CH EMS (R4), published by IVR Interverband für Rettungswesen. This guide is not an authorized publication; it is the continuous build for version 1.9.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-ems/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON

Resource Profile: CH EMS Encounter Profile

Definition of the encounter

Usage:

• Refer to this Resource Profile: CH EMS Composition Profile, CH EMS Observation Profile Airways, CH EMS Observation Profile Anamnesis Event, CH EMS Observation Profile Anamnesis Symptom... Show 11 more, CH EMS Observation Profile AVPU, CH EMS Observation Profile Cardiac Arrest, CH EMS Observation Profile Condition Change, CH EMS Observation Profile Diagnosis, CH EMS Observation Profile GCS, CH EMS Observation Profile Mission Time Status, CH EMS Observation Profile NACA, CH EMS Observation Profile Status Priority, CH EMS Observation Profile Stroke/FAST, CH EMS Procedure Profile and CH EMS Service Request Profile
• Examples for this Resource Profile: Encounter/1-Einsatz and Encounter/2-Einsatz

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from CHCoreEncounter

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	CHCoreEncounter	CH EMS Encounter
identifier		1..1	Identifier	Misson number
system		1..1	uri	OID of organization (IMC)
value		1..1	string	Mission number IMC
Slices for identifier				Content/Rules for all slices
identifier:VisitNumber		0..1	Identifier	Visit number (Fallnummer)
class		1..1	Coding	AMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR Binding: ActEncounterCode (extensible)
subject		1..1	Reference(CH EMS Patient Profile)	Patient
reference		1..1	string	Literal reference, Relative, internal or absolute URL
basedOn		1..1	Reference(CH EMS Service Request Profile)	Informant organisation (IMC)
reference		1..1	string	Literal reference, Relative, internal or absolute URL
participant		0..*	BackboneElement	Team
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
teamRole		1..1	CodeableConcept	Role of team member URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole Binding: IVR valueset role team (.143.11.8) (extensible)
individual		1..1	Reference(CH EMS Practitioner Profile)	Team member
reference		1..1	string	Literal reference, Relative, internal or absolute URL
period		1..1	Period	The date (and time) of the mission
start		1..1	dateTime	Starting time with inclusive boundary
hospitalization		0..1	BackboneElement	Destination of mission
destination		1..1	Reference(CH EMS Location Profile)	Location/organization to which the patient is discharged
reference		1..1	string	Literal reference, Relative, internal or absolute URL
location		0..1	BackboneElement	Location of mission
location		1..1	Reference(CH EMS Location Profile)	Location the encounter takes place
reference		1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	CHCoreEncounter	CH EMS Encounter
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	Misson number Slice: Unordered, Open by pattern:$this
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	OID of organization (IMC) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Mission number IMC Example General: 123456
identifier:VisitNumber	Σ	0..1	Identifier	Visit number (Fallnummer) Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
status	?!Σ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class	Σ	1..1	Coding	AMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR Binding: ActEncounterCode (extensible)
subject	Σ	1..1	Reference(CH EMS Patient Profile)	Patient
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
basedOn		1..1	Reference(CH EMS Service Request Profile)	Informant organisation (IMC)
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
participant	Σ	0..*	BackboneElement	Team
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
teamRole		1..1	CodeableConcept	Role of team member URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole Binding: IVR valueset role team (.143.11.8) (extensible)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
individual	Σ	1..1	Reference(CH EMS Practitioner Profile)	Team member
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
period		1..1	Period	The date (and time) of the mission
start	ΣC	1..1	dateTime	Starting time with inclusive boundary
hospitalization		0..1	BackboneElement	Destination of mission
Slices for extension				Content/Rules for all slices
BfsAdmitRole		0..1	Coding	BFS 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 (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
accident		0..1	(Complex)	Flag if hospitalization was due to an accident URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-accident
readmission		0..1	boolean	Flag to indicate if it is a suspected readmission URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-encounter-susp-readmission
BfsDischargeDecision		0..1	Coding	BFS 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 (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
BfsDischargeDestination		0..1	Coding	BFS 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 (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
destination		1..1	Reference(CH EMS Location Profile)	Location/organization to which the patient is discharged
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
location		0..1	BackboneElement	Location of mission
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(CH EMS Location Profile)	Location the encounter takes place
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:VisitNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	CHCoreEncounter	CH EMS Encounter
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	Misson number Slice: Unordered, Open by pattern:$this
identifier: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 Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	OID of organization (IMC) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Mission number IMC Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:VisitNumber	Σ	0..1	Identifier	Visit number (Fallnummer) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
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)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory		0..*	BackboneElement	List of past encounter statuses
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period		1..1	Period	The time that the episode was in the specified status
class	Σ	1..1	Coding	AMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR Binding: ActEncounterCode (extensible)
classHistory		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class
type	Σ	0..*	CodeableConcept	Specific type of encounter Binding: EncounterType (example): The type of encounter.
serviceType	Σ	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority		0..1	CodeableConcept	BFS Medizinische Statistik - Eintrittsart / Mode d’admission / Genere di ricovero Binding: BFS Medizinische Statistik - 18 1.2.V03 - Eintrittsart / Mode d’admission / Genere di ricovero (extensible)
subject	Σ	1..1	Reference(CH EMS Patient Profile)	Patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		1..1	Reference(CH EMS Service Request Profile)	Informant organisation (IMC)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
participant	Σ	0..*	BackboneElement	Team
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
teamRole		1..1	CodeableConcept	Role of team member URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole Binding: IVR valueset role team (.143.11.8) (extensible)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ChCoreEncounterParticipationType (extensible)
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	1..1	Reference(CH EMS Practitioner Profile)	Team member
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period		1..1	Period	The date (and time) of the mission
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	ΣC	1..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	Σ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization		0..1	BackboneElement	Destination of mission
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
BfsAdmitRole		0..1	Coding	BFS 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 (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
accident		0..1	(Complex)	Flag if hospitalization was due to an accident URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-accident
readmission		0..1	boolean	Flag to indicate if it is a suspected readmission URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-encounter-susp-readmission
BfsDischargeDecision		0..1	Coding	BFS 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 (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
BfsDischargeDestination		0..1	Coding	BFS 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 (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin		0..1	Reference(CH Core Location | CH Core Organization)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	BFS 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 (extensible)
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		1..1	Reference(CH EMS Location Profile)	Location/organization to which the patient is discharged
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
dischargeDisposition		0..1	CodeableConcept	BFS 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..1	BackboneElement	Location of mission
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(CH EMS Location Profile)	Location the encounter takes place
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider		0..1	Reference(CH Core Organization)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(CH Core Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.identifier:VisitNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:VisitNumber.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type from the FHIR Standard
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Encounter.priority	extensible	BfsMedstats18Admittype http://fhir.ch/ig/ch-core/ValueSet/bfs-medstats-18-admittype
Encounter.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.participant.type	extensible	ChCoreEncounterParticipationType http://fhir.ch/ig/ch-core/ValueSet/ch-core-encounter-participation-type
Encounter.participant.individual.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard
Encounter.hospitalization.admitSource	extensible	BfsMedstats17Admitsource http://fhir.ch/ig/ch-core/ValueSet/bfs-medstats-17-admitsource
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard
Encounter.hospitalization.destination.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	preferred	BfsMedstats29Dischargeencounter http://fhir.ch/ig/ch-core/ValueSet/bfs-medstats-29-dischargeencounter
Encounter.location.location.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CHCoreEncounter

Summary

Mandatory: 8 elements(7 nested mandatory elements)

Structures

This structure refers to these other structures:

• CH EMS Patient Profile (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-patient)
• CH EMS Service Request Profile (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-servicerequest)
• CH EMS Practitioner Profile (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-practitioner)
• CH EMS Location Profile (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-location)

Extensions

This structure refers to these extensions:

• http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole

Differential View

This structure is derived from CHCoreEncounter

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	CHCoreEncounter	CH EMS Encounter
identifier		1..1	Identifier	Misson number
system		1..1	uri	OID of organization (IMC)
value		1..1	string	Mission number IMC
Slices for identifier				Content/Rules for all slices
identifier:VisitNumber		0..1	Identifier	Visit number (Fallnummer)
class		1..1	Coding	AMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR Binding: ActEncounterCode (extensible)
subject		1..1	Reference(CH EMS Patient Profile)	Patient
reference		1..1	string	Literal reference, Relative, internal or absolute URL
basedOn		1..1	Reference(CH EMS Service Request Profile)	Informant organisation (IMC)
reference		1..1	string	Literal reference, Relative, internal or absolute URL
participant		0..*	BackboneElement	Team
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
teamRole		1..1	CodeableConcept	Role of team member URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole Binding: IVR valueset role team (.143.11.8) (extensible)
individual		1..1	Reference(CH EMS Practitioner Profile)	Team member
reference		1..1	string	Literal reference, Relative, internal or absolute URL
period		1..1	Period	The date (and time) of the mission
start		1..1	dateTime	Starting time with inclusive boundary
hospitalization		0..1	BackboneElement	Destination of mission
destination		1..1	Reference(CH EMS Location Profile)	Location/organization to which the patient is discharged
reference		1..1	string	Literal reference, Relative, internal or absolute URL
location		0..1	BackboneElement	Location of mission
location		1..1	Reference(CH EMS Location Profile)	Location the encounter takes place
reference		1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	CHCoreEncounter	CH EMS Encounter
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	Misson number Slice: Unordered, Open by pattern:$this
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	OID of organization (IMC) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Mission number IMC Example General: 123456
identifier:VisitNumber	Σ	0..1	Identifier	Visit number (Fallnummer) Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
status	?!Σ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class	Σ	1..1	Coding	AMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR Binding: ActEncounterCode (extensible)
subject	Σ	1..1	Reference(CH EMS Patient Profile)	Patient
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
basedOn		1..1	Reference(CH EMS Service Request Profile)	Informant organisation (IMC)
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
participant	Σ	0..*	BackboneElement	Team
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
teamRole		1..1	CodeableConcept	Role of team member URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole Binding: IVR valueset role team (.143.11.8) (extensible)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
individual	Σ	1..1	Reference(CH EMS Practitioner Profile)	Team member
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
period		1..1	Period	The date (and time) of the mission
start	ΣC	1..1	dateTime	Starting time with inclusive boundary
hospitalization		0..1	BackboneElement	Destination of mission
Slices for extension				Content/Rules for all slices
BfsAdmitRole		0..1	Coding	BFS 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 (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
accident		0..1	(Complex)	Flag if hospitalization was due to an accident URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-accident
readmission		0..1	boolean	Flag to indicate if it is a suspected readmission URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-encounter-susp-readmission
BfsDischargeDecision		0..1	Coding	BFS 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 (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
BfsDischargeDestination		0..1	Coding	BFS 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 (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
destination		1..1	Reference(CH EMS Location Profile)	Location/organization to which the patient is discharged
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
location		0..1	BackboneElement	Location of mission
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(CH EMS Location Profile)	Location the encounter takes place
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:VisitNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	CHCoreEncounter	CH EMS Encounter
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	Misson number Slice: Unordered, Open by pattern:$this
identifier: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 Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	OID of organization (IMC) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Mission number IMC Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:VisitNumber	Σ	0..1	Identifier	Visit number (Fallnummer) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
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)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory		0..*	BackboneElement	List of past encounter statuses
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period		1..1	Period	The time that the episode was in the specified status
class	Σ	1..1	Coding	AMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR Binding: ActEncounterCode (extensible)
classHistory		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class
type	Σ	0..*	CodeableConcept	Specific type of encounter Binding: EncounterType (example): The type of encounter.
serviceType	Σ	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority		0..1	CodeableConcept	BFS Medizinische Statistik - Eintrittsart / Mode d’admission / Genere di ricovero Binding: BFS Medizinische Statistik - 18 1.2.V03 - Eintrittsart / Mode d’admission / Genere di ricovero (extensible)
subject	Σ	1..1	Reference(CH EMS Patient Profile)	Patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		1..1	Reference(CH EMS Service Request Profile)	Informant organisation (IMC)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
participant	Σ	0..*	BackboneElement	Team
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
teamRole		1..1	CodeableConcept	Role of team member URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole Binding: IVR valueset role team (.143.11.8) (extensible)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ChCoreEncounterParticipationType (extensible)
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	1..1	Reference(CH EMS Practitioner Profile)	Team member
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period		1..1	Period	The date (and time) of the mission
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	ΣC	1..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	Σ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization		0..1	BackboneElement	Destination of mission
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
BfsAdmitRole		0..1	Coding	BFS 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 (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
accident		0..1	(Complex)	Flag if hospitalization was due to an accident URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-accident
readmission		0..1	boolean	Flag to indicate if it is a suspected readmission URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-encounter-susp-readmission
BfsDischargeDecision		0..1	Coding	BFS 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 (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
BfsDischargeDestination		0..1	Coding	BFS 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 (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin		0..1	Reference(CH Core Location | CH Core Organization)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	BFS 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 (extensible)
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		1..1	Reference(CH EMS Location Profile)	Location/organization to which the patient is discharged
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
dischargeDisposition		0..1	CodeableConcept	BFS 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..1	BackboneElement	Location of mission
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(CH EMS Location Profile)	Location the encounter takes place
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider		0..1	Reference(CH Core Organization)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(CH Core Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.identifier:VisitNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:VisitNumber.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type from the FHIR Standard
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Encounter.priority	extensible	BfsMedstats18Admittype http://fhir.ch/ig/ch-core/ValueSet/bfs-medstats-18-admittype
Encounter.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.participant.type	extensible	ChCoreEncounterParticipationType http://fhir.ch/ig/ch-core/ValueSet/ch-core-encounter-participation-type
Encounter.participant.individual.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard
Encounter.hospitalization.admitSource	extensible	BfsMedstats17Admitsource http://fhir.ch/ig/ch-core/ValueSet/bfs-medstats-17-admitsource
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard
Encounter.hospitalization.destination.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	preferred	BfsMedstats29Dischargeencounter http://fhir.ch/ig/ch-core/ValueSet/bfs-medstats-29-dischargeencounter
Encounter.location.location.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CHCoreEncounter

Summary

Mandatory: 8 elements(7 nested mandatory elements)

Structures

This structure refers to these other structures:

• CH EMS Patient Profile (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-patient)
• CH EMS Service Request Profile (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-servicerequest)
• CH EMS Practitioner Profile (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-practitioner)
• CH EMS Location Profile (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-location)

Extensions

This structure refers to these extensions:

• http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole