Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter

Left:US Core Encounter Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter)
Right:US Core Encounter Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter)

Messages

ErrorStructureDefinition.versionValues for version differ: '4.0.0' vs '7.0.0'
InformationStructureDefinition.dateValues for date differ: '2019-05-21' vs '2023-10-17'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - US Realm Steering Committee' vs 'HL7 International / Cross-Group Projects'
InformationStructureDefinition.definitionValues for definition differ: 'This is basic constraint on Encounter for use in US Core resources.' vs 'An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.'
WarningEncounter.metaElements differ in definition for mustSupport: 'false' vs 'true'
InformationEncounter.reasonReferenceElement maximum cardinalities differ: '1' vs '2147483647'
InformationEncounter.hospitalization.dischargeDispositionExample/preferred bindings differ at Encounter.hospitalization.dischargeDisposition using binding from USCoreEncounterProfile

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Encounter
      .copyrightUsed by permission of HL7 International, all rights reserved Creative Commons License
        .date2019-05-212023-10-17
        • Values Differ
        .descriptionThe Encounter referenced in the US Core profiles.The US Core Encounter Profile inherits from the FHIR [Encounter](https://hl7.org/fhir/R4/encounter.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Encounter resource to record, search, and fetch basic encounter information for an individual patient. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.
        • Values Differ
        .experimentalfalse
          .fhirVersion4.0.1
            .jurisdiction
              ..jurisdiction[0]urn:iso:std:iso:3166#US
                .kindresource
                  .nameUSCoreEncounterProfile
                    .publisherHL7 International - US Realm Steering CommitteeHL7 International / Cross-Group Projects
                    • Values Differ
                    .purpose
                      .statusactive
                        .titleUS Core Encounter Profile
                          .typeEncounter
                            .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter
                              .version4.0.07.0.0
                              • Values Differ

                              Structure

                              NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                              .. Encounter 0..*EncounterAn interaction during which services are provided to the patient
                              0..*EncounterAn interaction during which services are provided to the patient
                                ... id Σ0..1stringLogical id of this artifactΣ0..1idLogical id of this artifact
                                  ... meta Σ0..1MetaMetadata about the resourceSΣ0..1MetaMetadata about the resource
                                  • Elements differ in definition for mustSupport: 'false' vs 'true'
                                  .... id 0..1stringUnique id for inter-element referencing
                                  • Added this element
                                  .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                  Slice: Unordered, Open by value:url
                                  • Added this element
                                  .... versionId Σ0..1idVersion specific identifier
                                  • Added this element
                                  .... lastUpdated SΣ0..1instantWhen the resource last changed
                                  • Added this element
                                  .... source Σ0..1uriIdentifies where the resource comes from
                                  • Added this element
                                  .... profile Σ0..*canonical(StructureDefinition)Profiles this resource claims to conform to
                                  • Added this element
                                  .... security Σ0..*CodingSecurity Labels applied to this resource
                                  Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


                                  • Added this element
                                  .... tag Σ0..*CodingTags applied to this resource
                                  Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


                                  • Added this element
                                  ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                                    ... language 0..1codeLanguage of the resource content
                                    Binding: ?? (preferred): A human language.

                                    Additional BindingsPurpose
                                    ??Max Binding
                                    0..1codeLanguage of the resource content
                                    Binding: ?? (preferred): A human language.

                                    Additional BindingsPurpose
                                    ??Max Binding
                                      ... text 0..1NarrativeText summary of the resource, for human interpretation0..1NarrativeText summary of the resource, for human interpretation
                                        ... contained 0..*ResourceContained, inline Resources
                                        0..*ResourceContained, inline Resources
                                          ... extension 0..*ExtensionAdditional content defined by implementations
                                          0..*ExtensionAdditional content defined by implementations
                                            ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                            ?!0..*ExtensionExtensions that cannot be ignored
                                              ... identifier SΣ0..*IdentifierIdentifier(s) by which this encounter is known
                                              SΣ0..*IdentifierIdentifier(s) by which this encounter is known
                                                .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                  .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                  Slice: Unordered, Open by value:url
                                                  0..*ExtensionAdditional content defined by implementations
                                                  Slice: Unordered, Open by value:url
                                                    .... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
                                                    Binding: ?? (required): Identifies the purpose for this identifier, if known .

                                                    ?!Σ0..1codeusual | official | temp | secondary | old (If known)
                                                    Binding: ?? (required): Identifies the purpose for this identifier, if known .

                                                      .... type Σ0..1CodeableConceptDescription of identifier
                                                      Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                      Σ0..1CodeableConceptDescription of identifier
                                                      Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                        .... system SΣ1..1uriThe namespace for the identifier value
                                                        Example General: http://www.acme.com/identifiers/patient
                                                        SΣ1..1uriThe namespace for the identifier value
                                                        Example General: http://www.acme.com/identifiers/patient
                                                          .... value SΣ1..1stringThe value that is unique
                                                          Example General: 123456
                                                          SΣ1..1stringThe value that is unique
                                                          Example General: 123456
                                                            .... period Σ0..1PeriodTime period when id is/was valid for useΣ0..1PeriodTime period when id is/was valid for use
                                                              .... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)Σ0..1Reference(Organization)Organization that issued id (may be just text)
                                                                ... status ?!SΣ1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
                                                                Binding: ?? (required): Current state of the encounter.

                                                                ?!SΣ1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
                                                                Binding: ?? (required): Current state of the encounter.

                                                                  ... statusHistory 0..*BackboneElementList of past encounter statuses
                                                                  0..*BackboneElementList of past encounter statuses
                                                                    .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                      .... extension 0..*ExtensionAdditional content defined by implementations
                                                                      0..*ExtensionAdditional content defined by implementations
                                                                        .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                        ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                          .... status 1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
                                                                          Binding: ?? (required): Current state of the encounter.

                                                                          1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
                                                                          Binding: ?? (required): Current state of the encounter.

                                                                            .... period 1..1PeriodThe time that the episode was in the specified status1..1PeriodThe time that the episode was in the specified status
                                                                              ... class SΣ1..1CodingClassification of patient encounter
                                                                              Binding: ?? (extensible): Classification of the encounter.

                                                                              SΣ1..1CodingClassification of patient encounter
                                                                              Binding: ?? (extensible): Classification of the encounter.

                                                                                ... classHistory 0..*BackboneElementList of past encounter classes
                                                                                0..*BackboneElementList of past encounter classes
                                                                                  .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                    .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                    0..*ExtensionAdditional content defined by implementations
                                                                                      .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                      ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                        .... class 1..1Codinginpatient | outpatient | ambulatory | emergency +
                                                                                        Binding: ?? (extensible): Classification of the encounter.

                                                                                        1..1Codinginpatient | outpatient | ambulatory | emergency +
                                                                                        Binding: ?? (extensible): Classification of the encounter.

                                                                                          .... period 1..1PeriodThe time that the episode was in the specified class1..1PeriodThe time that the episode was in the specified class
                                                                                            ... type SΣ1..*CodeableConceptSpecific type of encounter
                                                                                            Binding: ?? (extensible): Valueset to describe the Encounter Type


                                                                                            SΣ1..*CodeableConceptSpecific type of encounter
                                                                                            Binding: ?? (extensible): Valueset to describe the Encounter Type


                                                                                              ... serviceType Σ0..1CodeableConceptSpecific type of service
                                                                                              Binding: ?? (example): Broad categorization of the service that is to be provided.

                                                                                              Σ0..1CodeableConceptSpecific type of service
                                                                                              Binding: ?? (example): Broad categorization of the service that is to be provided.

                                                                                                ... priority 0..1CodeableConceptIndicates the urgency of the encounter
                                                                                                Binding: ?? (example): Indicates the urgency of the encounter.

                                                                                                0..1CodeableConceptIndicates the urgency of the encounter
                                                                                                Binding: ?? (example): Indicates the urgency of the encounter.

                                                                                                  ... subject SΣ1..1Reference(US Core Patient Profile)The patient or group present at the encounterSΣ1..1Reference(US Core Patient Profile S | Group)The patient or group present at the encounter
                                                                                                    ... episodeOfCare Σ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
                                                                                                    Σ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
                                                                                                      ... basedOn 0..*Reference(ServiceRequest)The ServiceRequest that initiated this encounter
                                                                                                      0..*Reference(ServiceRequest)The ServiceRequest that initiated this encounter
                                                                                                        ... participant SΣ0..*BackboneElementList of participants involved in the encounter
                                                                                                        SΣ0..*BackboneElementList of participants involved in the encounter
                                                                                                          .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                            .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                            0..*ExtensionAdditional content defined by implementations
                                                                                                              .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                              ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                .... type SΣ0..*CodeableConceptRole of participant in encounter
                                                                                                                Binding: ?? (extensible): Role of participant in encounter.


                                                                                                                SΣ0..*CodeableConceptRole of participant in encounter
                                                                                                                Binding: ?? (extensible): Role of participant in encounter.


                                                                                                                  .... period S0..1PeriodPeriod of time during the encounter that the participant participatedS0..1PeriodPeriod of time during the encounter that the participant participated
                                                                                                                    .... individual SΣ0..1Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | RelatedPerson)Persons involved in the encounter other than the patientSΣ0..1Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | US Core RelatedPerson Profile)Persons involved in the encounter other than the patient
                                                                                                                      ... appointment Σ0..*Reference(Appointment)The appointment that scheduled this encounter
                                                                                                                      Σ0..*Reference(Appointment)The appointment that scheduled this encounter
                                                                                                                        ... period S0..1PeriodThe start and end time of the encounterS0..1PeriodThe start and end time of the encounter
                                                                                                                          ... length 0..1DurationQuantity of time the encounter lasted (less time absent)0..1DurationQuantity of time the encounter lasted (less time absent)
                                                                                                                            ... reasonCode SΣ0..*CodeableConceptCoded reason the encounter takes place
                                                                                                                            Binding: ?? (preferred): Reason why the encounter takes place.


                                                                                                                            SΣ0..*CodeableConceptCoded reason the encounter takes place
                                                                                                                            Binding: ?? (preferred): Reason why the encounter takes place.


                                                                                                                              ... reasonReference SΣ0..1Reference(US Core Condition Profile S | US Core Procedure Profile | Observation | ImmunizationRecommendation)Reason the encounter takes place (reference)
                                                                                                                              SΣ0..*Reference(US Core Condition Problems and Health Concerns Profile S | US Core Condition Encounter Diagnosis Profile S | US Core Procedure Profile | Observation | ImmunizationRecommendation)Reason the encounter takes place (reference)
                                                                                                                              • Element maximum cardinalities differ: '1' vs '2147483647'
                                                                                                                              ... diagnosis Σ0..*BackboneElementThe list of diagnosis relevant to this encounter
                                                                                                                              Σ0..*BackboneElementThe list of diagnosis relevant to this encounter
                                                                                                                                .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                  .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                                                                    .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                    ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                      .... condition Σ1..1Reference(Condition | Procedure)The diagnosis or procedure relevant to the encounterΣ1..1Reference(Condition | Procedure)The diagnosis or procedure relevant to the encounter
                                                                                                                                        .... use 0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
                                                                                                                                        Binding: ?? (preferred): The type of diagnosis this condition represents.

                                                                                                                                        0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
                                                                                                                                        Binding: ?? (preferred): The type of diagnosis this condition represents.

                                                                                                                                          .... rank 0..1positiveIntRanking of the diagnosis (for each role type)0..1positiveIntRanking of the diagnosis (for each role type)
                                                                                                                                            ... account 0..*Reference(Account)The set of accounts that may be used for billing for this Encounter
                                                                                                                                            0..*Reference(Account)The set of accounts that may be used for billing for this Encounter
                                                                                                                                              ... hospitalization S0..1BackboneElementDetails about the admission to a healthcare serviceS0..1BackboneElementDetails about the admission to a healthcare service
                                                                                                                                                .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                  .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                                                                                    .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                    ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                      .... preAdmissionIdentifier 0..1IdentifierPre-admission identifier0..1IdentifierPre-admission identifier
                                                                                                                                                        .... origin 0..1Reference(Location | Organization)The location/organization from which the patient came before admission0..1Reference(Location | Organization)The location/organization from which the patient came before admission
                                                                                                                                                          .... admitSource 0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
                                                                                                                                                          Binding: ?? (preferred): From where the patient was admitted.

                                                                                                                                                          0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
                                                                                                                                                          Binding: ?? (preferred): From where the patient was admitted.

                                                                                                                                                            .... reAdmission 0..1CodeableConceptThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
                                                                                                                                                            Binding: ?? (example): The reason for re-admission of this hospitalization encounter.

                                                                                                                                                            0..1CodeableConceptThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
                                                                                                                                                            Binding: ?? (example): The reason for re-admission of this hospitalization encounter.

                                                                                                                                                              .... dietPreference 0..*CodeableConceptDiet preferences reported by the patient
                                                                                                                                                              Binding: ?? (example): Medical, cultural or ethical food preferences to help with catering requirements.


                                                                                                                                                              0..*CodeableConceptDiet preferences reported by the patient
                                                                                                                                                              Binding: ?? (example): Medical, cultural or ethical food preferences to help with catering requirements.


                                                                                                                                                                .... specialCourtesy 0..*CodeableConceptSpecial courtesies (VIP, board member)
                                                                                                                                                                Binding: ?? (preferred): Special courtesies.


                                                                                                                                                                0..*CodeableConceptSpecial courtesies (VIP, board member)
                                                                                                                                                                Binding: ?? (preferred): Special courtesies.


                                                                                                                                                                  .... specialArrangement 0..*CodeableConceptWheelchair, translator, stretcher, etc.
                                                                                                                                                                  Binding: ?? (preferred): Special arrangements.


                                                                                                                                                                  0..*CodeableConceptWheelchair, translator, stretcher, etc.
                                                                                                                                                                  Binding: ?? (preferred): Special arrangements.


                                                                                                                                                                    .... destination 0..1Reference(Location | Organization)Location/organization to which the patient is discharged0..1Reference(Location | Organization)Location/organization to which the patient is discharged
                                                                                                                                                                      .... dischargeDisposition S0..1CodeableConceptCategory or kind of location after discharge
                                                                                                                                                                      Binding: ?? (example): Discharge Disposition.

                                                                                                                                                                      S0..1CodeableConceptCategory or kind of location after discharge
                                                                                                                                                                      Binding: ?? (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17

                                                                                                                                                                      • Example/preferred bindings differ at Encounter.hospitalization.dischargeDisposition using binding from USCoreEncounterProfile
                                                                                                                                                                      ... location S0..*BackboneElementList of locations where the patient has been
                                                                                                                                                                      S0..*BackboneElementList of locations where the patient has been
                                                                                                                                                                        .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                          .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                          0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                            .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                            ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                              .... location S1..1Reference(Location)Location the encounter takes placeS1..1Reference(US Core Location Profile)Location the encounter takes place
                                                                                                                                                                                .... status 0..1codeplanned | active | reserved | completed
                                                                                                                                                                                Binding: ?? (required): The status of the location.

                                                                                                                                                                                0..1codeplanned | active | reserved | completed
                                                                                                                                                                                Binding: ?? (required): The status of the location.

                                                                                                                                                                                  .... physicalType 0..1CodeableConceptThe physical type of the location (usually the level in the location hierachy - bed room ward etc.)
                                                                                                                                                                                  Binding: ?? (example): Physical form of the location.

                                                                                                                                                                                  0..1CodeableConceptThe physical type of the location (usually the level in the location hierachy - bed room ward etc.)
                                                                                                                                                                                  Binding: ?? (example): Physical form of the location.

                                                                                                                                                                                    .... period 0..1PeriodTime period during which the patient was present at the location0..1PeriodTime period during which the patient was present at the location
                                                                                                                                                                                      ... serviceProvider S0..1Reference(US Core Organization Profile)The organization (facility) responsible for this encounterS0..1Reference(US Core Organization Profile)The organization (facility) responsible for this encounter
                                                                                                                                                                                        ... partOf 0..1Reference(Encounter)Another Encounter this encounter is part of0..1Reference(Encounter)Another Encounter this encounter is part of

                                                                                                                                                                                          doco Documentation for this format