Clinical Document Architecture V2.1
2.1.0 - CI Build

Clinical Document Architecture V2.1, published by Health Level 7. This is not an authorized publication; it is the continuous build for version 2.1.0). This version is based on the current content of https://github.com/HL7/cda-core-2.0/ and changes regularly. See the Directory of published versions

StructureDefinition: CDAR2.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.

The official URL for this profile is:

http://hl7.org/fhir/cda/StructureDefinition/Encounter

Formal Views of Profile Content

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

This structure is derived from

Summary

Mandatory: 0 element (19 nested mandatory elements)
Fixed Value: 9 elements

This structure is derived from

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 1..1
... classCode 1..1codeBinding: v3 Code System ActClass (required)
Fixed Value: ENC
... moodCode 1..1code
... templateId 0..*II
... text 0..1ED
... statusCode 0..1CSBinding: v3 Code System ActStatus (required)
... effectiveTime 0..1IVL-TS
... priorityCode 0..1CEBinding: v3 Code System ActPriority (extensible)
... subject 0..1Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: v3 Code System TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationTargetDirect (required)
Fixed Value: SPC
.... specimenRole 1..1SpecimenRole
... performer 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationPhysicalPerformer (required)
Fixed Value: PRF
.... time 0..1IVL-TS
.... modeCode 0..1CEBinding: v3 Code System ParticipationMode (extensible)
.... assignedEntity 1..1AssignedEntity
... author 0..*Author
... informant 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Element
.... typeCode 1..1codeBinding: v3 Code System ParticipationType (required)
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... time 0..1IVL-TS
.... awarenessCode 0..1CEBinding: v3 Code System TargetAwareness (extensible)
.... participantRole 1..1ParticipantRole
... entryRelationship 0..*Element
.... typeCode 1..1code
.... inversionInd 0..1boolean
.... contextConductionInd 1..1boolean
.... sequenceNumber 0..1INT
.... negationInd 0..1boolean
.... seperatableInd 0..1BL
.... observation 0..1Observation
.... regionOfInterest 0..1RegionOfInterest
.... observationMedia 0..1ObservationMedia
.... substanceAdministration 0..1SubstanceAdministration
.... supply 0..1Supply
.... procedure 0..1Procedure
.... encounter 0..1Encounter
.... organizer 0..1Organizer
.... act 0..1Act
... reference 0..*Element
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetActRelationshipConditional (required)
Fixed Value: PRCN
.... criterion 1..1Criterion

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 1..1
... classCode 1..1codeBinding: v3 Code System ActClass (required)
Fixed Value: ENC
... moodCode 1..1code
... templateId 0..*II
... text 0..1ED
... statusCode 0..1CSBinding: v3 Code System ActStatus (required)
... effectiveTime 0..1IVL-TS
... priorityCode 0..1CEBinding: v3 Code System ActPriority (extensible)
... subject 0..1Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: v3 Code System TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationTargetDirect (required)
Fixed Value: SPC
.... specimenRole 1..1SpecimenRole
... performer 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationPhysicalPerformer (required)
Fixed Value: PRF
.... time 0..1IVL-TS
.... modeCode 0..1CEBinding: v3 Code System ParticipationMode (extensible)
.... assignedEntity 1..1AssignedEntity
... author 0..*Author
... informant 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Element
.... typeCode 1..1codeBinding: v3 Code System ParticipationType (required)
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... time 0..1IVL-TS
.... awarenessCode 0..1CEBinding: v3 Code System TargetAwareness (extensible)
.... participantRole 1..1ParticipantRole
... entryRelationship 0..*Element
.... typeCode 1..1code
.... inversionInd 0..1boolean
.... contextConductionInd 1..1boolean
.... sequenceNumber 0..1INT
.... negationInd 0..1boolean
.... seperatableInd 0..1BL
.... observation 0..1Observation
.... regionOfInterest 0..1RegionOfInterest
.... observationMedia 0..1ObservationMedia
.... substanceAdministration 0..1SubstanceAdministration
.... supply 0..1Supply
.... procedure 0..1Procedure
.... encounter 0..1Encounter
.... organizer 0..1Organizer
.... act 0..1Act
... reference 0..*Element
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetActRelationshipConditional (required)
Fixed Value: PRCN
.... criterion 1..1Criterion

doco Documentation for this format

This structure is derived from

Summary

Mandatory: 0 element (19 nested mandatory elements)
Fixed Value: 9 elements

Differential View

This structure is derived from

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 1..1
... classCode 1..1codeBinding: v3 Code System ActClass (required)
Fixed Value: ENC
... moodCode 1..1code
... templateId 0..*II
... text 0..1ED
... statusCode 0..1CSBinding: v3 Code System ActStatus (required)
... effectiveTime 0..1IVL-TS
... priorityCode 0..1CEBinding: v3 Code System ActPriority (extensible)
... subject 0..1Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: v3 Code System TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationTargetDirect (required)
Fixed Value: SPC
.... specimenRole 1..1SpecimenRole
... performer 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationPhysicalPerformer (required)
Fixed Value: PRF
.... time 0..1IVL-TS
.... modeCode 0..1CEBinding: v3 Code System ParticipationMode (extensible)
.... assignedEntity 1..1AssignedEntity
... author 0..*Author
... informant 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Element
.... typeCode 1..1codeBinding: v3 Code System ParticipationType (required)
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... time 0..1IVL-TS
.... awarenessCode 0..1CEBinding: v3 Code System TargetAwareness (extensible)
.... participantRole 1..1ParticipantRole
... entryRelationship 0..*Element
.... typeCode 1..1code
.... inversionInd 0..1boolean
.... contextConductionInd 1..1boolean
.... sequenceNumber 0..1INT
.... negationInd 0..1boolean
.... seperatableInd 0..1BL
.... observation 0..1Observation
.... regionOfInterest 0..1RegionOfInterest
.... observationMedia 0..1ObservationMedia
.... substanceAdministration 0..1SubstanceAdministration
.... supply 0..1Supply
.... procedure 0..1Procedure
.... encounter 0..1Encounter
.... organizer 0..1Organizer
.... act 0..1Act
... reference 0..*Element
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetActRelationshipConditional (required)
Fixed Value: PRCN
.... criterion 1..1Criterion

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 1..1
... classCode 1..1codeBinding: v3 Code System ActClass (required)
Fixed Value: ENC
... moodCode 1..1code
... templateId 0..*II
... text 0..1ED
... statusCode 0..1CSBinding: v3 Code System ActStatus (required)
... effectiveTime 0..1IVL-TS
... priorityCode 0..1CEBinding: v3 Code System ActPriority (extensible)
... subject 0..1Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: v3 Code System TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationTargetDirect (required)
Fixed Value: SPC
.... specimenRole 1..1SpecimenRole
... performer 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationPhysicalPerformer (required)
Fixed Value: PRF
.... time 0..1IVL-TS
.... modeCode 0..1CEBinding: v3 Code System ParticipationMode (extensible)
.... assignedEntity 1..1AssignedEntity
... author 0..*Author
... informant 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Element
.... typeCode 1..1codeBinding: v3 Code System ParticipationType (required)
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... time 0..1IVL-TS
.... awarenessCode 0..1CEBinding: v3 Code System TargetAwareness (extensible)
.... participantRole 1..1ParticipantRole
... entryRelationship 0..*Element
.... typeCode 1..1code
.... inversionInd 0..1boolean
.... contextConductionInd 1..1boolean
.... sequenceNumber 0..1INT
.... negationInd 0..1boolean
.... seperatableInd 0..1BL
.... observation 0..1Observation
.... regionOfInterest 0..1RegionOfInterest
.... observationMedia 0..1ObservationMedia
.... substanceAdministration 0..1SubstanceAdministration
.... supply 0..1Supply
.... procedure 0..1Procedure
.... encounter 0..1Encounter
.... organizer 0..1Organizer
.... act 0..1Act
... reference 0..*Element
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetActRelationshipConditional (required)
Fixed Value: PRCN
.... criterion 1..1Criterion

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

Terminology Bindings

PathConformanceValueSet / Code
Encounter.classCoderequiredFixed Value: ENC
Encounter.codeextensiblev3.ActEncounterCode
Encounter.statusCoderequiredv3.ActStatus
Encounter.priorityCodeextensiblev3.ActPriority
Encounter.subject.typeCoderequiredFixed Value: SBJ
Encounter.subject.contextControlCoderequiredFixed Value: OP
Encounter.subject.awarenessCodeextensiblev3.TargetAwareness
Encounter.specimen.typeCoderequiredFixed Value: SPC
Encounter.performer.typeCoderequiredFixed Value: PRF
Encounter.performer.modeCodeextensiblev3.ParticipationMode
Encounter.informant.typeCoderequiredFixed Value: INF
Encounter.informant.contextControlCoderequiredFixed Value: OP
Encounter.participant.typeCoderequiredv3.ParticipationType
Encounter.participant.contextControlCoderequiredFixed Value: OP
Encounter.participant.awarenessCodeextensiblev3.TargetAwareness
Encounter.precondition.typeCoderequiredFixed Value: PRCN

Constraints

Constraints

IdPathDetailsRequirements