Swissnoso Implementation Guide (R4)
1.0.0 - STU 1 Switzerland flag

Swissnoso Implementation Guide (R4), published by Swissnoso. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/ahdis/swissnoso/ and changes regularly. See the Directory of published versions

Resource Profile: Swissnoso Encounter

Official URL: http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-encounter Version: 1.0.0
Active as of 2022-06-14 Computable Name: SwissnosoEncounter

Copyright/Legal: CC-BY-SA-4.0

This profile constrains the Encounter resource to represent the characteristics of an encounter in the context of a report to Swissnoso.

Usage:

Formal Views of Profile Content

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

This structure is derived from CHCoreEncounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*CHCoreEncounterSwissnoso Encounter
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... swissnoso-organizational-unit 1..1(Complex)Organizational unit with its specialty
URL: http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-organizational-unit
... swissnoso-admission-date-monitored-unit 0..1dateTimeDate of admission to the monitored organizational unit
URL: http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-admission-date-monitored-unit
... identifier:VisitNumber 0..*IdentifierCase number
... class 1..1CodingAMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR
Required Pattern: At least the following
.... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
.... code1..1codeSymbol in syntax defined by the system
Fixed Value: IMP
... subject 1..1Reference(Swissnoso Patient)The patient or group present at the encounter
... period 1..1PeriodThe start and end time of the encounter
.... start 1..1dateTimeDate of admission to hospital
.... end 1..1dateTimeDate of discharge from hospital
... serviceProvider 1..1Reference(Swissnoso Organization)The organization (facility) responsible for this encounter

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*CHCoreEncounterSwissnoso Encounter
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... swissnoso-organizational-unit 1..1(Complex)Organizational unit with its specialty
URL: http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-organizational-unit
... swissnoso-admission-date-monitored-unit 0..1dateTimeDate of admission to the monitored organizational unit
URL: http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-admission-date-monitored-unit
... swissnoso-discharge-date-monitored-unit 0..1dateTimeDate of discharge from the monitored organizational unit
URL: http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-discharge-date-monitored-unit
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier Σ0..*IdentifierIdentifier(s) by which this encounter is known
Slice: Unordered, Open by pattern:$this
.... identifier:VisitNumber Σ0..*IdentifierCase number

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: VN
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system0..1uriThe namespace for the identifier value
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription 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 Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!Σ1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

... statusHistory 0..*BackboneElementList of past encounter statuses
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... status 1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified status
... class Σ1..1CodingAMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR
Binding: ActEncounterCode (extensible): Classification of the encounter.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
.... version0..1stringVersion of the system - if relevant
.... code1..1codeSymbol in syntax defined by the system
Fixed Value: IMP
.... display0..1stringRepresentation defined by the system
.... userSelected0..1booleanIf this coding was chosen directly by the user
... classHistory 0..*BackboneElementList of past encounter classes
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... class 1..1Codinginpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified class
... type Σ0..*CodeableConceptSpecific type of encounter
Binding: EncounterType (example): The type of encounter.


... serviceType Σ0..1CodeableConceptSpecific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

... priority 0..1CodeableConceptBFS Medizinische Statistik - Eintrittsart / Mode d’admission / Genere di ricovero
Binding: BFS Medizinische Statistik - 18 1.2.V03 - Eintrittsart / Mode d’admission / Genere di ricovero (required): BFS Admit Type

... subject Σ1..1Reference(Swissnoso Patient)The patient or group present at the encounter
... episodeOfCare Σ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... basedOn 0..*Reference(ServiceRequest)The ServiceRequest that initiated this encounter
... participant Σ0..*BackboneElementList of participants involved in the encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type Σ0..*CodeableConceptRole of participant in encounter
Binding: ChCoreEncounterParticipationType (extensible): Role of participant in encounter.


.... period 0..1PeriodPeriod of time during the encounter that the participant participated
.... individual Σ0..1Reference(CH Core Practitioner Profile)Persons involved in the encounter other than the patient
... appointment Σ0..*Reference(Appointment)The appointment that scheduled this encounter
... period 1..1PeriodThe start and end time of the encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start ΣI1..1dateTimeDate of admission to hospital
.... end ΣI1..1dateTimeDate of discharge from hospital
... length 0..1DurationQuantity of time the encounter lasted (less time absent)
... reasonCode Σ0..*CodeableConceptCoded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference Σ0..*Reference(Condition | Procedure | Observation | ImmunizationRecommendation)Reason the encounter takes place (reference)
... diagnosis Σ0..*BackboneElementThe list of diagnosis relevant to this encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... condition Σ1..1Reference(Condition | Procedure)The diagnosis or procedure relevant to the encounter
.... use 0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank 0..1positiveIntRanking 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..1BackboneElementDetails about the admission to a healthcare service
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... ch-ext-bfs-ms-admitrole 0..1CodingBFS Medizinische Statistik - Einweisende Instanz
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-admitrole
Binding: BFS Medizinische Statistik - 19 1.2.V04 - Einweisende Instanz / Décision d’envoi / Istanza ricoverante (required): A set of codes advising a system or user which name in a set of names to select for a given purpose.


.... ch-ext-accident 0..1(Complex)Flag if hospitalization was due to an accident
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-accident
.... ch-ext-encounter-susp-readmission 0..1booleanFlag to indicate if it is a suspected readmission
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-encounter-susp-readmission
.... ch-ext-bfs-ms-dischargedecision 0..1CodingBFS Medizinische Statistik - Entscheid für Austritt
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedecision
Binding: BFS Medizinische Statistik - 27 1.5.V02 - Entscheid für Austritt / Décision de sortie / Décisione dell’uscita (required): A set of codes advising a system or user which name in a set of names to select for a given purpose.


.... ch-ext-bfs-ms-dischargedestination 0..1CodingBFS Medizinische Statistik - Aufenthalt nach Austritt
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedestination
Binding: BFS Medizinische Statistik - 28 1.5.V03 - Aufenthalt nach Austritt / Séjour après la sortie / Destinazione dopo l’uscita (required): A set of codes advising a system or user which name in a set of names to select for a given purpose.


.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin 0..1Reference(CH Core Location Profile | CH Core Organization Profile)The location/organization from which the patient came before admission
.... admitSource 0..1CodeableConceptBFS Medizinische Statistik - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione
Binding: BFS Medizinische Statistik - 17 1.2.V02 - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione (required): BFS Admit Role

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

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


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


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


.... destination 0..1Reference(CH Core Location Profile | CH Core Organization Profile)Location/organization to which the patient is discharged
.... dischargeDisposition 0..1CodeableConceptBFS Medizinische Statistik - Behandlung nach Austritt
Binding: BFS Medizinische Statistik - 29 1.5.V04 - Behandlung nach Austritt / Prise en charge après la sortie / Trattamento dopo l’uscita (preferred): BFS Medizinische Statistik - Behandlung nach Austritt

... location 0..*BackboneElementList of locations where the patient has been
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... location 1..1Reference(CH Core Location Profile)Location the encounter takes place
.... status 0..1codeplanned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... physicalType 0..1CodeableConceptThe physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.

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

doco Documentation for this format

Differential View

This structure is derived from CHCoreEncounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*CHCoreEncounterSwissnoso Encounter
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... swissnoso-organizational-unit 1..1(Complex)Organizational unit with its specialty
URL: http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-organizational-unit
... swissnoso-admission-date-monitored-unit 0..1dateTimeDate of admission to the monitored organizational unit
URL: http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-admission-date-monitored-unit
... identifier:VisitNumber 0..*IdentifierCase number
... class 1..1CodingAMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR
Required Pattern: At least the following
.... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
.... code1..1codeSymbol in syntax defined by the system
Fixed Value: IMP
... subject 1..1Reference(Swissnoso Patient)The patient or group present at the encounter
... period 1..1PeriodThe start and end time of the encounter
.... start 1..1dateTimeDate of admission to hospital
.... end 1..1dateTimeDate of discharge from hospital
... serviceProvider 1..1Reference(Swissnoso Organization)The organization (facility) responsible for this encounter

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*CHCoreEncounterSwissnoso Encounter
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... swissnoso-organizational-unit 1..1(Complex)Organizational unit with its specialty
URL: http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-organizational-unit
... swissnoso-admission-date-monitored-unit 0..1dateTimeDate of admission to the monitored organizational unit
URL: http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-admission-date-monitored-unit
... swissnoso-discharge-date-monitored-unit 0..1dateTimeDate of discharge from the monitored organizational unit
URL: http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-discharge-date-monitored-unit
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier Σ0..*IdentifierIdentifier(s) by which this encounter is known
Slice: Unordered, Open by pattern:$this
.... identifier:VisitNumber Σ0..*IdentifierCase number

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: VN
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system0..1uriThe namespace for the identifier value
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription 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 Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!Σ1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

... statusHistory 0..*BackboneElementList of past encounter statuses
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... status 1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified status
... class Σ1..1CodingAMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR
Binding: ActEncounterCode (extensible): Classification of the encounter.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
.... version0..1stringVersion of the system - if relevant
.... code1..1codeSymbol in syntax defined by the system
Fixed Value: IMP
.... display0..1stringRepresentation defined by the system
.... userSelected0..1booleanIf this coding was chosen directly by the user
... classHistory 0..*BackboneElementList of past encounter classes
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... class 1..1Codinginpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified class
... type Σ0..*CodeableConceptSpecific type of encounter
Binding: EncounterType (example): The type of encounter.


... serviceType Σ0..1CodeableConceptSpecific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

... priority 0..1CodeableConceptBFS Medizinische Statistik - Eintrittsart / Mode d’admission / Genere di ricovero
Binding: BFS Medizinische Statistik - 18 1.2.V03 - Eintrittsart / Mode d’admission / Genere di ricovero (required): BFS Admit Type

... subject Σ1..1Reference(Swissnoso Patient)The patient or group present at the encounter
... episodeOfCare Σ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... basedOn 0..*Reference(ServiceRequest)The ServiceRequest that initiated this encounter
... participant Σ0..*BackboneElementList of participants involved in the encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type Σ0..*CodeableConceptRole of participant in encounter
Binding: ChCoreEncounterParticipationType (extensible): Role of participant in encounter.


.... period 0..1PeriodPeriod of time during the encounter that the participant participated
.... individual Σ0..1Reference(CH Core Practitioner Profile)Persons involved in the encounter other than the patient
... appointment Σ0..*Reference(Appointment)The appointment that scheduled this encounter
... period 1..1PeriodThe start and end time of the encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start ΣI1..1dateTimeDate of admission to hospital
.... end ΣI1..1dateTimeDate of discharge from hospital
... length 0..1DurationQuantity of time the encounter lasted (less time absent)
... reasonCode Σ0..*CodeableConceptCoded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference Σ0..*Reference(Condition | Procedure | Observation | ImmunizationRecommendation)Reason the encounter takes place (reference)
... diagnosis Σ0..*BackboneElementThe list of diagnosis relevant to this encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... condition Σ1..1Reference(Condition | Procedure)The diagnosis or procedure relevant to the encounter
.... use 0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank 0..1positiveIntRanking 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..1BackboneElementDetails about the admission to a healthcare service
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... ch-ext-bfs-ms-admitrole 0..1CodingBFS Medizinische Statistik - Einweisende Instanz
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-admitrole
Binding: BFS Medizinische Statistik - 19 1.2.V04 - Einweisende Instanz / Décision d’envoi / Istanza ricoverante (required): A set of codes advising a system or user which name in a set of names to select for a given purpose.


.... ch-ext-accident 0..1(Complex)Flag if hospitalization was due to an accident
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-accident
.... ch-ext-encounter-susp-readmission 0..1booleanFlag to indicate if it is a suspected readmission
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-encounter-susp-readmission
.... ch-ext-bfs-ms-dischargedecision 0..1CodingBFS Medizinische Statistik - Entscheid für Austritt
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedecision
Binding: BFS Medizinische Statistik - 27 1.5.V02 - Entscheid für Austritt / Décision de sortie / Décisione dell’uscita (required): A set of codes advising a system or user which name in a set of names to select for a given purpose.


.... ch-ext-bfs-ms-dischargedestination 0..1CodingBFS Medizinische Statistik - Aufenthalt nach Austritt
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedestination
Binding: BFS Medizinische Statistik - 28 1.5.V03 - Aufenthalt nach Austritt / Séjour après la sortie / Destinazione dopo l’uscita (required): A set of codes advising a system or user which name in a set of names to select for a given purpose.


.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin 0..1Reference(CH Core Location Profile | CH Core Organization Profile)The location/organization from which the patient came before admission
.... admitSource 0..1CodeableConceptBFS Medizinische Statistik - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione
Binding: BFS Medizinische Statistik - 17 1.2.V02 - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione (required): BFS Admit Role

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

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


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


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


.... destination 0..1Reference(CH Core Location Profile | CH Core Organization Profile)Location/organization to which the patient is discharged
.... dischargeDisposition 0..1CodeableConceptBFS Medizinische Statistik - Behandlung nach Austritt
Binding: BFS Medizinische Statistik - 29 1.5.V04 - Behandlung nach Austritt / Prise en charge après la sortie / Trattamento dopo l’uscita (preferred): BFS Medizinische Statistik - Behandlung nach Austritt

... location 0..*BackboneElementList of locations where the patient has been
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... location 1..1Reference(CH Core Location Profile)Location the encounter takes place
.... status 0..1codeplanned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... physicalType 0..1CodeableConceptThe physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.

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

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
Encounter.languagepreferredCommonLanguages
Max Binding: AllLanguages
Encounter.identifier:VisitNumber.userequiredIdentifierUse
Encounter.identifier:VisitNumber.typeextensibleIdentifier Type Codes
Encounter.statusrequiredEncounterStatus
Encounter.statusHistory.statusrequiredEncounterStatus
Encounter.classextensiblePattern: IMP
Encounter.classHistory.classextensibleActEncounterCode
Encounter.typeexampleEncounterType
Encounter.serviceTypeexampleServiceType
Encounter.priorityrequiredBfsMedstats18Admittype
Encounter.participant.typeextensibleChCoreEncounterParticipationType
Encounter.reasonCodepreferredEncounterReasonCodes
Encounter.diagnosis.usepreferredDiagnosisRole
Encounter.hospitalization.admitSourcerequiredBfsMedstats17Admitsource
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
Encounter.hospitalization.dietPreferenceexampleDiet
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
Encounter.hospitalization.dischargeDispositionpreferredBfsMedstats29Dischargeencounter
Encounter.location.statusrequiredEncounterLocationStatus
Encounter.location.physicalTypeexampleLocationType

Constraints

IdGradePathDetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorEncounterIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6Best PracticeEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1errorEncounter.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.extension:organizationalUnitAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.extension:organizationalUnitMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.extension:admissionDateMonitoredUnitAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.extension:admissionDateMonitoredUnitMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.extension:dischargeDateMonitoredUnitAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.extension:dischargeDateMonitoredUnitMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier:VisitNumberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier:VisitNumber.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.identifier:VisitNumber.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.identifier:VisitNumber.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier:VisitNumber.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier:VisitNumber.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier:VisitNumber.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier:VisitNumber.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier:VisitNumber.assignerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.statusHistoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.statusHistory.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.statusHistory.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.statusHistory.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.statusHistory.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.statusHistory.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.statusHistory.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.classAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.classHistoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.classHistory.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.classHistory.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.classHistory.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.classHistory.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.classHistory.classAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.classHistory.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.serviceTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.priorityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.episodeOfCareAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.basedOnAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.participantAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.participant.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.participant.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.participant.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.participant.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.participant.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.participant.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.participant.individualAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.appointmentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.period.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.period.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.period.startAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.period.endAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.lengthAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.reasonCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.reasonReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.diagnosisAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.diagnosis.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.diagnosis.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.diagnosis.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.diagnosis.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.diagnosis.conditionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.diagnosis.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.diagnosis.rankAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.accountAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalizationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.hospitalization.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.hospitalization.extension:BfsAdmitRoleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.hospitalization.extension:BfsAdmitRoleMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.hospitalization.extension:accidentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.hospitalization.extension:accidentMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.hospitalization.extension:readmissionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.hospitalization.extension:readmissionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.hospitalization.extension:BfsDischargeDecisionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.hospitalization.extension:BfsDischargeDecisionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.hospitalization.extension:BfsDischargeDestinationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.hospitalization.extension:BfsDischargeDestinationMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.hospitalization.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.hospitalization.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.hospitalization.preAdmissionIdentifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.originAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.admitSourceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.reAdmissionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.dietPreferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.specialCourtesyAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.specialArrangementAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.destinationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.dischargeDispositionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.locationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.location.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.location.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.location.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.location.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.location.locationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.location.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.location.physicalTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.location.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.serviceProviderAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.partOfAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())