Birth And Fetal Death (BFDR) - STU2-ballot
2.0.0-Preview1 - trial-use United States of America flag

Birth And Fetal Death (BFDR) - STU2-ballot, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0-Preview1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-bfdr/ and changes regularly. See the Directory of published versions

Resource Profile: Encounter - Maternity

Official URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-maternity Version: 2.0.0-Preview1
Active as of 2024-07-17 Computable Name: EncounterMaternity
Other Identifiers: OID:2.16.840.1.113883.4.642.40.13.42.26

This Encounter profile represents the mother’s maternity encounter.

After the child is born, an Encounter record will be created for the child (Encounter-Birth) and will reference this encounter using the partOf property.

IJE Mapping

Natality
Use Case # Description IJE Name Field Type Value Set/Comments
Natality 125 Mother Transferred? TRAN hospitalization.admitSource = "hosp-trans" codeable HL7EncounterAdmitSourceVS,
See note on patient transfers

Fetal Death
Use Case # Description IJE Name Field Type Value Set/Comments
Fetal Death 11 Place Where Delivery Occurred DPLACE location.physicalType codeable BirthDeliveryOccurredVS
Fetal Death 347 Date Signed by Certifier--Year CERTIFIED_YR participant:certifier.period.start dateTime See PartialDatesAndTimes
Fetal Death 348 Date Signed by Certifier--Month CERTIFIED_MO participant:certifier.period.start dateTime See PartialDatesAndTimes
Fetal Death 349 Date Signed by Certifier--Day CERTIFIED_DY participant:certifier.period.start dateTime See PartialDatesAndTimes

Form Mapping

Form Mapping
Item # Form Field FHIR Profile Field Reference
28 Mother Transferred for Maternal Medical or Fetal Indications for Delivery? hospitalization.admitSource (Y if present, N if not present) Certificate of Live Birth
23 Was the mother transferred to this facility for maternal medical or fetal indications for delivery? hospitalization.admitSource (Y if present, N if not present) Facility Worksheet for the Live Birth Certificate
7 Place Where Delivery Occurred location.physicalType Report of Fetal Death
7.3 Home Birth: Planned to deliver at home? location.physicalType Report of Fetal Death
5 Place of delivery location.physicalType Facility Worksheet for the Report of Fetal Death
5.3 Planned to deliver at home location.physicalType Facility Worksheet for the Report of Fetal Death

Usage:

Formal Views of Profile Content

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

This structure is derived from USCoreEncounterProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter USCoreEncounterProfile
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... role 1..1 (Complex) Differentiates Birth and Maternity Encounters.
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role
..... value[x] 1..1 CodeableConcept Value set used to indicate father or mother.
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MTH
... subject 1..1 Reference(Patient - Mother Vital Records) The patient or group present at the encounter
... Slices for participant 0..* BackboneElement List of participants involved in the encounter
Slice: Unordered, Open by value:type
.... participant:attendant S 0..* BackboneElement The person responsible for delivering the child/fetus.
..... type 1..1 CodeableConcept Birth attendant [Extended Identifier]
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87286-1
..... individual 1..1 Reference(Practitioner - Birth Attendant) Persons involved in the encounter other than the patient
.... participant:certifier S 0..* BackboneElement The individual who certifies to the fact that the birth occurred.
..... type 1..1 CodeableConcept Birth certifier [Extended Identifier]
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87287-9
..... period
...... start S 0..1 dateTime Date certified
..... individual 1..1 Reference(Practitioner - Birth Certifier) Persons involved in the encounter other than the patient
.... origin S 0..1 Reference(Birth and Fetal Death Location) If mother transferred, facility transferred from
.... admitSource S 0..1 CodeableConcept If mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital) from codesystem http://terminology.hl7.org/CodeSystem/admit-source.
... location 0..* BackboneElement Information about the location of delivery
.... location 1..1 Reference(Birth and Fetal Death Location) Facility name (if not institution, give street and number)
..... id 0..1 string Facility ID
..... identifier 0..1 Identifier Facility ID (state-assigned)
.... physicalType S 0..1 CodeableConcept The value set contains the list of values used to indicate the type of place where birth or delivery occurred.
Binding: Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS)


doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.location.physicalTypepreferredBirthDeliveryOccurredVS
http://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-birth-delivery-occurred
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* USCoreEncounterProfile An interaction during which services are provided to the patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... role 1..1 (Complex) Differentiates Birth and Maternity Encounters.
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role"
..... value[x] 1..1 CodeableConcept Value set used to indicate father or mother.
Binding: Role Vital Records (extensible): Parental Role


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MTH
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... 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.

... class SΣ 1..1 Coding Classification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.

... type SΣ 1..* CodeableConcept Specific type of encounter
Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type


... subject SΣ 1..1 Reference(Patient - Mother Vital Records) The patient or group present at the encounter
... Slices for participant SΣ 0..* BackboneElement List of participants involved in the encounter
Slice: Unordered, Open by value:type
.... participant:All Slices Content/Rules for all slices
..... 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) Persons involved in the encounter other than the patient
.... participant:attendant SΣ 0..* BackboneElement The person responsible for delivering the child/fetus.
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type SΣ 1..1 CodeableConcept Birth attendant [Extended Identifier]
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87286-1
..... period S 0..1 Period Period of time during the encounter that the participant participated
..... individual SΣ 1..1 Reference(Practitioner - Birth Attendant) Persons involved in the encounter other than the patient
.... participant:certifier SΣ 0..* BackboneElement The individual who certifies to the fact that the birth occurred.
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type SΣ 1..1 CodeableConcept Birth certifier [Extended Identifier]
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87287-9
..... period S 0..1 Period Period of time during the encounter that the participant participated
...... start SΣC 0..1 dateTime Date certified
..... individual SΣ 1..1 Reference(Practitioner - Birth Certifier) 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 | US Core Condition Encounter Diagnosis Profile) 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
.... origin S 0..1 Reference(Birth and Fetal Death Location) If mother transferred, facility transferred from
.... admitSource S 0..1 CodeableConcept If mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital) from codesystem http://terminology.hl7.org/CodeSystem/admit-source.
Binding: AdmitSource (preferred): From where the patient was admitted.

.... dischargeDisposition S 0..1 CodeableConcept Category or kind of location after discharge
Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17

... location S 0..* BackboneElement Information about the location of delivery
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location S 1..1 Reference(Birth and Fetal Death Location) Facility name (if not institution, give street and number)
..... id 0..1 string Facility ID
..... identifier Σ 0..1 Identifier Facility ID (state-assigned)
.... physicalType S 0..1 CodeableConcept The value set contains the list of values used to indicate the type of place where birth or delivery occurred.
Binding: Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS)

... serviceProvider S 0..1 Reference(US Core Organization Profile) The organization (facility) responsible for this encounter

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.extension:role.value[x]extensiblePattern: MTH
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-role-vr
Encounter.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typeextensibleUSCoreEncounterType
http://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.participant:attendant.typeextensiblePattern: LOINC Code 87286-1
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.participant:certifier.typeextensiblePattern: LOINC Code 87287-9
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Encounter.hospitalization.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionpreferredUSCoreDischargeDisposition (a valid code from http://www.nubc.org/patient-discharge)
http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition
Encounter.location.physicalTypepreferredBirthDeliveryOccurredVS
http://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-birth-delivery-occurred
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* USCoreEncounterProfile An interaction during which services are provided to the patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... role 1..1 (Complex) Differentiates Birth and Maternity Encounters.
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role"
..... value[x] 1..1 CodeableConcept Value set used to indicate father or mother.
Binding: Role Vital Records (extensible): Parental Role


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MTH
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identifier(s) by which this encounter is known
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept 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 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
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!SΣ 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1 Period The time that the episode was in the specified status
... class SΣ 1..1 Coding Classification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.

... classHistory 0..* BackboneElement List of past encounter classes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... period 1..1 Period The time that the episode was in the specified class
... type SΣ 1..* CodeableConcept Specific type of encounter
Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type


... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... subject SΣ 1..1 Reference(Patient - Mother Vital Records) 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
... Slices for participant SΣ 0..* BackboneElement List of participants involved in the encounter
Slice: Unordered, Open by value:type
.... participant:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... 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 S | US Core PractitionerRole Profile | US Core RelatedPerson Profile) Persons involved in the encounter other than the patient
.... participant:attendant SΣ 0..* BackboneElement The person responsible for delivering the child/fetus.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type SΣ 1..1 CodeableConcept Birth attendant [Extended Identifier]
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87286-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period S 0..1 Period Period of time during the encounter that the participant participated
..... individual SΣ 1..1 Reference(Practitioner - Birth Attendant) Persons involved in the encounter other than the patient
.... participant:certifier SΣ 0..* BackboneElement The individual who certifies to the fact that the birth occurred.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type SΣ 1..1 CodeableConcept Birth certifier [Extended Identifier]
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87287-9
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period S 0..1 Period Period of time during the encounter that the participant participated
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... start SΣC 0..1 dateTime Date certified
...... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
..... individual SΣ 1..1 Reference(Practitioner - Birth Certifier) Persons involved in the encounter other than the patient
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... period S 0..1 Period The start and end time of the encounter
... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
... reasonCode 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 S | US Core Condition Encounter Diagnosis Profile S | US Core Procedure Profile | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
... diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(Condition | Procedure) The diagnosis or procedure relevant to the encounter
.... use 0..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization S 0..1 BackboneElement Details about the admission to a healthcare service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin S 0..1 Reference(Birth and Fetal Death Location) If mother transferred, facility transferred from
.... admitSource S 0..1 CodeableConcept If mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital) from codesystem http://terminology.hl7.org/CodeSystem/admit-source.
Binding: AdmitSource (preferred): From where the patient was admitted.

.... reAdmission 0..1 CodeableConcept The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.

.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.


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


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


.... destination 0..1 Reference(Location | Organization) Location/organization to which the patient is discharged
.... dischargeDisposition S 0..1 CodeableConcept Category or kind of location after discharge
Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17

... location S 0..* BackboneElement Information about the location of delivery
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location S 1..1 Reference(Birth and Fetal Death Location) Facility name (if not institution, give street and number)
..... id 0..1 string Facility ID
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ 0..1 Identifier Facility ID (state-assigned)
..... display Σ 0..1 string Text alternative for the resource
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... physicalType S 0..1 CodeableConcept The value set contains the list of values used to indicate the type of place where birth or delivery occurred.
Binding: Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS)

.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider S 0..1 Reference(US Core Organization Profile) The organization (facility) responsible for this encounter
... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Encounter.extension:role.value[x]extensiblePattern: MTH
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-role-vr
Encounter.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typeextensibleUSCoreEncounterType
http://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type
Encounter.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Encounter.priorityexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.participant:attendant.typeextensiblePattern: LOINC Code 87286-1
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.participant:certifier.typeextensiblePattern: LOINC Code 87287-9
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Encounter.diagnosis.usepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard
Encounter.hospitalization.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
from the FHIR Standard
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionpreferredUSCoreDischargeDisposition (a valid code from http://www.nubc.org/patient-discharge)
http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition
Encounter.location.location.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
from the FHIR Standard
Encounter.location.physicalTypepreferredBirthDeliveryOccurredVS
http://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-birth-delivery-occurred
from this IG

This structure is derived from USCoreEncounterProfile

Differential View

This structure is derived from USCoreEncounterProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter USCoreEncounterProfile
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... role 1..1 (Complex) Differentiates Birth and Maternity Encounters.
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role
..... value[x] 1..1 CodeableConcept Value set used to indicate father or mother.
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MTH
... subject 1..1 Reference(Patient - Mother Vital Records) The patient or group present at the encounter
... Slices for participant 0..* BackboneElement List of participants involved in the encounter
Slice: Unordered, Open by value:type
.... participant:attendant S 0..* BackboneElement The person responsible for delivering the child/fetus.
..... type 1..1 CodeableConcept Birth attendant [Extended Identifier]
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87286-1
..... individual 1..1 Reference(Practitioner - Birth Attendant) Persons involved in the encounter other than the patient
.... participant:certifier S 0..* BackboneElement The individual who certifies to the fact that the birth occurred.
..... type 1..1 CodeableConcept Birth certifier [Extended Identifier]
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87287-9
..... period
...... start S 0..1 dateTime Date certified
..... individual 1..1 Reference(Practitioner - Birth Certifier) Persons involved in the encounter other than the patient
.... origin S 0..1 Reference(Birth and Fetal Death Location) If mother transferred, facility transferred from
.... admitSource S 0..1 CodeableConcept If mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital) from codesystem http://terminology.hl7.org/CodeSystem/admit-source.
... location 0..* BackboneElement Information about the location of delivery
.... location 1..1 Reference(Birth and Fetal Death Location) Facility name (if not institution, give street and number)
..... id 0..1 string Facility ID
..... identifier 0..1 Identifier Facility ID (state-assigned)
.... physicalType S 0..1 CodeableConcept The value set contains the list of values used to indicate the type of place where birth or delivery occurred.
Binding: Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS)


doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.location.physicalTypepreferredBirthDeliveryOccurredVS
http://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-birth-delivery-occurred
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* USCoreEncounterProfile An interaction during which services are provided to the patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... role 1..1 (Complex) Differentiates Birth and Maternity Encounters.
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role"
..... value[x] 1..1 CodeableConcept Value set used to indicate father or mother.
Binding: Role Vital Records (extensible): Parental Role


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MTH
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... 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.

... class SΣ 1..1 Coding Classification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.

... type SΣ 1..* CodeableConcept Specific type of encounter
Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type


... subject SΣ 1..1 Reference(Patient - Mother Vital Records) The patient or group present at the encounter
... Slices for participant SΣ 0..* BackboneElement List of participants involved in the encounter
Slice: Unordered, Open by value:type
.... participant:All Slices Content/Rules for all slices
..... 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) Persons involved in the encounter other than the patient
.... participant:attendant SΣ 0..* BackboneElement The person responsible for delivering the child/fetus.
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type SΣ 1..1 CodeableConcept Birth attendant [Extended Identifier]
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87286-1
..... period S 0..1 Period Period of time during the encounter that the participant participated
..... individual SΣ 1..1 Reference(Practitioner - Birth Attendant) Persons involved in the encounter other than the patient
.... participant:certifier SΣ 0..* BackboneElement The individual who certifies to the fact that the birth occurred.
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type SΣ 1..1 CodeableConcept Birth certifier [Extended Identifier]
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87287-9
..... period S 0..1 Period Period of time during the encounter that the participant participated
...... start SΣC 0..1 dateTime Date certified
..... individual SΣ 1..1 Reference(Practitioner - Birth Certifier) 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 | US Core Condition Encounter Diagnosis Profile) 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
.... origin S 0..1 Reference(Birth and Fetal Death Location) If mother transferred, facility transferred from
.... admitSource S 0..1 CodeableConcept If mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital) from codesystem http://terminology.hl7.org/CodeSystem/admit-source.
Binding: AdmitSource (preferred): From where the patient was admitted.

.... dischargeDisposition S 0..1 CodeableConcept Category or kind of location after discharge
Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17

... location S 0..* BackboneElement Information about the location of delivery
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location S 1..1 Reference(Birth and Fetal Death Location) Facility name (if not institution, give street and number)
..... id 0..1 string Facility ID
..... identifier Σ 0..1 Identifier Facility ID (state-assigned)
.... physicalType S 0..1 CodeableConcept The value set contains the list of values used to indicate the type of place where birth or delivery occurred.
Binding: Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS)

... serviceProvider S 0..1 Reference(US Core Organization Profile) The organization (facility) responsible for this encounter

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.extension:role.value[x]extensiblePattern: MTH
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-role-vr
Encounter.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typeextensibleUSCoreEncounterType
http://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.participant:attendant.typeextensiblePattern: LOINC Code 87286-1
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.participant:certifier.typeextensiblePattern: LOINC Code 87287-9
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Encounter.hospitalization.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionpreferredUSCoreDischargeDisposition (a valid code from http://www.nubc.org/patient-discharge)
http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition
Encounter.location.physicalTypepreferredBirthDeliveryOccurredVS
http://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-birth-delivery-occurred
from this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* USCoreEncounterProfile An interaction during which services are provided to the patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... role 1..1 (Complex) Differentiates Birth and Maternity Encounters.
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role"
..... value[x] 1..1 CodeableConcept Value set used to indicate father or mother.
Binding: Role Vital Records (extensible): Parental Role


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MTH
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identifier(s) by which this encounter is known
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept 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 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
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!SΣ 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1 Period The time that the episode was in the specified status
... class SΣ 1..1 Coding Classification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.

... classHistory 0..* BackboneElement List of past encounter classes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... period 1..1 Period The time that the episode was in the specified class
... type SΣ 1..* CodeableConcept Specific type of encounter
Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type


... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... subject SΣ 1..1 Reference(Patient - Mother Vital Records) 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
... Slices for participant SΣ 0..* BackboneElement List of participants involved in the encounter
Slice: Unordered, Open by value:type
.... participant:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... 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 S | US Core PractitionerRole Profile | US Core RelatedPerson Profile) Persons involved in the encounter other than the patient
.... participant:attendant SΣ 0..* BackboneElement The person responsible for delivering the child/fetus.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type SΣ 1..1 CodeableConcept Birth attendant [Extended Identifier]
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87286-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period S 0..1 Period Period of time during the encounter that the participant participated
..... individual SΣ 1..1 Reference(Practitioner - Birth Attendant) Persons involved in the encounter other than the patient
.... participant:certifier SΣ 0..* BackboneElement The individual who certifies to the fact that the birth occurred.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type SΣ 1..1 CodeableConcept Birth certifier [Extended Identifier]
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87287-9
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period S 0..1 Period Period of time during the encounter that the participant participated
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... start SΣC 0..1 dateTime Date certified
...... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
..... individual SΣ 1..1 Reference(Practitioner - Birth Certifier) Persons involved in the encounter other than the patient
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... period S 0..1 Period The start and end time of the encounter
... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
... reasonCode 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 S | US Core Condition Encounter Diagnosis Profile S | US Core Procedure Profile | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
... diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(Condition | Procedure) The diagnosis or procedure relevant to the encounter
.... use 0..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization S 0..1 BackboneElement Details about the admission to a healthcare service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin S 0..1 Reference(Birth and Fetal Death Location) If mother transferred, facility transferred from
.... admitSource S 0..1 CodeableConcept If mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital) from codesystem http://terminology.hl7.org/CodeSystem/admit-source.
Binding: AdmitSource (preferred): From where the patient was admitted.

.... reAdmission 0..1 CodeableConcept The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.

.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.


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


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


.... destination 0..1 Reference(Location | Organization) Location/organization to which the patient is discharged
.... dischargeDisposition