations where the patient has been
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... location S1..1Reference(Location)left: Location the encounter takes place; right: (USCDI) Location the encounter takes place
ele-1: All FHIR elements must have a @value or children
.... status 0..1codeplanned | active | reserved | completed
Binding: ?? (required): The status of the location.


ele-1: All FHIR elements must have a @value or children
.... physicalType 0..1CodeableConceptThe physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: ?? (example): Physical form of the location.


ele-1: All FHIR elements must have a @value or children
.... period 0..1PeriodTime period during which the patient was present at the location
ele-1: All FHIR elements must have a @value or children
... serviceProvider S0..1Reference(Organization)left: The organization (facility) responsible for this encounter; right: (USCDI) The organization (facility) responsible for this encounter
ele-1: All FHIR elements must have a @value or children
... partOf 0..1Reference(Encounter)Another Encounter this encounter is part of
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format