HL7 Czech Hospital Discharge Report Implementation Guide
0.0.2 - ci-build

HL7 Czech Hospital Discharge Report Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/hdr/ and changes regularly. See the Directory of published versions

## Resource Profile: Encounter (HDR CZ)

Official URL: https://hl7.cz/fhir/hdr/StructureDefinition/cz-encounter-hdr | Version: 0.0.2
Standards status: Draft | Maturity Level: 1 | Computable Name: CZ_EncounterHdr

This profile defines how to represent Inpatient Encounter in HL7 FHIR for the scope of this guide.

### Content (cs)

#### Encounter (HDR CZ)

Resource Encounter (HDR CZ) popisuje konkrétní kontakt pacienta se zdravotnickým zařízením. Je ústředním vazebním prvkem dokumentu – propojuje pacienta, poskytovatele, důvod hospitalizace, průběh, účastníky a místa pobytu. Slouží k zajištění kontinuity péče po propuštění a k možnosti sekundárního využití dat.

#### Základní identifikační údaje kontaktu pacienta se zdravotnickým zařízením

ID, metadata, identifikátory, stav kontaktu, typ péče.

#### Odkazy na související zdroje

pacient, epizody péče, objednávky vyšetření, účty pro vykazování.

#### Účastníci kontaktu

přijímající, propouštějící a doporučující lékaři, další odborníci zapojení do péče, včetně jejich rolí a časových úseků účasti.

#### Časové údaje

období kontaktu, délka, případně návaznost na jiný kontakt.

#### Důvody a diagnózy

kódované i textové důvody hospitalizace, odkazy na stavy (Condition) a postupy (Procedure), role diagnóz (přijetí, propuštění…).

#### Podrobnosti o hospitalizaci

zdroj přijetí, opakovaná hospitalizace, dietní preference, zvláštní ujednání, cílové místo a dispozice při propuštění.

#### Umístění pacienta

oddělení, lůžko, stav lokality a fyzický typ, s časovým vymezením.

#### Poskytovatel služby

organizace odpovědná za tento kontakt.

Usages:

- Derived from this Profile: Encounter: Obligations
- Use this Profile: Bundle (HDR CZ)
- Refer to this Profile: Composition (HDR CZ)
- Examples for this Profile: Encounter/10f5c49e-086d-4016-8dd1-b555306bf620, Encounter/CZ-Encounter-HDR-Example, Encounter/HospitalEncounter and Encounter/f08151d0-a7ad-4a7b-b7b9-97eb1d394ffb

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.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An interaction during which services are provided to the patient This profile also imposes the profile Encounter (HDR)
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | Status of this Hospital stay Binding: In-patient Encounter Status Value Set (required)
class | Σ | 1..1 | Coding | Classification of patient encounter Binding: Encounter Class Value Set (extensible)
type | Σ | 0..* | CodeableConcept | Specific type of Hospital stay Binding: In-patient Encounter Type Value Set (example)
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 | Encounter priority Binding: Admission Urgency Value Set (preferred)
subject | Σ | 1..1 | Reference(Patient (CZ core)) | The patient present at the encounter
basedOn |  | 0..* | Reference(ServiceRequest) | The request for which this encounter has been made
Slices for participant | Σ | 0..* | BackboneElement | List of participants involved in the encounters Slice: Unordered, Open by value:type
participant:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
individual | Σ | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | RelatedPerson) | Persons involved in the encounter other than the patient
participant:admitter | Σ | 0..* | BackboneElement | Admitting professional
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 1..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ADM
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
participant:discharger | Σ | 0..* | BackboneElement | Discharging professional
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 1..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DIS
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
participant:referrer | Σ | 0..* | BackboneElement | Referring professional
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 1..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: REF
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
period |  | 1..1 | Period | The start and end time of this encounter.
reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Condition Value Set (preferred)
reasonReference | Σ | 0..* | Reference(Observation | Condition | Procedure) | Reason the encounter takes place (reference)
diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter, see comment
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
condition | Σ | 1..1 | Reference(Condition (HDR CZ)) | The diagnosis or procedure relevant to the encounter
location |  | 0..* | BackboneElement | Locations where the patient stayed
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
location |  | 1..1 | Reference(Location (CZ core)) | Location the encounter takes place
period |  | 0..1 | Period | Location period
serviceProvider |  | 1..1 | Reference(Organization (CZ core)) | The organization (facility) responsible for this encounter
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Encounter.status | required | EncounterStatusHdrVS `http://hl7.eu/fhir/hdr/ValueSet/encounter-status-eu-hdr`
Encounter.class | extensible | EncounterClassHdrVS `http://hl7.eu/fhir/hdr/ValueSet/hdr-encounterClass-eu-hdr`
Encounter.type | example | EncounterTypeHdrVS `http://hl7.eu/fhir/hdr/ValueSet/hdr-encounter-type-eu-hdr`
Encounter.serviceType | example | ServiceType `http://hl7.org/fhir/ValueSet/service-type|4.0.1` From the FHIR Standard
Encounter.priority | preferred | AdmissionUrgencyHdrVS `http://hl7.eu/fhir/hdr/ValueSet/admission-urgency-eu-hdr`
Encounter.participant:admitter.type | extensible | Pattern Value: ADM `http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1` From the FHIR Standard
Encounter.participant:discharger.type | extensible | Pattern Value: DIS `http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1` From the FHIR Standard
Encounter.participant:referrer.type | extensible | Pattern Value: REF `http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1` From the FHIR Standard
Encounter.reasonCode | preferred | ConditionHdrVS `http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr`

#### 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 Encounter

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  |  | Encounter | This profile also imposes the profile Encounter (HDR)
status |  | 1..1 | code | Status of this Hospital stay Binding: In-patient Encounter Status Value Set (required)
class |  | 1..1 | Coding | Classification of patient encounter Binding: Encounter Class Value Set (extensible)
type |  | 0..* | CodeableConcept | Specific type of Hospital stay Binding: In-patient Encounter Type Value Set (example)
serviceType |  | 0..1 | CodeableConcept | Specific type of service.
priority |  | 0..1 | CodeableConcept | Encounter priority Binding: Admission Urgency Value Set (preferred)
subject |  | 1..1 | Reference(Patient (CZ core)) | The patient present at the encounter
basedOn |  | 0..* | Reference(ServiceRequest) | The request for which this encounter has been made
Slices for participant |  | 0..* | BackboneElement | List of participants involved in the encounters Slice: Unordered, Open by value:type
participant:All Slices |  |  |  | Content/Rules for all slices
individual |  | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | RelatedPerson) | Persons involved in the encounter other than the patient
participant:admitter |  | 0..* | BackboneElement | Admitting professional
type |  | 1..* | CodeableConcept | Role of participant in encounter Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ADM
participant:discharger |  | 0..* | BackboneElement | Discharging professional
type |  | 1..* | CodeableConcept | Role of participant in encounter Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DIS
participant:referrer |  | 0..* | BackboneElement | Referring professional
type |  | 1..* | CodeableConcept | Role of participant in encounter Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: REF
period |  | 1..1 | Period | The start and end time of this encounter.
reasonCode |  | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Condition Value Set (preferred)
reasonReference |  | 0..* | Reference(Observation | Condition | Procedure) | Reason the encounter takes place (reference)
diagnosis |  | 0..* | BackboneElement | The list of diagnosis relevant to this encounter, see comment
condition |  | 1..1 | Reference(Condition (HDR CZ)) | The diagnosis or procedure relevant to the encounter
hospitalization |  |  |  |
admitSource |  | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer).
destination |  | 0..1 | Reference(Organization (CZ core) | Location (CZ core)) | Location/organization to which the patient is discharged
location |  | 0..* | BackboneElement | Locations where the patient stayed
location |  | 1..1 | Reference(Location (CZ core)) | Location the encounter takes place
period |  | 0..1 | Period | Location period
serviceProvider |  | 1..1 | Reference(Organization (CZ core)) | The organization (facility) responsible for this encounter
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Encounter.status | required | EncounterStatusHdrVS `http://hl7.eu/fhir/hdr/ValueSet/encounter-status-eu-hdr`
Encounter.class | extensible | EncounterClassHdrVS `http://hl7.eu/fhir/hdr/ValueSet/hdr-encounterClass-eu-hdr`
Encounter.type | example | EncounterTypeHdrVS `http://hl7.eu/fhir/hdr/ValueSet/hdr-encounter-type-eu-hdr`
Encounter.priority | preferred | AdmissionUrgencyHdrVS `http://hl7.eu/fhir/hdr/ValueSet/admission-urgency-eu-hdr`
Encounter.reasonCode | preferred | ConditionHdrVS `http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An interaction during which services are provided to the patient This profile also imposes the profile Encounter (HDR)
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known
status | ?!Σ | 1..1 | code | Status of this Hospital stay Binding: In-patient Encounter Status Value Set (required)
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 | Classification of patient encounter Binding: Encounter Class Value Set (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 (3.0.0) (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 Hospital stay Binding: In-patient Encounter Type Value Set (example)
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 | Encounter priority Binding: Admission Urgency Value Set (preferred)
subject | Σ | 1..1 | Reference(Patient (CZ core)) | The patient present at the encounter
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against
basedOn |  | 0..* | Reference(ServiceRequest) | The request for which this encounter has been made
Slices for participant | Σ | 0..* | BackboneElement | List of participants involved in the encounters Slice: Unordered, Open by value:type
participant:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | 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(Practitioner (CZ core) | Practitioner Role (CZ core) | RelatedPerson) | Persons involved in the encounter other than the patient
participant:admitter | Σ | 0..* | BackboneElement | Admitting professional
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 | 1..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ADM
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
period |  | 0..1 | Period | Period of time during the encounter that the participant participated
individual | Σ | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | RelatedPerson) | Persons involved in the encounter other than the patient
participant:discharger | Σ | 0..* | BackboneElement | Discharging professional
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 | 1..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DIS
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
period |  | 0..1 | Period | Period of time during the encounter that the participant participated
individual | Σ | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | RelatedPerson) | Persons involved in the encounter other than the patient
participant:referrer | Σ | 0..* | BackboneElement | Referring professional
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 | 1..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: REF
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
period |  | 0..1 | Period | Period of time during the encounter that the participant participated
individual | Σ | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | RelatedPerson) | Persons involved in the encounter other than the patient
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter
period |  | 1..1 | Period | The start and end time of this encounter.
length |  | 0..1 | Duration | Quantity of time the encounter lasted (less time absent)
reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Condition Value Set (preferred)
reasonReference | Σ | 0..* | Reference(Observation | Condition | Procedure) | Reason the encounter takes place (reference)
diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter, see comment
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 (HDR CZ)) | 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(Organization (CZ core) | Location (CZ core)) | 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 | Locations where the patient stayed
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 (CZ core)) | 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 | Location period
serviceProvider |  | 1..1 | Reference(Organization (CZ core)) | The organization (facility) responsible for this encounter
partOf |  | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Encounter.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages|4.0.1` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Encounter.status | required | EncounterStatusHdrVS `http://hl7.eu/fhir/hdr/ValueSet/encounter-status-eu-hdr`
Encounter.statusHistory.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` From the FHIR Standard
Encounter.class | extensible | EncounterClassHdrVS `http://hl7.eu/fhir/hdr/ValueSet/hdr-encounterClass-eu-hdr`
Encounter.classHistory.class | extensible | ActEncounterCode `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0`
Encounter.type | example | EncounterTypeHdrVS `http://hl7.eu/fhir/hdr/ValueSet/hdr-encounter-type-eu-hdr`
Encounter.serviceType | example | ServiceType `http://hl7.org/fhir/ValueSet/service-type|4.0.1` From the FHIR Standard
Encounter.priority | preferred | AdmissionUrgencyHdrVS `http://hl7.eu/fhir/hdr/ValueSet/admission-urgency-eu-hdr`
Encounter.participant.type | extensible | ParticipantType `http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1` From the FHIR Standard
Encounter.participant:admitter.type | extensible | Pattern Value: ADM `http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1` From the FHIR Standard
Encounter.participant:discharger.type | extensible | Pattern Value: DIS `http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1` From the FHIR Standard
Encounter.participant:referrer.type | extensible | Pattern Value: REF `http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1` From the FHIR Standard
Encounter.reasonCode | preferred | ConditionHdrVS `http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr`
Encounter.diagnosis.use | preferred | DiagnosisRole `http://hl7.org/fhir/ValueSet/diagnosis-role|4.0.1` From the FHIR Standard
Encounter.hospitalization.admitSource | preferred | AdmitSource `http://hl7.org/fhir/ValueSet/encounter-admit-source|4.0.1` From the FHIR Standard
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicator `http://terminology.hl7.org/ValueSet/v2-0092`
Encounter.hospitalization.dietPreference | example | Diet `http://hl7.org/fhir/ValueSet/encounter-diet|4.0.1` From the FHIR Standard
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesy `http://hl7.org/fhir/ValueSet/encounter-special-courtesy|4.0.1` From the FHIR Standard
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangements `http://hl7.org/fhir/ValueSet/encounter-special-arrangements|4.0.1` From the FHIR Standard
Encounter.hospitalization.dischargeDisposition | example | DischargeDisposition `http://hl7.org/fhir/ValueSet/encounter-discharge-disposition|4.0.1` 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|4.0.1` 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 Encounter

Summary

Mandatory: 3 elements(3 nested mandatory elements)

Structures

This structure refers to these other structures:

- Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
- Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
- Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
- Condition (HDR CZ) (https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr)
- Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
- Location (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-location-core)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Encounter.participant

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An interaction during which services are provided to the patient This profile also imposes the profile Encounter (HDR)
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | Status of this Hospital stay Binding: In-patient Encounter Status Value Set (required)
class | Σ | 1..1 | Coding | Classification of patient encounter Binding: Encounter Class Value Set (extensible)
type | Σ | 0..* | CodeableConcept | Specific type of Hospital stay Binding: In-patient Encounter Type Value Set (example)
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 | Encounter priority Binding: Admission Urgency Value Set (preferred)
subject | Σ | 1..1 | Reference(Patient (CZ core)) | The patient present at the encounter
basedOn |  | 0..* | Reference(ServiceRequest) | The request for which this encounter has been made
Slices for participant | Σ | 0..* | BackboneElement | List of participants involved in the encounters Slice: Unordered, Open by value:type
participant:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
individual | Σ | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | RelatedPerson) | Persons involved in the encounter other than the patient
participant:admitter | Σ | 0..* | BackboneElement | Admitting professional
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 1..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ADM
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
participant:discharger | Σ | 0..* | BackboneElement | Discharging professional
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 1..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DIS
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
participant:referrer | Σ | 0..* | BackboneElement | Referring professional
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 1..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: REF
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
period |  | 1..1 | Period | The start and end time of this encounter.
reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Condition Value Set (preferred)
reasonReference | Σ | 0..* | Reference(Observation | Condition | Procedure) | Reason the encounter takes place (reference)
diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter, see comment
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
condition | Σ | 1..1 | Reference(Condition (HDR CZ)) | The diagnosis or procedure relevant to the encounter
location |  | 0..* | BackboneElement | Locations where the patient stayed
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
location |  | 1..1 | Reference(Location (CZ core)) | Location the encounter takes place
period |  | 0..1 | Period | Location period
serviceProvider |  | 1..1 | Reference(Organization (CZ core)) | The organization (facility) responsible for this encounter
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Encounter.status | required | EncounterStatusHdrVS `http://hl7.eu/fhir/hdr/ValueSet/encounter-status-eu-hdr`
Encounter.class | extensible | EncounterClassHdrVS `http://hl7.eu/fhir/hdr/ValueSet/hdr-encounterClass-eu-hdr`
Encounter.type | example | EncounterTypeHdrVS `http://hl7.eu/fhir/hdr/ValueSet/hdr-encounter-type-eu-hdr`
Encounter.serviceType | example | ServiceType `http://hl7.org/fhir/ValueSet/service-type|4.0.1` From the FHIR Standard
Encounter.priority | preferred | AdmissionUrgencyHdrVS `http://hl7.eu/fhir/hdr/ValueSet/admission-urgency-eu-hdr`
Encounter.participant:admitter.type | extensible | Pattern Value: ADM `http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1` From the FHIR Standard
Encounter.participant:discharger.type | extensible | Pattern Value: DIS `http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1` From the FHIR Standard
Encounter.participant:referrer.type | extensible | Pattern Value: REF `http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1` From the FHIR Standard
Encounter.reasonCode | preferred | ConditionHdrVS `http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr`

#### 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() |

Differential View

This structure is derived from Encounter

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  |  | Encounter | This profile also imposes the profile Encounter (HDR)
status |  | 1..1 | code | Status of this Hospital stay Binding: In-patient Encounter Status Value Set (required)
class |  | 1..1 | Coding | Classification of patient encounter Binding: Encounter Class Value Set (extensible)
type |  | 0..* | CodeableConcept | Specific type of Hospital stay Binding: In-patient Encounter Type Value Set (example)
serviceType |  | 0..1 | CodeableConcept | Specific type of service.
priority |  | 0..1 | CodeableConcept | Encounter priority Binding: Admission Urgency Value Set (preferred)
subject |  | 1..1 | Reference(Patient (CZ core)) | The patient present at the encounter
basedOn |  | 0..* | Reference(ServiceRequest) | The request for which this encounter has been made
Slices for participant |  | 0..* | BackboneElement | List of participants involved in the encounters Slice: Unordered, Open by value:type
participant:All Slices |  |  |  | Content/Rules for all slices
individual |  | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | RelatedPerson) | Persons involved in the encounter other than the patient
participant:admitter |  | 0..* | BackboneElement | Admitting professional
type |  | 1..* | CodeableConcept | Role of participant in encounter Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ADM
participant:discharger |  | 0..* | BackboneElement | Discharging professional
type |  | 1..* | CodeableConcept | Role of participant in encounter Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DIS
participant:referrer |  | 0..* | BackboneElement | Referring professional
type |  | 1..* | CodeableConcept | Role of participant in encounter Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: REF
period |  | 1..1 | Period | The start and end time of this encounter.
reasonCode |  | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Condition Value Set (preferred)
reasonReference |  | 0..* | Reference(Observation | Condition | Procedure) | Reason the encounter takes place (reference)
diagnosis |  | 0..* | BackboneElement | The list of diagnosis relevant to this encounter, see comment
condition |  | 1..1 | Reference(Condition (HDR CZ)) | The diagnosis or procedure relevant to the encounter
hospitalization |  |  |  |
admitSource |  | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer).
destination |  | 0..1 | Reference(Organization (CZ core) | Location (CZ core)) | Location/organization to which the patient is discharged
location |  | 0..* | BackboneElement | Locations where the patient stayed
location |  | 1..1 | Reference(Location (CZ core)) | Location the encounter takes place
period |  | 0..1 | Period | Location period
serviceProvider |  | 1..1 | Reference(Organization (CZ core)) | The organization (facility) responsible for this encounter
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Encounter.status | required | EncounterStatusHdrVS `http://hl7.eu/fhir/hdr/ValueSet/encounter-status-eu-hdr`
Encounter.class | extensible | EncounterClassHdrVS `http://hl7.eu/fhir/hdr/ValueSet/hdr-encounterClass-eu-hdr`
Encounter.type | example | EncounterTypeHdrVS `http://hl7.eu/fhir/hdr/ValueSet/hdr-encounter-type-eu-hdr`
Encounter.priority | preferred | AdmissionUrgencyHdrVS `http://hl7.eu/fhir/hdr/ValueSet/admission-urgency-eu-hdr`
Encounter.reasonCode | preferred | ConditionHdrVS `http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An interaction during which services are provided to the patient This profile also imposes the profile Encounter (HDR)
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known
status | ?!Σ | 1..1 | code | Status of this Hospital stay Binding: In-patient Encounter Status Value Set (required)
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 | Classification of patient encounter Binding: Encounter Class Value Set (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 (3.0.0) (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 Hospital stay Binding: In-patient Encounter Type Value Set (example)
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 | Encounter priority Binding: Admission Urgency Value Set (preferred)
subject | Σ | 1..1 | Reference(Patient (CZ core)) | The patient present at the encounter
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against
basedOn |  | 0..* | Reference(ServiceRequest) | The request for which this encounter has been made
Slices for participant | Σ | 0..* | BackboneElement | List of participants involved in the encounters Slice: Unordered, Open by value:type
participant:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | 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(Practitioner (CZ core) | Practitioner Role (CZ core) | RelatedPerson) | Persons involved in the encounter other than the patient
participant:admitter | Σ | 0..* | BackboneElement | Admitting professional
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 | 1..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ADM
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
period |  | 0..1 | Period | Period of time during the encounter that the participant participated
individual | Σ | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | RelatedPerson) | Persons involved in the encounter other than the patient
participant:discharger | Σ | 0..* | BackboneElement | Discharging professional
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 | 1..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DIS
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
period |  | 0..1 | Period | Period of time during the encounter that the participant participated
individual | Σ | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | RelatedPerson) | Persons involved in the encounter other than the patient
participant:referrer | Σ | 0..* | BackboneElement | Referring professional
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 | 1..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: REF
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
period |  | 0..1 | Period | Period of time during the encounter that the participant participated
individual | Σ | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | RelatedPerson) | Persons involved in the encounter other than the patient
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter
period |  | 1..1 | Period | The start and end time of this encounter.
length |  | 0..1 | Duration | Quantity of time the encounter lasted (less time absent)
reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Condition Value Set (preferred)
reasonReference | Σ | 0..* | Reference(Observation | Condition | Procedure) | Reason the encounter takes place (reference)
diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter, see comment
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 (HDR CZ)) | 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(Organization (CZ core) | Location (CZ core)) | 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 | Locations where the patient stayed
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 (CZ core)) | 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 | Location period
serviceProvider |  | 1..1 | Reference(Organization (CZ core)) | The organization (facility) responsible for this encounter
partOf |  | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Encounter.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages|4.0.1` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Encounter.status | required | EncounterStatusHdrVS `http://hl7.eu/fhir/hdr/ValueSet/encounter-status-eu-hdr`
Encounter.statusHistory.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` From the FHIR Standard
Encounter.class | extensible | EncounterClassHdrVS `http://hl7.eu/fhir/hdr/ValueSet/hdr-encounterClass-eu-hdr`
Encounter.classHistory.class | extensible | ActEncounterCode `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0`
Encounter.type | example | EncounterTypeHdrVS `http://hl7.eu/fhir/hdr/ValueSet/hdr-encounter-type-eu-hdr`
Encounter.serviceType | example | ServiceType `http://hl7.org/fhir/ValueSet/service-type|4.0.1` From the FHIR Standard
Encounter.priority | preferred | AdmissionUrgencyHdrVS `http://hl7.eu/fhir/hdr/ValueSet/admission-urgency-eu-hdr`
Encounter.participant.type | extensible | ParticipantType `http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1` From the FHIR Standard
Encounter.participant:admitter.type | extensible | Pattern Value: ADM `http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1` From the FHIR Standard
Encounter.participant:discharger.type | extensible | Pattern Value: DIS `http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1` From the FHIR Standard
Encounter.participant:referrer.type | extensible | Pattern Value: REF `http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1` From the FHIR Standard
Encounter.reasonCode | preferred | ConditionHdrVS `http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr`
Encounter.diagnosis.use | preferred | DiagnosisRole `http://hl7.org/fhir/ValueSet/diagnosis-role|4.0.1` From the FHIR Standard
Encounter.hospitalization.admitSource | preferred | AdmitSource `http://hl7.org/fhir/ValueSet/encounter-admit-source|4.0.1` From the FHIR Standard
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicator `http://terminology.hl7.org/ValueSet/v2-0092`
Encounter.hospitalization.dietPreference | example | Diet `http://hl7.org/fhir/ValueSet/encounter-diet|4.0.1` From the FHIR Standard
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesy `http://hl7.org/fhir/ValueSet/encounter-special-courtesy|4.0.1` From the FHIR Standard
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangements `http://hl7.org/fhir/ValueSet/encounter-special-arrangements|4.0.1` From the FHIR Standard
Encounter.hospitalization.dischargeDisposition | example | DischargeDisposition `http://hl7.org/fhir/ValueSet/encounter-discharge-disposition|4.0.1` 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|4.0.1` 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 Encounter

Summary

Mandatory: 3 elements(3 nested mandatory elements)

Structures

This structure refers to these other structures:

- Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
- Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
- Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
- Condition (HDR CZ) (https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr)
- Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
- Location (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-location-core)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Encounter.participant

Maturity: 1

Other representations of profile: CSV, Excel, Schematron