Consolidated CDA Release 2.2, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.2). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.2/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.49 | Version: 2.2 | |||
Active as of 2022-05-13 | Computable Name: EncounterActivity | |||
Other Identifiers: : urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01 |
This clinical statement describes an interaction between a patient and clinician. Interactions may include in-person encounters, telephone conversations, and email exchanges.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CDAR2.Encounter
Summary
Mandatory: 8 elements (6 nested mandatory elements)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
This structure is derived from CDAR2.Encounter
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | 1..1 | CDAR2.Encounter | ||
classCode | 1..1 | code | Required Pattern: ENC | |
moodCode | 1..1 | code | Required Pattern: EVN | |
Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
templateId:primary | 1..1 | II | ||
root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.49 | |
extension | 1..1 | string | Required Pattern: 2015-08-01 | |
id | 1..* | II | ||
code | 1..1 | CD | Binding: EncounterTypeCode (preferred) | |
originalText | 0..1 | ED | ||
reference | 0..1 | TEL | ||
value | I | 0..1 | uri | 1198-15972: This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1198-15972). |
translation | 0..1 | CD | The translation may exist to map the code of EncounterTypeCode (2.16.840.1.113883.3.88.12.80.32) value set to the code of Encounter Planned (2.16.840.1.113883.11.20.9.52) value set. | |
effectiveTime | 1..1 | IVL_TS | ||
dischargeDispositionCode | I | 0..1 | CE | The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the dischargeDispositionCode element XML Namespace: urn:hl7-org:sdtc 1198-32177: This sdtc:dischargeDispositionCode **SHOULD** contain exactly [0..1] *code*, which **SHOULD** be selected from ValueSet 2.16.840.1.113883.3.88.12.80.33 NUBC UB-04 FL17-Patient Status (code system 2.16.840.1.113883.6.301.5) *DYNAMIC* or, if access to NUBC is unavailable, from CodeSystem 2.16.840.1.113883.12.112 HL7 Discharge Disposition (CONF:1198-32177). 1198-32377: This sdtc:dischargeDispositionCode **SHOULD** contain exactly [0..1] *codeSystem*, which **SHOULD** be either CodeSystem: NUBC 2.16.840.1.113883.6.301.5 *OR* CodeSystem: HL7 Discharge Disposition 2.16.840.1.113883.12.112 (CONF:1198-32377). |
performer | 0..* | Performer2 | ||
assignedEntity | 1..1 | AssignedEntity | ||
code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
Slices for participant | 0..* | Participant2 | Slice: Unordered, Open by value:participantRole, value:typeCode | |
participant:location | 0..* | Participant2 | ||
typeCode | 1..1 | code | Required Pattern: LOC | |
participantRole | 1..1 | ServiceDeliveryLocation | ||
Slices for entryRelationship | 0..* | Element | Slice: Unordered, Open by value:act | |
entryRelationship:indication | 0..* | Element | ||
typeCode | 1..1 | code | Required Pattern: RSON | |
observation | 1..1 | Indication | ||
entryRelationship:diagnosis | 0..* | Element | ||
act | 1..1 | EncounterDiagnosis | ||
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | 1..1 | CDAR2.Encounter | ||
classCode | 1..1 | code | Binding: ActClass (required) Fixed Value: ENC | |
moodCode | 1..1 | code | Required Pattern: EVN | |
realmCode | 0..* | CS | ||
typeId | 0..1 | II | ||
Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
templateId:primary | 1..1 | II | ||
nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
assigningAuthorityName | 0..1 | string | ||
displayable | 0..1 | boolean | ||
root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.49 | |
extension | 1..1 | string | Required Pattern: 2015-08-01 | |
id | 1..* | II | ||
code | 1..1 | CD | Binding: EncounterTypeCode (preferred) | |
nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
code | 0..1 | string | ||
codeSystem | 0..1 | string | ||
codeSystemName | 0..1 | string | ||
codeSystemVersion | 0..1 | string | ||
displayName | 0..1 | string | ||
sdtcValueSet | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc) | |
sdtcValueSetVersion | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc) | |
originalText | 0..1 | ED | ||
nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
charset | 0..1 | code | ||
compression | 0..1 | code | Binding: CompressionAlgorithm (required) | |
integrityCheck | 0..1 | base64Binary | ||
integrityCheckAlgorithm | 0..1 | code | Binding: IntegrityCheckAlgorithm (required) | |
language | 0..1 | code | ||
mediaType | 0..1 | code | ||
representation | 0..1 | code | ||
data[x] | 0..1 | |||
dataString | string | |||
dataBase64Binary | base64Binary | |||
reference | 0..1 | TEL | ||
nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
value | I | 0..1 | uri | 1198-15972: This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1198-15972). |
useablePeriod | 0..* | |||
useablePeriod | IVL_TS | |||
useablePeriod | EIVL_TS | |||
useablePeriod | PIVL_TS | |||
useablePeriod | SXPR_TS | |||
use | 0..* | code | Binding: AddressUse (required) | |
thumbnail | 0..1 | ED | ||
qualifier | 0..* | CR | ||
translation | 0..1 | CD | The translation may exist to map the code of EncounterTypeCode (2.16.840.1.113883.3.88.12.80.32) value set to the code of Encounter Planned (2.16.840.1.113883.11.20.9.52) value set. | |
text | 0..1 | ED | ||
statusCode | 0..1 | CS | Binding: ActStatus (required) | |
effectiveTime | 1..1 | IVL_TS | ||
dischargeDispositionCode | I | 0..1 | CE | The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the dischargeDispositionCode element XML Namespace: urn:hl7-org:sdtc 1198-32177: This sdtc:dischargeDispositionCode **SHOULD** contain exactly [0..1] *code*, which **SHOULD** be selected from ValueSet 2.16.840.1.113883.3.88.12.80.33 NUBC UB-04 FL17-Patient Status (code system 2.16.840.1.113883.6.301.5) *DYNAMIC* or, if access to NUBC is unavailable, from CodeSystem 2.16.840.1.113883.12.112 HL7 Discharge Disposition (CONF:1198-32177). 1198-32377: This sdtc:dischargeDispositionCode **SHOULD** contain exactly [0..1] *codeSystem*, which **SHOULD** be either CodeSystem: NUBC 2.16.840.1.113883.6.301.5 *OR* CodeSystem: HL7 Discharge Disposition 2.16.840.1.113883.12.112 (CONF:1198-32377). |
priorityCode | 0..1 | CE | Binding: ActPriority (extensible) | |
subject | 0..1 | Element | ||
typeCode | 1..1 | code | Binding: ParticipationTargetSubject (required) Fixed Value: SBJ | |
contextControlCode | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
awarenessCode | 0..1 | CE | Binding: TargetAwareness (extensible) | |
relatedSubject | 1..1 | RelatedSubject | ||
specimen | 0..* | Specimen | ||
performer | 0..* | Performer2 | ||
nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
typeCode | 0..1 | cs | Binding: ParticipationPhysicalPerformer (required) Fixed Value: PRF | |
realmCode | 0..* | CS | ||
typeId | 0..1 | II | ||
templateId | 0..* | II | ||
functionCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc | |
time | 0..1 | IVL_TS | ||
modeCode | 0..1 | CE | ||
assignedEntity | 1..1 | AssignedEntity | ||
classCode | 1..1 | code | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
templateId | 0..* | II | ||
id | 1..* | II | ||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML: identifiedBy (urn:hl7-org:sdtc) | |
code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
addr | 0..* | AD | ||
telecom | 0..* | TEL | ||
assignedPerson | 0..1 | Person | ||
representedOrganization | 0..1 | Organization | ||
author | 0..* | Author | ||
informant | 0..* | Element | ||
typeCode | 1..1 | code | Binding: ParticipationInformationGenerator (required) Fixed Value: INF | |
contextControlCode | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
assignedEntity | 0..1 | AssignedEntity | ||
relatedEntity | 0..1 | RelatedEntity | ||
Slices for participant | 0..* | Participant2 | Slice: Unordered, Open by value:participantRole, value:typeCode | |
participant:location | 0..* | Participant2 | ||
nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
typeCode | 1..1 | code | Binding: ParticipationType (required) Required Pattern: LOC | |
contextControlCode | 0..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
realmCode | 0..* | CS | ||
typeId | 0..1 | II | ||
templateId | 0..* | II | ||
sdtcFunctionCode | 0..1 | CE | XML: functionCode (urn:hl7-org:sdtc) | |
time | 0..1 | IVL_TS | ||
awarenessCode | 0..1 | CE | ||
participantRole | 1..1 | ServiceDeliveryLocation | ||
Slices for entryRelationship | I | 0..* | Element | Slice: Unordered, Open by value:act |
entryRelationship:All Slices | Content/Rules for all slices | |||
typeCode | 1..1 | code | ||
inversionInd | 0..1 | boolean | ||
contextConductionInd | 1..1 | boolean | ||
sequenceNumber | 0..1 | INT | ||
negationInd | 0..1 | boolean | ||
seperatableInd | 0..1 | BL | ||
(Choice of one) | 1..1 | |||
observation | 0..1 | Observation | ||
regionOfInterest | 0..1 | RegionOfInterest | ||
observationMedia | 0..1 | ObservationMedia | ||
substanceAdministration | 0..1 | SubstanceAdministration | ||
supply | 0..1 | Supply | ||
procedure | 0..1 | Procedure | ||
encounter | 0..1 | Encounter | ||
organizer | 0..1 | Organizer | ||
act | 0..1 | Act | ||
entryRelationship:indication | I | 0..* | Element | |
typeCode | 1..1 | code | Required Pattern: RSON | |
inversionInd | 0..1 | boolean | ||
contextConductionInd | 1..1 | boolean | ||
sequenceNumber | 0..1 | INT | ||
negationInd | 0..1 | boolean | ||
seperatableInd | 0..1 | BL | ||
observation | 1..1 | Indication | ||
entryRelationship:diagnosis | I | 0..* | Element | |
typeCode | 1..1 | code | ||
inversionInd | 0..1 | boolean | ||
contextConductionInd | 1..1 | boolean | ||
sequenceNumber | 0..1 | INT | ||
negationInd | 0..1 | boolean | ||
seperatableInd | 0..1 | BL | ||
act | 1..1 | EncounterDiagnosis | ||
reference | 0..* | Element | ||
typeCode | 1..1 | code | ||
seperatableInd | 0..1 | BL | ||
externalAct | 0..1 | ExternalAct | ||
externalObservation | 0..1 | ExternalObservation | ||
externalProcedure | 0..1 | ExternalProcedure | ||
externalDocument | 0..1 | ExternalDocument | ||
precondition | 0..* | Precondition | ||
Documentation for this format |
This structure is derived from CDAR2.Encounter
Summary
Mandatory: 8 elements (6 nested mandatory elements)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CDAR2.Encounter
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | 1..1 | CDAR2.Encounter | ||
classCode | 1..1 | code | Required Pattern: ENC | |
moodCode | 1..1 | code | Required Pattern: EVN | |
Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
templateId:primary | 1..1 | II | ||
root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.49 | |
extension | 1..1 | string | Required Pattern: 2015-08-01 | |
id | 1..* | II | ||
code | 1..1 | CD | Binding: EncounterTypeCode (preferred) | |
originalText | 0..1 | ED | ||
reference | 0..1 | TEL | ||
value | I | 0..1 | uri | 1198-15972: This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1198-15972). |
translation | 0..1 | CD | The translation may exist to map the code of EncounterTypeCode (2.16.840.1.113883.3.88.12.80.32) value set to the code of Encounter Planned (2.16.840.1.113883.11.20.9.52) value set. | |
effectiveTime | 1..1 | IVL_TS | ||
dischargeDispositionCode | I | 0..1 | CE | The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the dischargeDispositionCode element XML Namespace: urn:hl7-org:sdtc 1198-32177: This sdtc:dischargeDispositionCode **SHOULD** contain exactly [0..1] *code*, which **SHOULD** be selected from ValueSet 2.16.840.1.113883.3.88.12.80.33 NUBC UB-04 FL17-Patient Status (code system 2.16.840.1.113883.6.301.5) *DYNAMIC* or, if access to NUBC is unavailable, from CodeSystem 2.16.840.1.113883.12.112 HL7 Discharge Disposition (CONF:1198-32177). 1198-32377: This sdtc:dischargeDispositionCode **SHOULD** contain exactly [0..1] *codeSystem*, which **SHOULD** be either CodeSystem: NUBC 2.16.840.1.113883.6.301.5 *OR* CodeSystem: HL7 Discharge Disposition 2.16.840.1.113883.12.112 (CONF:1198-32377). |
performer | 0..* | Performer2 | ||
assignedEntity | 1..1 | AssignedEntity | ||
code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
Slices for participant | 0..* | Participant2 | Slice: Unordered, Open by value:participantRole, value:typeCode | |
participant:location | 0..* | Participant2 | ||
typeCode | 1..1 | code | Required Pattern: LOC | |
participantRole | 1..1 | ServiceDeliveryLocation | ||
Slices for entryRelationship | 0..* | Element | Slice: Unordered, Open by value:act | |
entryRelationship:indication | 0..* | Element | ||
typeCode | 1..1 | code | Required Pattern: RSON | |
observation | 1..1 | Indication | ||
entryRelationship:diagnosis | 0..* | Element | ||
act | 1..1 | EncounterDiagnosis | ||
Documentation for this format |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | 1..1 | CDAR2.Encounter | ||
classCode | 1..1 | code | Binding: ActClass (required) Fixed Value: ENC | |
moodCode | 1..1 | code | Required Pattern: EVN | |
realmCode | 0..* | CS | ||
typeId | 0..1 | II | ||
Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
templateId:primary | 1..1 | II | ||
nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
assigningAuthorityName | 0..1 | string | ||
displayable | 0..1 | boolean | ||
root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.49 | |
extension | 1..1 | string | Required Pattern: 2015-08-01 | |
id | 1..* | II | ||
code | 1..1 | CD | Binding: EncounterTypeCode (preferred) | |
nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
code | 0..1 | string | ||
codeSystem | 0..1 | string | ||
codeSystemName | 0..1 | string | ||
codeSystemVersion | 0..1 | string | ||
displayName | 0..1 | string | ||
sdtcValueSet | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc) | |
sdtcValueSetVersion | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc) | |
originalText | 0..1 | ED | ||
nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
charset | 0..1 | code | ||
compression | 0..1 | code | Binding: CompressionAlgorithm (required) | |
integrityCheck | 0..1 | base64Binary | ||
integrityCheckAlgorithm | 0..1 | code | Binding: IntegrityCheckAlgorithm (required) | |
language | 0..1 | code | ||
mediaType | 0..1 | code | ||
representation | 0..1 | code | ||
data[x] | 0..1 | |||
dataString | string | |||
dataBase64Binary | base64Binary | |||
reference | 0..1 | TEL | ||
nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
value | I | 0..1 | uri | 1198-15972: This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1198-15972). |
useablePeriod | 0..* | |||
useablePeriod | IVL_TS | |||
useablePeriod | EIVL_TS | |||
useablePeriod | PIVL_TS | |||
useablePeriod | SXPR_TS | |||
use | 0..* | code | Binding: AddressUse (required) | |
thumbnail | 0..1 | ED | ||
qualifier | 0..* | CR | ||
translation | 0..1 | CD | The translation may exist to map the code of EncounterTypeCode (2.16.840.1.113883.3.88.12.80.32) value set to the code of Encounter Planned (2.16.840.1.113883.11.20.9.52) value set. | |
text | 0..1 | ED | ||
statusCode | 0..1 | CS | Binding: ActStatus (required) | |
effectiveTime | 1..1 | IVL_TS | ||
dischargeDispositionCode | I | 0..1 | CE | The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the dischargeDispositionCode element XML Namespace: urn:hl7-org:sdtc 1198-32177: This sdtc:dischargeDispositionCode **SHOULD** contain exactly [0..1] *code*, which **SHOULD** be selected from ValueSet 2.16.840.1.113883.3.88.12.80.33 NUBC UB-04 FL17-Patient Status (code system 2.16.840.1.113883.6.301.5) *DYNAMIC* or, if access to NUBC is unavailable, from CodeSystem 2.16.840.1.113883.12.112 HL7 Discharge Disposition (CONF:1198-32177). 1198-32377: This sdtc:dischargeDispositionCode **SHOULD** contain exactly [0..1] *codeSystem*, which **SHOULD** be either CodeSystem: NUBC 2.16.840.1.113883.6.301.5 *OR* CodeSystem: HL7 Discharge Disposition 2.16.840.1.113883.12.112 (CONF:1198-32377). |
priorityCode | 0..1 | CE | Binding: ActPriority (extensible) | |
subject | 0..1 | Element | ||
typeCode | 1..1 | code | Binding: ParticipationTargetSubject (required) Fixed Value: SBJ | |
contextControlCode | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
awarenessCode | 0..1 | CE | Binding: TargetAwareness (extensible) | |
relatedSubject | 1..1 | RelatedSubject | ||
specimen | 0..* | Specimen | ||
performer | 0..* | Performer2 | ||
nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
typeCode | 0..1 | cs | Binding: ParticipationPhysicalPerformer (required) Fixed Value: PRF | |
realmCode | 0..* | CS | ||
typeId | 0..1 | II | ||
templateId | 0..* | II | ||
functionCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc | |
time | 0..1 | IVL_TS | ||
modeCode | 0..1 | CE | ||
assignedEntity | 1..1 | AssignedEntity | ||
classCode | 1..1 | code | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
templateId | 0..* | II | ||
id | 1..* | II | ||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML: identifiedBy (urn:hl7-org:sdtc) | |
code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
addr | 0..* | AD | ||
telecom | 0..* | TEL | ||
assignedPerson | 0..1 | Person | ||
representedOrganization | 0..1 | Organization | ||
author | 0..* | Author | ||
informant | 0..* | Element | ||
typeCode | 1..1 | code | Binding: ParticipationInformationGenerator (required) Fixed Value: INF | |
contextControlCode | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
assignedEntity | 0..1 | AssignedEntity | ||
relatedEntity | 0..1 | RelatedEntity | ||
Slices for participant | 0..* | Participant2 | Slice: Unordered, Open by value:participantRole, value:typeCode | |
participant:location | 0..* | Participant2 | ||
nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
typeCode | 1..1 | code | Binding: ParticipationType (required) Required Pattern: LOC | |
contextControlCode | 0..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
realmCode | 0..* | CS | ||
typeId | 0..1 | II | ||
templateId | 0..* | II | ||
sdtcFunctionCode | 0..1 | CE | XML: functionCode (urn:hl7-org:sdtc) | |
time | 0..1 | IVL_TS | ||
awarenessCode | 0..1 | CE | ||
participantRole | 1..1 | ServiceDeliveryLocation | ||
Slices for entryRelationship | I | 0..* | Element | Slice: Unordered, Open by value:act |
entryRelationship:All Slices | Content/Rules for all slices | |||
typeCode | 1..1 | code | ||
inversionInd | 0..1 | boolean | ||
contextConductionInd | 1..1 | boolean | ||
sequenceNumber | 0..1 | INT | ||
negationInd | 0..1 | boolean | ||
seperatableInd | 0..1 | BL | ||
(Choice of one) | 1..1 | |||
observation | 0..1 | Observation | ||
regionOfInterest | 0..1 | RegionOfInterest | ||
observationMedia | 0..1 | ObservationMedia | ||
substanceAdministration | 0..1 | SubstanceAdministration | ||
supply | 0..1 | Supply | ||
procedure | 0..1 | Procedure | ||
encounter | 0..1 | Encounter | ||
organizer | 0..1 | Organizer | ||
act | 0..1 | Act | ||
entryRelationship:indication | I | 0..* | Element | |
typeCode | 1..1 | code | Required Pattern: RSON | |
inversionInd | 0..1 | boolean | ||
contextConductionInd | 1..1 | boolean | ||
sequenceNumber | 0..1 | INT | ||
negationInd | 0..1 | boolean | ||
seperatableInd | 0..1 | BL | ||
observation | 1..1 | Indication | ||
entryRelationship:diagnosis | I | 0..* | Element | |
typeCode | 1..1 | code | ||
inversionInd | 0..1 | boolean | ||
contextConductionInd | 1..1 | boolean | ||
sequenceNumber | 0..1 | INT | ||
negationInd | 0..1 | boolean | ||
seperatableInd | 0..1 | BL | ||
act | 1..1 | EncounterDiagnosis | ||
reference | 0..* | Element | ||
typeCode | 1..1 | code | ||
seperatableInd | 0..1 | BL | ||
externalAct | 0..1 | ExternalAct | ||
externalObservation | 0..1 | ExternalObservation | ||
externalProcedure | 0..1 | ExternalProcedure | ||
externalDocument | 0..1 | ExternalDocument | ||
precondition | 0..* | Precondition | ||
Documentation for this format |
Other representations of profile: CSV, Excel, Schematron
Path | Conformance | ValueSet / Code |
Encounter.classCode | required | Fixed Value: ENC |
Encounter.templateId:primary.nullFlavor | required | NullFlavor |
Encounter.code | preferred | EncounterTypeCode |
Encounter.code.nullFlavor | required | NullFlavor |
Encounter.code.originalText.nullFlavor | required | NullFlavor |
Encounter.code.originalText.compression | required | CompressionAlgorithm |
Encounter.code.originalText.integrityCheckAlgorithm | required | IntegrityCheckAlgorithm |
Encounter.code.originalText.reference.nullFlavor | required | NullFlavor |
Encounter.code.originalText.reference.use | required | AddressUse |
Encounter.statusCode | required | ActStatus |
Encounter.priorityCode | extensible | ActPriority |
Encounter.subject.typeCode | required | Fixed Value: SBJ |
Encounter.subject.contextControlCode | required | Fixed Value: OP |
Encounter.subject.awarenessCode | extensible | TargetAwareness |
Encounter.performer.nullFlavor | required | NullFlavor |
Encounter.performer.typeCode | required | Fixed Value: PRF |
Encounter.performer.assignedEntity.classCode | required | Fixed Value: ASSIGNED |
Encounter.performer.assignedEntity.code | preferred | HealthcareProviderTaxonomy |
Encounter.informant.typeCode | required | Fixed Value: INF |
Encounter.informant.contextControlCode | required | Fixed Value: OP |
Encounter.participant:location.nullFlavor | required | NullFlavor |
Encounter.participant:location.typeCode | required | Pattern: LOC |
Encounter.participant:location.contextControlCode | required | Fixed Value: OP |
Id | Grade | Path | Details | Requirements |
1198-15972 | error | Encounter.code.originalText.reference.value | This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1198-15972). : | |
1198-32177 | warning | Encounter.dischargeDispositionCode | This sdtc:dischargeDispositionCode **SHOULD** contain exactly [0..1] *code*, which **SHOULD** be selected from ValueSet 2.16.840.1.113883.3.88.12.80.33 NUBC UB-04 FL17-Patient Status (code system 2.16.840.1.113883.6.301.5) *DYNAMIC* or, if access to NUBC is unavailable, from CodeSystem 2.16.840.1.113883.12.112 HL7 Discharge Disposition (CONF:1198-32177). : | |
1198-32377 | warning | Encounter.dischargeDispositionCode | This sdtc:dischargeDispositionCode **SHOULD** contain exactly [0..1] *codeSystem*, which **SHOULD** be either CodeSystem: NUBC 2.16.840.1.113883.6.301.5 *OR* CodeSystem: HL7 Discharge Disposition 2.16.840.1.113883.12.112 (CONF:1198-32377). : | |
enc-er-1 | error | Encounter.entryRelationship | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 | |
enc-er-1 | error | Encounter.entryRelationship:indication | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 | |
enc-er-1 | error | Encounter.entryRelationship:diagnosis | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |