KR Core Implementation Guide
2.0.0 - STU 2 Korea, Republic of

KR Core Implementation Guide, published by HL7 Korea. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7korea/krcore/ and changes regularly. See the Directory of published versions

Resource Profile: KR Core Encounter Profile

Official URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-encounter Version: 2.0.0
Standards status: Trial-use Computable Name: KRCore_Encounter

KR Core Encounter Profile은 KR Core Server와 KR Core Client가 진료정보를 교류할 때, 환자와 의사 간의 대면, 접촉, 만남, 혹은 의료 서비스 과정 전체에 대한 시간적·공간적 정보를 표현하는 데 사용되며, 이 경우 가능한 한(SHOULD) 본 Profile을 준수해야 한다. 진료 정보를 표현할 때 본 Profile을 적용하지 않을 수 있는 경우는 특수한 상황에 한정된다. 이 경우 반드시 해당 진료정보교류 도메인 내에서 사전 합의가 이루어져야 한다.

KR CDI V2 내원 정보 클래스에서 정의한 항목들과 주요 추가 정보를 FHIR Encounter 리소스를 기반으로 구조화하기 위해 정의한 Profile.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter KR Core Encounter Profile
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:krcore-insuranceTypes 0..1 CodeableConcept KR Core Insurance Types Extension
URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-insuranceTypes
Binding: KR Core Insurance Types Codes (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... class SΣ 1..1 Coding 진료 구분: AMB | EMER | IMP +
Binding: ActEncounterCode (required): Classification of the encounter.
.... system SΣ 1..1 uri 진료 구분 코드체계 식별자
.... code SΣ 1..1 code 진료 구분 코드
... subject SΣ 0..1 Reference(KR Core Patient Profile) 진료 대상 환자
... participant Σ 0..* BackboneElement 진료 참여 의료인
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... individual Σ 0..1 Reference(KR Core Practitioner Profile for Medical Doctor | KR Core Practitioner Profile | KR Core PractitionerRole Profile for Medical Doctor | KR Core PractitionerRole Profile | RelatedPerson) 진료 참여 의료인 인적사항 또는 역할
... period S 0..1 Period 진료 기간
.... start SΣC 0..1 dateTime 시작 일시
.... end SΣC 0..1 dateTime 종료 일시
... serviceProvider 0..1 Reference(KR Core Healthcare Organization Profile | KR Core Organization Profile) 진료 기관

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base required ActEncounterCode 📦3.0.0 THO v7.0

Constraints

Id Grade Path(s) Description Expression
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 Encounter

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter KR Core Encounter Profile
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:krcore-insuranceTypes 0..1 CodeableConcept KR Core Insurance Types Extension
URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-insuranceTypes
Binding: KR Core Insurance Types Codes (required)
... status S 1..1 code 진료 상태: planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Example Value (Preferred): finished
... class S 1..1 Coding 진료 구분: AMB | EMER | IMP +
Binding: ActEncounterCode (required): Classification of the encounter.
.... system S 1..1 uri 진료 구분 코드체계 식별자
.... code S 1..1 code 진료 구분 코드
... participant 0..* BackboneElement 진료 참여 의료인
.... individual 0..1 Reference(KR Core Practitioner Profile for Medical Doctor | KR Core Practitioner Profile | KR Core PractitionerRole Profile for Medical Doctor | KR Core PractitionerRole Profile | RelatedPerson) 진료 참여 의료인 인적사항 또는 역할
... period S 0..1 Period 진료 기간
.... start S 0..1 dateTime 시작 일시
.... end S 0..1 dateTime 종료 일시
... serviceProvider 0..1 Reference(KR Core Healthcare Organization Profile | KR Core Organization Profile) 진료 기관

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.class Base required ActEncounterCode 📦3.0.0 THO v7.0
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter KR Core Encounter Profile
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:krcore-insuranceTypes 0..1 CodeableConcept KR Core Insurance Types Extension
URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-insuranceTypes
Binding: KR Core Insurance Types Codes (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) by which this encounter is known
... status ?!SΣ 1..1 code 진료 상태: planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
Example Value (Preferred): finished
... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
.... period 1..1 Period The time that the episode was in the specified status
... class SΣ 1..1 Coding 진료 구분: AMB | EMER | IMP +
Binding: ActEncounterCode (required): Classification of the encounter.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... system SΣ 1..1 uri 진료 구분 코드체계 식별자
.... version Σ 0..1 string Version of the system - if relevant
.... code SΣ 1..1 code 진료 구분 코드
.... display Σ 0..1 string Representation defined by the system
.... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
... 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 Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.
... subject SΣ 0..1 Reference(KR Core Patient Profile) 진료 대상 환자
... episodeOfCare Σ 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
... participant Σ 0..* BackboneElement 진료 참여 의료인
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 0..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.
.... period 0..1 Period Period of time during the encounter that the participant participated
.... individual Σ 0..1 Reference(KR Core Practitioner Profile for Medical Doctor | KR Core Practitioner Profile | KR Core PractitionerRole Profile for Medical Doctor | KR Core PractitionerRole Profile | RelatedPerson) 진료 참여 의료인 인적사항 또는 역할
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... period S 0..1 Period 진료 기간
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC 0..1 dateTime 시작 일시
.... end SΣC 0..1 dateTime 종료 일시
... 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 Details about the admission to a healthcare service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.
.... reAdmission 0..1 CodeableConcept The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.
.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.
.... destination 0..1 Reference(Location | Organization) Location/organization to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.
... location 0..* BackboneElement List of locations where the patient has been
.... 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(Location) Location the encounter takes place
.... 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(KR Core Healthcare Organization Profile | KR Core Organization Profile) 진료 기관
... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Encounter.status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base required ActEncounterCode 📦3.0.0 THO v7.0
Encounter.classHistory.​class Base extensible ActEncounterCode 📦3.0.0 THO v7.0
Encounter.type Base example Encounter type 📍4.0.1 FHIR Std.
Encounter.serviceType Base example Service type 📍4.0.1 FHIR Std.
Encounter.priority Base example ActPriority 📦3.0.0 THO v7.0
Encounter.participant.​type Base extensible Participant type 📍4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📍4.0.1 FHIR Std.
Encounter.diagnosis.​use Base preferred DiagnosisRole 📍4.0.1 FHIR Std.
Encounter.hospitalization.​admitSource Base preferred Admit source 📍4.0.1 FHIR Std.
Encounter.hospitalization.​reAdmission Base example hl7VS-re-admissionIndicator 📦2.0.0 THO v7.0
Encounter.hospitalization.​dietPreference Base example Diet 📍4.0.1 FHIR Std.
Encounter.hospitalization.​specialCourtesy Base preferred Special courtesy 📍4.0.1 FHIR Std.
Encounter.hospitalization.​specialArrangement Base preferred Special arrangements 📍4.0.1 FHIR Std.
Encounter.hospitalization.​dischargeDisposition Base example Discharge disposition 📍4.0.1 FHIR Std.
Encounter.location.status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location.physicalType Base example Location type 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter KR Core Encounter Profile
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:krcore-insuranceTypes 0..1 CodeableConcept KR Core Insurance Types Extension
URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-insuranceTypes
Binding: KR Core Insurance Types Codes (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... class SΣ 1..1 Coding 진료 구분: AMB | EMER | IMP +
Binding: ActEncounterCode (required): Classification of the encounter.
.... system SΣ 1..1 uri 진료 구분 코드체계 식별자
.... code SΣ 1..1 code 진료 구분 코드
... subject SΣ 0..1 Reference(KR Core Patient Profile) 진료 대상 환자
... participant Σ 0..* BackboneElement 진료 참여 의료인
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... individual Σ 0..1 Reference(KR Core Practitioner Profile for Medical Doctor | KR Core Practitioner Profile | KR Core PractitionerRole Profile for Medical Doctor | KR Core PractitionerRole Profile | RelatedPerson) 진료 참여 의료인 인적사항 또는 역할
... period S 0..1 Period 진료 기간
.... start SΣC 0..1 dateTime 시작 일시
.... end SΣC 0..1 dateTime 종료 일시
... serviceProvider 0..1 Reference(KR Core Healthcare Organization Profile | KR Core Organization Profile) 진료 기관

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base required ActEncounterCode 📦3.0.0 THO v7.0

Constraints

Id Grade Path(s) Description Expression
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()

Differential View

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter KR Core Encounter Profile
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:krcore-insuranceTypes 0..1 CodeableConcept KR Core Insurance Types Extension
URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-insuranceTypes
Binding: KR Core Insurance Types Codes (required)
... status S 1..1 code 진료 상태: planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Example Value (Preferred): finished
... class S 1..1 Coding 진료 구분: AMB | EMER | IMP +
Binding: ActEncounterCode (required): Classification of the encounter.
.... system S 1..1 uri 진료 구분 코드체계 식별자
.... code S 1..1 code 진료 구분 코드
... participant 0..* BackboneElement 진료 참여 의료인
.... individual 0..1 Reference(KR Core Practitioner Profile for Medical Doctor | KR Core Practitioner Profile | KR Core PractitionerRole Profile for Medical Doctor | KR Core PractitionerRole Profile | RelatedPerson) 진료 참여 의료인 인적사항 또는 역할
... period S 0..1 Period 진료 기간
.... start S 0..1 dateTime 시작 일시
.... end S 0..1 dateTime 종료 일시
... serviceProvider 0..1 Reference(KR Core Healthcare Organization Profile | KR Core Organization Profile) 진료 기관

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.class Base required ActEncounterCode 📦3.0.0 THO v7.0

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter KR Core Encounter Profile
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:krcore-insuranceTypes 0..1 CodeableConcept KR Core Insurance Types Extension
URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-insuranceTypes
Binding: KR Core Insurance Types Codes (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) by which this encounter is known
... status ?!SΣ 1..1 code 진료 상태: planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
Example Value (Preferred): finished
... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
.... period 1..1 Period The time that the episode was in the specified status
... class SΣ 1..1 Coding 진료 구분: AMB | EMER | IMP +
Binding: ActEncounterCode (required): Classification of the encounter.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... system SΣ 1..1 uri 진료 구분 코드체계 식별자
.... version Σ 0..1 string Version of the system - if relevant
.... code SΣ 1..1 code 진료 구분 코드
.... display Σ 0..1 string Representation defined by the system
.... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
... 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 Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.
... subject SΣ 0..1 Reference(KR Core Patient Profile) 진료 대상 환자
... episodeOfCare Σ 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
... participant Σ 0..* BackboneElement 진료 참여 의료인
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 0..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.
.... period 0..1 Period Period of time during the encounter that the participant participated
.... individual Σ 0..1 Reference(KR Core Practitioner Profile for Medical Doctor | KR Core Practitioner Profile | KR Core PractitionerRole Profile for Medical Doctor | KR Core PractitionerRole Profile | RelatedPerson) 진료 참여 의료인 인적사항 또는 역할
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... period S 0..1 Period 진료 기간
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC 0..1 dateTime 시작 일시
.... end SΣC 0..1 dateTime 종료 일시
... 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 Details about the admission to a healthcare service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.
.... reAdmission 0..1 CodeableConcept The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.
.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.
.... destination 0..1 Reference(Location | Organization) Location/organization to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.
... location 0..* BackboneElement List of locations where the patient has been
.... 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(Location) Location the encounter takes place
.... 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(KR Core Healthcare Organization Profile | KR Core Organization Profile) 진료 기관
... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Encounter.status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base required ActEncounterCode 📦3.0.0 THO v7.0
Encounter.classHistory.​class Base extensible ActEncounterCode 📦3.0.0 THO v7.0
Encounter.type Base example Encounter type 📍4.0.1 FHIR Std.
Encounter.serviceType Base example Service type 📍4.0.1 FHIR Std.
Encounter.priority Base example ActPriority 📦3.0.0 THO v7.0
Encounter.participant.​type Base extensible Participant type 📍4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📍4.0.1 FHIR Std.
Encounter.diagnosis.​use Base preferred DiagnosisRole 📍4.0.1 FHIR Std.
Encounter.hospitalization.​admitSource Base preferred Admit source 📍4.0.1 FHIR Std.
Encounter.hospitalization.​reAdmission Base example hl7VS-re-admissionIndicator 📦2.0.0 THO v7.0
Encounter.hospitalization.​dietPreference Base example Diet 📍4.0.1 FHIR Std.
Encounter.hospitalization.​specialCourtesy Base preferred Special courtesy 📍4.0.1 FHIR Std.
Encounter.hospitalization.​specialArrangement Base preferred Special arrangements 📍4.0.1 FHIR Std.
Encounter.hospitalization.​dischargeDisposition Base example Discharge disposition 📍4.0.1 FHIR Std.
Encounter.location.status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location.physicalType Base example Location type 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

 

Other representations of profile: CSV, Excel, Schematron