HL7.FHIR.US.CDMH\CdmhEncounter

Common Data Models Harmonization, published by HL7 International - Biomedical Research and Regulation Work Group. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/HL7/cdmh/ and changes regularly. See the Directory of published versions

Resource Profile: CdmhEncounter

Defining URL:

http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-encounter

Version:

1.0.0

Name:

CdmhEncounter

Title:

CDMH Encounter

Status:

Draft as of 9/1/19

Definition:

This is the Encounter Resource profile for the IG.

Publisher:

HL7 International - Biomedical Research and Regulation Work Group

Source Resource:

XML / JSON / Turtle

The official URL for this profile is:

http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-encounter

Formal Views of Profile Content

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

This structure is derived from USCoreEncounterProfile

Summary

Mandatory: 2 elements (2 nested mandatory elements)
Must-Support: 18 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

This structure is derived from USCoreEncounterProfile

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	USCoreEncounterProfile	CDMH Encounter
cdmh-pcornet-drg-group	S	0..1	code	DRG Group URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-drg-group
cdmh-pcornet-drg-group-version	S	0..1	code	PCORNet DRG Group Version URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-drg-group-version Binding: PCORNet DRG Group Version (extensible): Diagnosis Related Group Version codes for PCORNet data marts
class	S	1..1	Coding	Classification of patient encounter Binding: PCORNet Encounter Type (extensible): Encounter type
subject	S	1..1	Reference(CDMH Patient)	The patient or group present at the encounter
period
start	S	0..1	dateTime	Starting time with inclusive boundary
end	S	0..1	dateTime	End time with inclusive boundary, if not ongoing
diagnosis	S	0..*	BackboneElement	The list of diagnosis relevant to this encounter
cdmh-pcornet-diagnosis-origin	S	0..1	code	PCORNet Diagnosis Classification URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-diagnosis-origin Binding: PCORNet Information Source HC Subtype (extensible): From where did the diagnosis information come from within the healthcare organization
condition	S	1..1	Reference(CDMH Condition)	The diagnosis or procedure relevant to the encounter
use	S	0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: PCORNet Diagnosis Classification (extensible): Diagnosis Classification codes for PCORNet Data Marts.
rank	S	0..1	positiveInt	Ranking of the diagnosis (for each role type)
hospitalization	S	0..1	BackboneElement	Details about the admission to a healthcare service
cdmh-pcornet-admitting-source-facility-type	S	0..1	code	PCORNet Admitting Source Facility Type URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-admitting-source-facility-type Binding: PCORNet Admitting Source Facility Type (extensible): Admitting Source Facility Type for Inpatient Stays
cdmh-pcornet-discharge-status	S	0..1	code	PCORNet Discharge Status URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-discharge-status Binding: PCORNet Discharge Status (extensible): Discharge Status of the Patient for Inpatient stays
origin	S	0..1	Reference(CDMH Location)	The location/organization from which the patient came before admission
dischargeDisposition	S	0..1	CodeableConcept	Category or kind of location after discharge Binding: PCORNet Discharge Disposition (extensible): where the patient left the hospital
location	S	0..*	BackboneElement	List of locations where the patient has been
location	S	1..1	Reference(CDMH Location)	Location the encounter takes place
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	USCoreEncounterProfile	CDMH Encounter
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
cdmh-pcornet-drg-group	S	0..1	code	DRG Group URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-drg-group
cdmh-pcornet-drg-group-version	S	0..1	code	PCORNet DRG Group Version URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-drg-group-version Binding: PCORNet DRG Group Version (extensible): Diagnosis Related Group Version codes for PCORNet data marts
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifier(s) by which this encounter is known
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory		0..*	BackboneElement	List of past encounter statuses
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period		1..1	Period	The time that the episode was in the specified status
class	SΣ	1..1	Coding	Classification of patient encounter Binding: PCORNet Encounter Type (extensible): Encounter type
classHistory		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient \| outpatient \| ambulatory \| emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class
type	SΣ	1..*	CodeableConcept	Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type
serviceType	Σ	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject	SΣ	1..1	Reference(CDMH Patient)	The patient or group present at the encounter
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
participant	SΣ	0..*	BackboneElement	List of participants involved in the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period	S	0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(US Core Practitioner Profile S \| US Core PractitionerRole Profile \| RelatedPerson)	Persons involved in the encounter other than the patient
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period	S	0..1	Period	The start and end time of the encounter
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣI	0..1	dateTime	Starting time with inclusive boundary
end	SΣI	0..1	dateTime	End time with inclusive boundary, if not ongoing
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	SΣ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	SΣ	0..1	Reference(US Core Condition Profile S \| US Core Procedure Profile \| Observation \| ImmunizationRecommendation)	Reason the encounter takes place (reference)
diagnosis	SΣ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
cdmh-pcornet-diagnosis-origin	S	0..1	code	PCORNet Diagnosis Classification URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-diagnosis-origin Binding: PCORNet Information Source HC Subtype (extensible): From where did the diagnosis information come from within the healthcare organization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	SΣ	1..1	Reference(CDMH Condition)	The diagnosis or procedure relevant to the encounter
use	S	0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: PCORNet Diagnosis Classification (extensible): Diagnosis Classification codes for PCORNet Data Marts.
rank	S	0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization	S	0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
cdmh-pcornet-admitting-source-facility-type	S	0..1	code	PCORNet Admitting Source Facility Type URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-admitting-source-facility-type Binding: PCORNet Admitting Source Facility Type (extensible): Admitting Source Facility Type for Inpatient Stays
cdmh-pcornet-discharge-status	S	0..1	code	PCORNet Discharge Status URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-discharge-status Binding: PCORNet Discharge Status (extensible): Discharge Status of the Patient for Inpatient stays
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin	S	0..1	Reference(CDMH Location)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission		0..1	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination		0..1	Reference(Location \| Organization)	Location/organization to which the patient is discharged
dischargeDisposition	S	0..1	CodeableConcept	Category or kind of location after discharge Binding: PCORNet Discharge Disposition (extensible): where the patient left the hospital
location	S	0..*	BackboneElement	List of locations where the patient has been
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(CDMH Location)	Location the encounter takes place
status		0..1	code	planned \| active \| reserved \| completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider	S	0..1	Reference(US Core Organization Profile)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	USCoreEncounterProfile	CDMH Encounter
cdmh-pcornet-drg-group		0..1	code	DRG Group URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-drg-group
cdmh-pcornet-drg-group-version		0..1	code	PCORNet DRG Group Version URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-drg-group-version Binding: PCORNet DRG Group Version (extensible): Diagnosis Related Group Version codes for PCORNet data marts
identifier	Σ	0..*	Identifier	Identifier(s) by which this encounter is known
system	Σ	1..1	uri	The namespace for the identifier value
value	Σ	1..1	string	The value that is unique
status	?!Σ	1..1	code	planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class	Σ	1..1	Coding	Classification of patient encounter Binding: PCORNet Encounter Type (extensible): Encounter type
type	Σ	1..*	CodeableConcept	Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type
subject	Σ	1..1	Reference(CDMH Patient)	The patient or group present at the encounter
participant	Σ	0..*	BackboneElement	List of participants involved in the encounter
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(US Core Practitioner Profile)	Persons involved in the encounter other than the patient
period		0..1	Period	The start and end time of the encounter
start	ΣI	0..1	dateTime	Starting time with inclusive boundary
end	ΣI	0..1	dateTime	End time with inclusive boundary, if not ongoing
reasonCode	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	Σ	0..1	Reference(US Core Condition Profile)	Reason the encounter takes place (reference)
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
cdmh-pcornet-diagnosis-origin		0..1	code	PCORNet Diagnosis Classification URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-diagnosis-origin Binding: PCORNet Information Source HC Subtype (extensible): From where did the diagnosis information come from within the healthcare organization
condition	Σ	1..1	Reference(CDMH Condition)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: PCORNet Diagnosis Classification (extensible): Diagnosis Classification codes for PCORNet Data Marts.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
cdmh-pcornet-admitting-source-facility-type		0..1	code	PCORNet Admitting Source Facility Type URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-admitting-source-facility-type Binding: PCORNet Admitting Source Facility Type (extensible): Admitting Source Facility Type for Inpatient Stays
cdmh-pcornet-discharge-status		0..1	code	PCORNet Discharge Status URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-discharge-status Binding: PCORNet Discharge Status (extensible): Discharge Status of the Patient for Inpatient stays
origin		0..1	Reference(CDMH Location)	The location/organization from which the patient came before admission
dischargeDisposition		0..1	CodeableConcept	Category or kind of location after discharge Binding: PCORNet Discharge Disposition (extensible): where the patient left the hospital
location		0..*	BackboneElement	List of locations where the patient has been
location		1..1	Reference(CDMH Location)	Location the encounter takes place
serviceProvider		0..1	Reference(US Core Organization Profile)	The organization (facility) responsible for this encounter
Documentation for this format

This structure is derived from USCoreEncounterProfile

Summary

Mandatory: 2 elements (2 nested mandatory elements)
Must-Support: 18 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Differential View

This structure is derived from USCoreEncounterProfile

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	USCoreEncounterProfile	CDMH Encounter
cdmh-pcornet-drg-group	S	0..1	code	DRG Group URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-drg-group
cdmh-pcornet-drg-group-version	S	0..1	code	PCORNet DRG Group Version URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-drg-group-version Binding: PCORNet DRG Group Version (extensible): Diagnosis Related Group Version codes for PCORNet data marts
class	S	1..1	Coding	Classification of patient encounter Binding: PCORNet Encounter Type (extensible): Encounter type
subject	S	1..1	Reference(CDMH Patient)	The patient or group present at the encounter
period
start	S	0..1	dateTime	Starting time with inclusive boundary
end	S	0..1	dateTime	End time with inclusive boundary, if not ongoing
diagnosis	S	0..*	BackboneElement	The list of diagnosis relevant to this encounter
cdmh-pcornet-diagnosis-origin	S	0..1	code	PCORNet Diagnosis Classification URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-diagnosis-origin Binding: PCORNet Information Source HC Subtype (extensible): From where did the diagnosis information come from within the healthcare organization
condition	S	1..1	Reference(CDMH Condition)	The diagnosis or procedure relevant to the encounter
use	S	0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: PCORNet Diagnosis Classification (extensible): Diagnosis Classification codes for PCORNet Data Marts.
rank	S	0..1	positiveInt	Ranking of the diagnosis (for each role type)
hospitalization	S	0..1	BackboneElement	Details about the admission to a healthcare service
cdmh-pcornet-admitting-source-facility-type	S	0..1	code	PCORNet Admitting Source Facility Type URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-admitting-source-facility-type Binding: PCORNet Admitting Source Facility Type (extensible): Admitting Source Facility Type for Inpatient Stays
cdmh-pcornet-discharge-status	S	0..1	code	PCORNet Discharge Status URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-discharge-status Binding: PCORNet Discharge Status (extensible): Discharge Status of the Patient for Inpatient stays
origin	S	0..1	Reference(CDMH Location)	The location/organization from which the patient came before admission
dischargeDisposition	S	0..1	CodeableConcept	Category or kind of location after discharge Binding: PCORNet Discharge Disposition (extensible): where the patient left the hospital
location	S	0..*	BackboneElement	List of locations where the patient has been
location	S	1..1	Reference(CDMH Location)	Location the encounter takes place
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	USCoreEncounterProfile	CDMH Encounter
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
cdmh-pcornet-drg-group	S	0..1	code	DRG Group URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-drg-group
cdmh-pcornet-drg-group-version	S	0..1	code	PCORNet DRG Group Version URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-drg-group-version Binding: PCORNet DRG Group Version (extensible): Diagnosis Related Group Version codes for PCORNet data marts
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifier(s) by which this encounter is known
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory		0..*	BackboneElement	List of past encounter statuses
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period		1..1	Period	The time that the episode was in the specified status
class	SΣ	1..1	Coding	Classification of patient encounter Binding: PCORNet Encounter Type (extensible): Encounter type
classHistory		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient \| outpatient \| ambulatory \| emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class
type	SΣ	1..*	CodeableConcept	Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type
serviceType	Σ	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject	SΣ	1..1	Reference(CDMH Patient)	The patient or group present at the encounter
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
participant	SΣ	0..*	BackboneElement	List of participants involved in the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period	S	0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(US Core Practitioner Profile S \| US Core PractitionerRole Profile \| RelatedPerson)	Persons involved in the encounter other than the patient
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period	S	0..1	Period	The start and end time of the encounter
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣI	0..1	dateTime	Starting time with inclusive boundary
end	SΣI	0..1	dateTime	End time with inclusive boundary, if not ongoing
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	SΣ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	SΣ	0..1	Reference(US Core Condition Profile S \| US Core Procedure Profile \| Observation \| ImmunizationRecommendation)	Reason the encounter takes place (reference)
diagnosis	SΣ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
cdmh-pcornet-diagnosis-origin	S	0..1	code	PCORNet Diagnosis Classification URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-diagnosis-origin Binding: PCORNet Information Source HC Subtype (extensible): From where did the diagnosis information come from within the healthcare organization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	SΣ	1..1	Reference(CDMH Condition)	The diagnosis or procedure relevant to the encounter
use	S	0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: PCORNet Diagnosis Classification (extensible): Diagnosis Classification codes for PCORNet Data Marts.
rank	S	0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization	S	0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
cdmh-pcornet-admitting-source-facility-type	S	0..1	code	PCORNet Admitting Source Facility Type URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-admitting-source-facility-type Binding: PCORNet Admitting Source Facility Type (extensible): Admitting Source Facility Type for Inpatient Stays
cdmh-pcornet-discharge-status	S	0..1	code	PCORNet Discharge Status URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-discharge-status Binding: PCORNet Discharge Status (extensible): Discharge Status of the Patient for Inpatient stays
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin	S	0..1	Reference(CDMH Location)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission		0..1	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination		0..1	Reference(Location \| Organization)	Location/organization to which the patient is discharged
dischargeDisposition	S	0..1	CodeableConcept	Category or kind of location after discharge Binding: PCORNet Discharge Disposition (extensible): where the patient left the hospital
location	S	0..*	BackboneElement	List of locations where the patient has been
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(CDMH Location)	Location the encounter takes place
status		0..1	code	planned \| active \| reserved \| completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider	S	0..1	Reference(US Core Organization Profile)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path	Conformance	ValueSet
Encounter.language	preferred	CommonLanguages Max Binding: AllLanguages
Encounter.identifier.use	required	IdentifierUse
Encounter.identifier.type	extensible	Identifier Type Codes
Encounter.status	required	EncounterStatus
Encounter.statusHistory.status	required	EncounterStatus
Encounter.class	extensible	PCORNetEncounterType
Encounter.classHistory.class	extensible	ActEncounterCode
Encounter.type	extensible	USCoreEncounterType
Encounter.serviceType	example	ServiceType
Encounter.priority	example	ActPriority
Encounter.participant.type	extensible	ParticipantType
Encounter.reasonCode	preferred	EncounterReasonCodes
Encounter.diagnosis.use	extensible	PCORNetDiagnosisClassification
Encounter.hospitalization.admitSource	preferred	AdmitSource
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator
Encounter.hospitalization.dietPreference	example	Diet
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements
Encounter.hospitalization.dischargeDisposition	extensible	PCORNetDischargeDisposition
Encounter.location.status	required	EncounterLocationStatus
Encounter.location.physicalType	example	LocationType

Constraints

Id	Path	Details	Requirements
dom-2	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	Encounter.meta	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.implicitRules	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.extension:pcornet-drg-group	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.extension:pcornet-drg-group	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.extension:pcornet-drg-group-version	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.extension:pcornet-drg-group-version	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.identifier.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.identifier.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.identifier.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.identifier.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.identifier.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.identifier.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.identifier.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.identifier.assigner	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.status	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.statusHistory	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.statusHistory.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.statusHistory.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.statusHistory.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.statusHistory.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.statusHistory.status	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.statusHistory.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.class	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.classHistory	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.classHistory.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.classHistory.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.classHistory.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.classHistory.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.classHistory.class	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.classHistory.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.serviceType	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.priority	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.subject	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.episodeOfCare	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.basedOn	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.participant	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.participant.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.participant.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.participant.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.participant.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.participant.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.participant.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.participant.individual	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.appointment	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.period.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.period.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.period.start	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.period.end	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.length	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.reasonCode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.reasonReference	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.diagnosis	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.diagnosis.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.diagnosis.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.diagnosis.extension:pcornet-diagnosis-origin	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.diagnosis.extension:pcornet-diagnosis-origin	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.diagnosis.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.diagnosis.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.diagnosis.condition	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.diagnosis.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.diagnosis.rank	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.account	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.hospitalization	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.hospitalization.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.hospitalization.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.hospitalization.extension:pcornet-admitting-source-facility-type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.hospitalization.extension:pcornet-admitting-source-facility-type	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.hospitalization.extension:pcornet-discharge-status	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.hospitalization.extension:pcornet-discharge-status	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.hospitalization.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.hospitalization.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.hospitalization.preAdmissionIdentifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.hospitalization.origin	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.hospitalization.admitSource	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.hospitalization.reAdmission	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.hospitalization.dietPreference	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.hospitalization.specialCourtesy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.hospitalization.specialArrangement	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.hospitalization.destination	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.hospitalization.dischargeDisposition	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.location	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.location.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.location.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.location.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Encounter.location.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Encounter.location.location	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.location.status	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.location.physicalType	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.location.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.serviceProvider	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Encounter.partOf	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())