Clinical Document Architecture
2.0.1-sd - release
Clinical Document Architecture
2.0.1-sd - release
Clinical Document Architecture, published by Health Level 7. This guide is not an authorized publication; it is the continuous build for version 2.0.1-sd built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-core-sd/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/cda/stds/core/StructureDefinition/Encounter | Version: 2.0.1-sd | |||
| Active as of 2024-12-18 | Computable Name: Encounter | |||
A derivative of the RIM PatientEncounter class, used to represent related encounters, such as follow-up visits or referenced past encounters.
NOTE: The EncompassingEncounter class in the CDA Header (see Header Relationships (§ 4.2.3 )) represents the setting of the clinical encounter during which the documented act occurred. The Encounter class in the CDA Body is used to represent other related encounters.
Usage:
Description of Template, Differentials, Snapshots and how the different presentations work.
This structure is derived from InfrastructureRoot
| Path | Conformance | ValueSet / Code | URI |
| Encounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClassfrom this IG | |
| Encounter.moodCode | required | XDocumentEncounterMoodhttp://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0 | |
| Encounter.code | example | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
| Encounter.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
| Encounter.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Encounter |
1..1 | InfrastructureRoot | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | |
  @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
 realmCode |
0..* | CS | ||
 typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
 @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
 @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
1..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC | |
| @moodCode |
1..1 | cs | Binding: XDocumentEncounterMood (2.0.0) (required) | |
| id |
0..* | II | ||
| code |
0..1 | CD | Binding: ActEncounterCode (example) | |
| text |
0..1 | ED | ||
| statusCode |
0..1 | CS | Binding: ActStatus (required) | |
| effectiveTime |
0..1 | IVL_TS | ||
| sdtcDischargeDispositionCode |
0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: dischargeDispositionCode (urn:hl7-org:sdtc) | |
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| subject |
0..1 | Subject | ||
| specimen |
0..* | Specimen | ||
| performer |
0..* | Performer2 | ||
| author |
0..* | Author | ||
| informant |
0..* | Informant | ||
| participant |
0..* | Participant2 | ||
| entryRelationship |
0..* | EntryRelationship | ||
| reference |
0..* | Reference | ||
| precondition |
0..* | Precondition | ||
| sdtcPrecondition2 |
0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
| sdtcInFulfillmentOf1 |
0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Encounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavorfrom this IG | |
| Encounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavorfrom this IG | |
| Encounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClassfrom this IG | |
| Encounter.moodCode | required | XDocumentEncounterMoodhttp://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0 | |
| Encounter.code | example | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
| Encounter.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
| Encounter.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority |
| Id | Grade | Path(s) | Details | Requirements |
| II-1 | error | Encounter.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter |
1..1 | InfrastructureRoot | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
1..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC | |
| @moodCode |
1..1 | cs | Binding: XDocumentEncounterMood (2.0.0) (required) | |
| id |
0..* | II | ||
| code |
0..1 | CD | Binding: ActEncounterCode (example) | |
| text |
0..1 | ED | ||
| statusCode |
0..1 | CS | Binding: ActStatus (required) | |
| effectiveTime |
0..1 | IVL_TS | ||
| sdtcDischargeDispositionCode |
0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: dischargeDispositionCode (urn:hl7-org:sdtc) | |
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| subject |
0..1 | Subject | ||
| specimen |
0..* | Specimen | ||
| performer |
0..* | Performer2 | ||
| author |
0..* | Author | ||
| informant |
0..* | Informant | ||
| participant |
0..* | Participant2 | ||
| entryRelationship |
0..* | EntryRelationship | ||
| reference |
0..* | Reference | ||
| precondition |
0..* | Precondition | ||
| sdtcPrecondition2 |
0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
| sdtcInFulfillmentOf1 |
0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Encounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavorfrom this IG | |
| Encounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavorfrom this IG | |
| Encounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClassfrom this IG | |
| Encounter.moodCode | required | XDocumentEncounterMoodhttp://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0 | |
| Encounter.code | example | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
| Encounter.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
| Encounter.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority |
| Id | Grade | Path(s) | Details | Requirements |
| II-1 | error | Encounter.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() |
This structure is derived from InfrastructureRoot
Differential View
This structure is derived from InfrastructureRoot
| Path | Conformance | ValueSet / Code | URI |
| Encounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClassfrom this IG | |
| Encounter.moodCode | required | XDocumentEncounterMoodhttp://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0 | |
| Encounter.code | example | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
| Encounter.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
| Encounter.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter |
1..1 | InfrastructureRoot | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
1..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC | |
| @moodCode |
1..1 | cs | Binding: XDocumentEncounterMood (2.0.0) (required) | |
| id |
0..* | II | ||
| code |
0..1 | CD | Binding: ActEncounterCode (example) | |
| text |
0..1 | ED | ||
| statusCode |
0..1 | CS | Binding: ActStatus (required) | |
| effectiveTime |
0..1 | IVL_TS | ||
| sdtcDischargeDispositionCode |
0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: dischargeDispositionCode (urn:hl7-org:sdtc) | |
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| subject |
0..1 | Subject | ||
| specimen |
0..* | Specimen | ||
| performer |
0..* | Performer2 | ||
| author |
0..* | Author | ||
| informant |
0..* | Informant | ||
| participant |
0..* | Participant2 | ||
| entryRelationship |
0..* | EntryRelationship | ||
| reference |
0..* | Reference | ||
| precondition |
0..* | Precondition | ||
| sdtcPrecondition2 |
0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
| sdtcInFulfillmentOf1 |
0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Encounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavorfrom this IG | |
| Encounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavorfrom this IG | |
| Encounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClassfrom this IG | |
| Encounter.moodCode | required | XDocumentEncounterMoodhttp://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0 | |
| Encounter.code | example | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
| Encounter.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
| Encounter.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority |
| Id | Grade | Path(s) | Details | Requirements |
| II-1 | error | Encounter.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter |
1..1 | InfrastructureRoot | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @classCode |
1..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC | |
| @moodCode |
1..1 | cs | Binding: XDocumentEncounterMood (2.0.0) (required) | |
| id |
0..* | II | ||
| code |
0..1 | CD | Binding: ActEncounterCode (example) | |
| text |
0..1 | ED | ||
| statusCode |
0..1 | CS | Binding: ActStatus (required) | |
| effectiveTime |
0..1 | IVL_TS | ||
| sdtcDischargeDispositionCode |
0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: dischargeDispositionCode (urn:hl7-org:sdtc) | |
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| subject |
0..1 | Subject | ||
| specimen |
0..* | Specimen | ||
| performer |
0..* | Performer2 | ||
| author |
0..* | Author | ||
| informant |
0..* | Informant | ||
| participant |
0..* | Participant2 | ||
| entryRelationship |
0..* | EntryRelationship | ||
| reference |
0..* | Reference | ||
| precondition |
0..* | Precondition | ||
| sdtcPrecondition2 |
0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
| sdtcInFulfillmentOf1 |
0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Encounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavorfrom this IG | |
| Encounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavorfrom this IG | |
| Encounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClassfrom this IG | |
| Encounter.moodCode | required | XDocumentEncounterMoodhttp://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0 | |
| Encounter.code | example | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
| Encounter.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
| Encounter.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority |
| Id | Grade | Path(s) | Details | Requirements |
| II-1 | error | Encounter.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() |
This structure is derived from InfrastructureRoot
IG © 2019+ Health Level 7. Package hl7.cda.uv.core#2.0.1-sd based on FHIR 5.0.0. Generated 2024-12-18
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