Birth And Fetal Death (BFDR) FHIR Implementation Guide
2.0.0 - STU2 - CIBuild
Birth And Fetal Death (BFDR) FHIR Implementation Guide
2.0.0 - STU2 - CIBuild
Birth And Fetal Death (BFDR) FHIR Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0 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
| Official URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-birth | Version: 2.0.0 | ||||
| Standards status: Draft | Computable Name: EncounterBirth | ||||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.13.42.27 | |||||
This Encounter profile represents the child's birth encounter.
This Encounter can reference the mother's maternity encounter using the partOf data element.
| Use Case | # | Description | IJE Name | Field | Type | Value Set/Comments |
|---|---|---|---|---|---|---|
| Natality | 11 | Place Where Birth Occurred (type of place or institution) | BPLACE | location.physicalType | codeable | BirthDeliveryOccurredVS |
| Natality | 231 | Was Infant Transferred Within 24 Hours of Delivery? | ITRAN | hospitalization.dischargeDisposition="other-hcf" | codeable | USCoreDischargeDispositionVS, See note on patient transfers |
| Natality | 334 | Date Signed by Certifier--Year | CERTIFIED_YR | participant:certifier.period.start | dateTime | See PartialDatesAndTimes |
| Natality | 335 | Date Signed by Certifier--Month | CERTIFIED_MO | participant:certifier.period.start | dateTime | See PartialDatesAndTimes |
| Natality | 336 | Date Signed by Certifier--Day | CERTIFIED_DY | participant:certifier.period.start | dateTime | See PartialDatesAndTimes |
| Item # | Form Field | FHIR Profile Field | Reference |
|---|---|---|---|
| 12 | Date Certified | participant:certifier.period.start | Certificate of Live Birth |
| 26 | Place Where Birth Occurred | location.physicalType | Certificate of Live Birth |
| 26.3 | Home Birth: Planned to deliver at home? | location.physicalType | Certificate of Live Birth |
| 56 | Was Infant Transferred Within 24 Hours Of Delivery? | hospitalization.dischargeDisposition | Certificate of Live Birth |
| 5 | Place where birth occurred | location.physicalType | Facility Worksheet for the Live Birth Certificate |
| 5.3 | Home Birth: Planned to deliver at home? | location.physicalType | Facility Worksheet for the Live Birth Certificate |
| 20 | Date certified | participant:certifier.period.start | Facility Worksheet for the Live Birth Certificate |
| 38 | Was infant transferred within 24 hours of delivery? | hospitalization.dischargeDisposition | Facility Worksheet for the Live Birth Certificate |
| 38 | Was infant transferred within 24 hours of delivery? | hospitalization.dischargeDisposition | Attachment to the Facility Worksheet for the Live Birth Certificate for Multiple Births |
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  Encounter |
0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient | |
  implicitRules |
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 | |
   extension:role |
1..1 | (Complex) | Differentiates Birth and Maternity Encounters. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role | |
  extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| 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: Value Set - Role Vital Records (extensible): Parental Role Required Pattern: | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| identifier |
0..* | Identifier | Identifier(s) by which this encounter is known | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| system |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |
 value |
1..1 | string | The value that is unique Example General: 123456 | |
| status |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | |
| class |
1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter. | |
| type |
1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type | |
 subject |
1..1 | Reference(Patient - Child 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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
  participant:All Slices |
Content/Rules for all slices | |||
  modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| type |
0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | |
| period |
0..1 | Period | Period of time during the encounter that the participant participated | |
 individual |
0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | Persons involved in the encounter other than the patient | |
| participant:attendant |
0..* | BackboneElement | The person responsible for delivering the child. | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| Slices for type |
1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by pattern:$this Binding: ParticipantType (extensible): Role of participant in encounter. | |
 Slices for type |
Content/Rules for all slices | |||
 type:requiredType |
1..1 | CodeableConcept | Birth attendant [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: | |
| period |
0..1 | Period | Period of time during the encounter that the participant participated | |
| individual |
1..1 | Reference(Practitioner - Birth Attendant) | Persons involved in the encounter other than the patient | |
| participant:certifier |
0..* | BackboneElement | The individual who certifies to the fact that the birth occurred. | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| Slices for type |
1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by pattern:$this Binding: ParticipantType (extensible): Role of participant in encounter. | |
| Slices for type |
Content/Rules for all slices | |||
| type:requiredType |
1..1 | CodeableConcept | Birth certifier [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: | |
| period |
0..1 | Period | Period of time during the encounter that the participant participated | |
| start |
C | 0..1 | dateTime | Date certified |
| individual |
1..1 | Reference(Practitioner - Birth Certifier) | Persons involved in the encounter other than the patient | |
| period |
0..1 | Period | The start and end time of the encounter | |
| reasonCode |
0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | |
| reasonReference |
0..* | Reference(US Core Condition Problems and Health Concerns Profile | US Core Condition Encounter Diagnosis Profile | US Core Procedure Profile | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) | |
| hospitalization |
0..1 | BackboneElement | Details about the admission to a healthcare service | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| destination |
0..1 | Reference(Birth and Fetal Death Location) | If infant transferred, facility transferred to | |
| dischargeDisposition |
0..1 | CodeableConcept | If infant transferred within 24 hours of delivery, set code = "other-hcf" (Other healthcare facility) from codesystem https://terminology.hl7.org/5.4.0/CodeSystem-discharge-disposition.html Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17 | |
| location |
0..* | BackboneElement | Information about the location of birth | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| location |
1..1 | Reference(Birth and Fetal Death Location) | Facility where birth occurred | |
| physicalType |
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 |
0..1 | Reference(US Core Organization Profile) | The organization (facility) responsible for this encounter | |
| partOf |
0..1 | Reference(Encounter - Maternity) | Reference to the mother's maternity encounter | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.extension:role.value[x] | Base | extensible | Value Set - Role Vital Records | 📦2.0.0 | Vital Records Common Library v2.0 |
| 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 v7.5 |
| Encounter.type | Base | extensible | US Core Encounter Type | 📦5.0.1 | US Core v5.0 |
| Encounter.participant.type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.participant:attendant.type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.participant:attendant.type:requiredType | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.participant:certifier.type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.participant:certifier.type:requiredType | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.dischargeDisposition | Base | preferred | US Core Discharge Disposition | 📦5.0.1 | US Core v5.0 |
| Encounter.location.physicalType | Base | preferred | Birth Delivery Occurred | 📦2.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from USCoreEncounterProfile
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Encounter |
0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension: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: | |
| subject |
1..1 | Reference(Patient - Child 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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| participant:attendant |
0..* | BackboneElement | The person responsible for delivering the child. | |
| Slices for type |
1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by pattern:$this | |
| Slices for type |
Content/Rules for all slices | |||
| type:requiredType |
1..1 | CodeableConcept | Birth attendant [Extended Identifier] Required Pattern: | |
| individual |
1..1 | Reference(Practitioner - Birth Attendant) | Persons involved in the encounter other than the patient | |
| participant:certifier |
0..* | BackboneElement | The individual who certifies to the fact that the birth occurred. | |
| Slices for type |
1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by pattern:$this | |
| Slices for type |
Content/Rules for all slices | |||
| type:requiredType |
1..1 | CodeableConcept | Birth certifier [Extended Identifier] Required Pattern: | |
| period |
||||
| start |
0..1 | dateTime | Date certified | |
| individual |
1..1 | Reference(Practitioner - Birth Certifier) | Persons involved in the encounter other than the patient | |
| hospitalization |
||||
| destination |
0..1 | Reference(Birth and Fetal Death Location) | If infant transferred, facility transferred to | |
| dischargeDisposition |
0..1 | CodeableConcept | If infant transferred within 24 hours of delivery, set code = "other-hcf" (Other healthcare facility) from codesystem https://terminology.hl7.org/5.4.0/CodeSystem-discharge-disposition.html | |
| location |
0..* | BackboneElement | Information about the location of birth | |
| location |
1..1 | Reference(Birth and Fetal Death Location) | Facility where birth occurred | |
| physicalType |
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) | |
| partOf |
0..1 | Reference(Encounter - Maternity) | Reference to the mother's maternity encounter | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.location.physicalType | Base | preferred | Birth Delivery Occurred | 📦2.0.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Encounter |
0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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.
| |||||
| 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 |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension: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 | Extension Slice: Unordered, Open by value:url | ||||||
| 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: Value Set - Role Vital Records (extensible): Parental Role Required Pattern: | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
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 |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
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 |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||
| value |
1..1 | string | The value that is unique Example General: 123456 | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| status |
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 |
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 |
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 |
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 |
1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type | |||||
| serviceType |
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 |
1..1 | Reference(Patient - Child Vital Records) | The patient or group present at the encounter | |||||
| episodeOfCare |
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 |
0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| type |
0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | |||||
| period |
0..1 | Period | Period of time during the encounter that the participant participated | |||||
| individual |
0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | Persons involved in the encounter other than the patient | |||||
| participant:attendant |
0..* | BackboneElement | The person responsible for delivering the child. | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| Slices for type |
1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by pattern:$this Binding: ParticipantType (extensible): Role of participant in encounter. | |||||
| Slices for type |
Content/Rules for all slices | |||||||
| type:requiredType |
1..1 | CodeableConcept | Birth attendant [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: | |||||
| period |
0..1 | Period | Period of time during the encounter that the participant participated | |||||
| individual |
1..1 | Reference(Practitioner - Birth Attendant) | Persons involved in the encounter other than the patient | |||||
| participant:certifier |
0..* | BackboneElement | The individual who certifies to the fact that the birth occurred. | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| Slices for type |
1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by pattern:$this Binding: ParticipantType (extensible): Role of participant in encounter. | |||||
| Slices for type |
Content/Rules for all slices | |||||||
| type:requiredType |
1..1 | CodeableConcept | Birth certifier [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: | |||||
| period |
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 |
C | 0..1 | dateTime | Date certified | ||||
| end |
C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
| individual |
1..1 | Reference(Practitioner - Birth Certifier) | Persons involved in the encounter other than the patient | |||||
| appointment |
0..* | Reference(Appointment) | The appointment that scheduled this encounter | |||||
| period |
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 |
0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | |||||
| reasonReference |
0..* | Reference(US Core Condition Problems and Health Concerns Profile | US Core Condition Encounter Diagnosis Profile | US Core Procedure Profile | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) | |||||
| diagnosis |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| condition |
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 |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| preAdmissionIdentifier |
0..1 | Identifier | Pre-admission identifier | |||||
| origin |
0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission | |||||
| admitSource |
0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) 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(Birth and Fetal Death Location) | If infant transferred, facility transferred to | |||||
| dischargeDisposition |
0..1 | CodeableConcept | If infant transferred within 24 hours of delivery, set code = "other-hcf" (Other healthcare facility) from codesystem https://terminology.hl7.org/5.4.0/CodeSystem-discharge-disposition.html Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17 | |||||
| location |
0..* | BackboneElement | Information about the location of birth | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| location |
1..1 | Reference(Birth and Fetal Death Location) | Facility where birth occurred | |||||
| status |
0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. | |||||
| physicalType |
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 |
0..1 | Reference(US Core Organization Profile) | The organization (facility) responsible for this encounter | |||||
| partOf |
0..1 | Reference(Encounter - Maternity) | Reference to the mother's maternity encounter | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Encounter.extension:role.value[x] | Base | extensible | Value Set - Role Vital Records | 📦2.0.0 | Vital Records Common Library v2.0 |
| 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 v7.5 |
| Encounter.classHistory.class | Base | extensible | ActEncounterCode | 📦3.0.0 | THO v7.5 |
| Encounter.type | Base | extensible | US Core Encounter Type | 📦5.0.1 | US Core v5.0 |
| Encounter.serviceType | Base | example | Service type | 📦4.0.1 | FHIR Std. |
| Encounter.priority | Base | example | ActPriority | 📦3.0.0 | THO v7.5 |
| Encounter.participant.type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.participant:attendant.type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.participant:attendant.type:requiredType | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.participant:certifier.type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.participant:certifier.type:requiredType | 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 | preferred | Admit source | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.reAdmission | Base | example | hl7VS-re-admissionIndicator | 📦3.0.0 | THO v7.5 |
| 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 | 📦5.0.1 | US Core v5.0 |
| Encounter.location.status | Base | required | EncounterLocationStatus | 📍4.0.1 | FHIR Std. |
| Encounter.location.physicalType | Base | preferred | Birth Delivery Occurred | 📦2.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from USCoreEncounterProfile
Summary
Mandatory: 2 elements(6 nested mandatory elements)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Encounter |
0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient | |
| implicitRules |
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 | |
| extension:role |
1..1 | (Complex) | Differentiates Birth and Maternity Encounters. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| 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: Value Set - Role Vital Records (extensible): Parental Role Required Pattern: | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| identifier |
0..* | Identifier | Identifier(s) by which this encounter is known | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| system |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |
| value |
1..1 | string | The value that is unique Example General: 123456 | |
| status |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | |
| class |
1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter. | |
| type |
1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type | |
| subject |
1..1 | Reference(Patient - Child 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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| participant:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| type |
0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | |
| period |
0..1 | Period | Period of time during the encounter that the participant participated | |
| individual |
0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | Persons involved in the encounter other than the patient | |
| participant:attendant |
0..* | BackboneElement | The person responsible for delivering the child. | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| Slices for type |
1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by pattern:$this Binding: ParticipantType (extensible): Role of participant in encounter. | |
| Slices for type |
Content/Rules for all slices | |||
| type:requiredType |
1..1 | CodeableConcept | Birth attendant [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: | |
| period |
0..1 | Period | Period of time during the encounter that the participant participated | |
| individual |
1..1 | Reference(Practitioner - Birth Attendant) | Persons involved in the encounter other than the patient | |
| participant:certifier |
0..* | BackboneElement | The individual who certifies to the fact that the birth occurred. | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| Slices for type |
1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by pattern:$this Binding: ParticipantType (extensible): Role of participant in encounter. | |
| Slices for type |
Content/Rules for all slices | |||
| type:requiredType |
1..1 | CodeableConcept | Birth certifier [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: | |
| period |
0..1 | Period | Period of time during the encounter that the participant participated | |
| start |
C | 0..1 | dateTime | Date certified |
| individual |
1..1 | Reference(Practitioner - Birth Certifier) | Persons involved in the encounter other than the patient | |
| period |
0..1 | Period | The start and end time of the encounter | |
| reasonCode |
0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | |
| reasonReference |
0..* | Reference(US Core Condition Problems and Health Concerns Profile | US Core Condition Encounter Diagnosis Profile | US Core Procedure Profile | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) | |
| hospitalization |
0..1 | BackboneElement | Details about the admission to a healthcare service | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| destination |
0..1 | Reference(Birth and Fetal Death Location) | If infant transferred, facility transferred to | |
| dischargeDisposition |
0..1 | CodeableConcept | If infant transferred within 24 hours of delivery, set code = "other-hcf" (Other healthcare facility) from codesystem https://terminology.hl7.org/5.4.0/CodeSystem-discharge-disposition.html Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17 | |
| location |
0..* | BackboneElement | Information about the location of birth | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| location |
1..1 | Reference(Birth and Fetal Death Location) | Facility where birth occurred | |
| physicalType |
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 |
0..1 | Reference(US Core Organization Profile) | The organization (facility) responsible for this encounter | |
| partOf |
0..1 | Reference(Encounter - Maternity) | Reference to the mother's maternity encounter | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.extension:role.value[x] | Base | extensible | Value Set - Role Vital Records | 📦2.0.0 | Vital Records Common Library v2.0 |
| 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 v7.5 |
| Encounter.type | Base | extensible | US Core Encounter Type | 📦5.0.1 | US Core v5.0 |
| Encounter.participant.type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.participant:attendant.type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.participant:attendant.type:requiredType | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.participant:certifier.type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.participant:certifier.type:requiredType | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.dischargeDisposition | Base | preferred | US Core Discharge Disposition | 📦5.0.1 | US Core v5.0 |
| Encounter.location.physicalType | Base | preferred | Birth Delivery Occurred | 📦2.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
Differential View
This structure is derived from USCoreEncounterProfile
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Encounter |
0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension: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: | |
| subject |
1..1 | Reference(Patient - Child 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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| participant:attendant |
0..* | BackboneElement | The person responsible for delivering the child. | |
| Slices for type |
1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by pattern:$this | |
| Slices for type |
Content/Rules for all slices | |||
| type:requiredType |
1..1 | CodeableConcept | Birth attendant [Extended Identifier] Required Pattern: | |
| individual |
1..1 | Reference(Practitioner - Birth Attendant) | Persons involved in the encounter other than the patient | |
| participant:certifier |
0..* | BackboneElement | The individual who certifies to the fact that the birth occurred. | |
| Slices for type |
1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by pattern:$this | |
| Slices for type |
Content/Rules for all slices | |||
| type:requiredType |
1..1 | CodeableConcept | Birth certifier [Extended Identifier] Required Pattern: | |
| period |
||||
| start |
0..1 | dateTime | Date certified | |
| individual |
1..1 | Reference(Practitioner - Birth Certifier) | Persons involved in the encounter other than the patient | |
| hospitalization |
||||
| destination |
0..1 | Reference(Birth and Fetal Death Location) | If infant transferred, facility transferred to | |
| dischargeDisposition |
0..1 | CodeableConcept | If infant transferred within 24 hours of delivery, set code = "other-hcf" (Other healthcare facility) from codesystem https://terminology.hl7.org/5.4.0/CodeSystem-discharge-disposition.html | |
| location |
0..* | BackboneElement | Information about the location of birth | |
| location |
1..1 | Reference(Birth and Fetal Death Location) | Facility where birth occurred | |
| physicalType |
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) | |
| partOf |
0..1 | Reference(Encounter - Maternity) | Reference to the mother's maternity encounter | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.location.physicalType | Base | preferred | Birth Delivery Occurred | 📦2.0.0 | This IG |
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Encounter |
0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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.
| |||||
| 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 |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension: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 | Extension Slice: Unordered, Open by value:url | ||||||
| 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: Value Set - Role Vital Records (extensible): Parental Role Required Pattern: | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
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 |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
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 |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||
| value |
1..1 | string | The value that is unique Example General: 123456 | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| status |
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 |
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 |
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 |
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 |
1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type | |||||
| serviceType |
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 |
1..1 | Reference(Patient - Child Vital Records) | The patient or group present at the encounter | |||||
| episodeOfCare |
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 |
0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| type |
0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | |||||
| period |
0..1 | Period | Period of time during the encounter that the participant participated | |||||
| individual |
0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | Persons involved in the encounter other than the patient | |||||
| participant:attendant |
0..* | BackboneElement | The person responsible for delivering the child. | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| Slices for type |
1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by pattern:$this Binding: ParticipantType (extensible): Role of participant in encounter. | |||||
| Slices for type |
Content/Rules for all slices | |||||||
| type:requiredType |
1..1 | CodeableConcept | Birth attendant [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: | |||||
| period |
0..1 | Period | Period of time during the encounter that the participant participated | |||||
| individual |
1..1 | Reference(Practitioner - Birth Attendant) | Persons involved in the encounter other than the patient | |||||
| participant:certifier |
0..* | BackboneElement | The individual who certifies to the fact that the birth occurred. | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| Slices for type |
1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by pattern:$this Binding: ParticipantType (extensible): Role of participant in encounter. | |||||
| Slices for type |
Content/Rules for all slices | |||||||
| type:requiredType |
1..1 | CodeableConcept | Birth certifier [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: | |||||
| period |
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 |
C | 0..1 | dateTime | Date certified | ||||
| end |
C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
| individual |
1..1 | Reference(Practitioner - Birth Certifier) | Persons involved in the encounter other than the patient | |||||
| appointment |
0..* | Reference(Appointment) | The appointment that scheduled this encounter | |||||
| period |
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 |
0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | |||||
| reasonReference |
0..* | Reference(US Core Condition Problems and Health Concerns Profile | US Core Condition Encounter Diagnosis Profile | US Core Procedure Profile | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) | |||||
| diagnosis |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| condition |
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 |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| preAdmissionIdentifier |
0..1 | Identifier | Pre-admission identifier | |||||
| origin |
0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission | |||||
| admitSource |
0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) 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(Birth and Fetal Death Location) | If infant transferred, facility transferred to | |||||
| dischargeDisposition |
0..1 | CodeableConcept | If infant transferred within 24 hours of delivery, set code = "other-hcf" (Other healthcare facility) from codesystem https://terminology.hl7.org/5.4.0/CodeSystem-discharge-disposition.html Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17 | |||||
| location |
0..* | BackboneElement | Information about the location of birth | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| location |
1..1 | Reference(Birth and Fetal Death Location) | Facility where birth occurred | |||||
| status |
0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. | |||||
| physicalType |
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 |
0..1 | Reference(US Core Organization Profile) | The organization (facility) responsible for this encounter | |||||
| partOf |
0..1 | Reference(Encounter - Maternity) | Reference to the mother's maternity encounter | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Encounter.extension:role.value[x] | Base | extensible | Value Set - Role Vital Records | 📦2.0.0 | Vital Records Common Library v2.0 |
| 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 v7.5 |
| Encounter.classHistory.class | Base | extensible | ActEncounterCode | 📦3.0.0 | THO v7.5 |
| Encounter.type | Base | extensible | US Core Encounter Type | 📦5.0.1 | US Core v5.0 |
| Encounter.serviceType | Base | example | Service type | 📦4.0.1 | FHIR Std. |
| Encounter.priority | Base | example | ActPriority | 📦3.0.0 | THO v7.5 |
| Encounter.participant.type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.participant:attendant.type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.participant:attendant.type:requiredType | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.participant:certifier.type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.participant:certifier.type:requiredType | 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 | preferred | Admit source | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.reAdmission | Base | example | hl7VS-re-admissionIndicator | 📦3.0.0 | THO v7.5 |
| 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 | 📦5.0.1 | US Core v5.0 |
| Encounter.location.status | Base | required | EncounterLocationStatus | 📍4.0.1 | FHIR Std. |
| Encounter.location.physicalType | Base | preferred | Birth Delivery Occurred | 📦2.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from USCoreEncounterProfile
Summary
Mandatory: 2 elements(6 nested mandatory elements)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2023+ HL7 International / Public Health.
Package hl7.fhir.us.bfdr#2.0.0 based on FHIR 4.0.1.
Generated
2026-11-09
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