## 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

Error | StructureDefinition.version | Values for version differ: '4.0.0' vs '6.1.0'
Information | StructureDefinition.date | Values for date differ: '2019-05-21' vs '2022-04-20'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International - US Realm Steering Committee' vs 'HL7 International - Cross-Group Projects'
Information | StructureDefinition.definition | Values for definition differ: 'This is basic constraint on Encounter for use in US Core resources.' vs '\-'
Information | StructureDefinition.short | Values for short differ: 'Identifier(s) by which this encounter is known' vs '(USCDI) Identifier(s) by which this encounter is known'
Information | StructureDefinition.short | Values for short differ: 'The namespace for the identifier value' vs '(USCDI) The namespace for the identifier value'
Information | StructureDefinition.short | Values for short differ: 'The value that is unique' vs '(USCDI) The value that is unique'
Information | StructureDefinition.short | Values for short differ: 'planned | arrived | triaged | in-progress | onleave | finished | cancelled +' vs '(USCDI) planned | arrived | triaged | in-progress | onleave | finished | cancelled +'
Information | StructureDefinition.short | Values for short differ: 'Classification of patient encounter' vs '(USCDI) Classification of patient encounter'
Information | StructureDefinition.short | Values for short differ: 'Specific type of encounter' vs '(USCDI) Specific type of encounter'
Information | StructureDefinition.short | Values for short differ: 'The patient or group present at the encounter' vs '(USCDI) The patient or group present at the encounter'
Information | StructureDefinition.short | Values for short differ: 'List of participants involved in the encounter' vs '(USCDI) List of participants involved in the encounter'
Information | StructureDefinition.short | Values for short differ: 'Role of participant in encounter' vs '(USCDI) Role of participant in encounter'
Information | StructureDefinition.short | Values for short differ: 'Period of time during the encounter that the participant participated' vs '(USCDI) Period of time during the encounter that the participant participated'
Information | StructureDefinition.short | Values for short differ: 'Persons involved in the encounter other than the patient' vs '(USCDI) Persons involved in the encounter other than the patient'
Information | StructureDefinition.short | Values for short differ: 'The start and end time of the encounter' vs '(USCDI) The start and end time of the encounter'
Information | StructureDefinition.short | Values for short differ: 'Coded reason the encounter takes place' vs '(USCDI) Coded reason the encounter takes place'
Information | StructureDefinition.short | Values for short differ: 'Reason the encounter takes place (reference)' vs '(USCDI) Reason the encounter takes place (reference)'
Information | Encounter.reasonReference | Element maximum cardinalities differ: '1' vs '2147483647'
Information | StructureDefinition.short | Values for short differ: 'Details about the admission to a healthcare service' vs '(USCDI) Details about the admission to a healthcare service'
Information | StructureDefinition.short | Values for short differ: 'Category or kind of location after discharge' vs '(USCDI) Category or kind of location after discharge'
Information | Encounter.hospitalization.dischargeDisposition | Example/preferred bindings differ at Encounter.hospitalization.dischargeDisposition using binding from USCoreEncounterProfile
Information | StructureDefinition.short | Values for short differ: 'List of locations where the patient has been' vs '(USCDI) List of locations where the patient has been'
Information | StructureDefinition.short | Values for short differ: 'Location the encounter takes place' vs '(USCDI) Location the encounter takes place'
Information | StructureDefinition.short | Values for short differ: 'The organization (facility) responsible for this encounter' vs '(USCDI) The organization (facility) responsible for this encounter'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Encounter |
copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
date | 2019-05-21 | 2022-04-20 | Values Differ
description | The Encounter referenced in the US Core profiles. | This profile sets minimum expectations for the Encounter resource to record, search, and fetch basic encounter information for an individual patient to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases. | Values Differ
experimental | false |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | USCoreEncounterProfile |
publisher | HL7 International - US Realm Steering Committee | HL7 International - Cross-Group Projects | Values Differ
purpose |  |
status | active |
title | US Core Encounter Profile |
type | Encounter |
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter |
version | 4.0.0 | 6.1.0 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An interaction during which services are provided to the patient |  | 0..* | Encounter | An interaction during which services are provided to the patient |
id | Σ | 0..1 | string | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation |  | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | S Σ | 0..* | Identifier | Identifier(s) by which this encounter is known | S Σ | 0..* | Identifier | (USCDI) Identifier(s) by which this encounter is known |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 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 |  | 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: ?? (required): Identifies the purpose for this identifier, if known . | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known . |
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | Σ | 0..1 | CodeableConcept | Description 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 | S Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | S Σ | 1..1 | uri | (USCDI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
value | S Σ | 1..1 | string | The value that is unique Example General: 123456 | S Σ | 1..1 | string | (USCDI) The value that is unique Example General: 123456 |
period | Σ | 0..1 | Period | Time period when id is/was valid for use | 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) | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) |
status | ?!S Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: ?? (required): Current state of the encounter. | ?!S Σ | 1..1 | code | (USCDI) planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: ?? (required): Current state of the encounter. |
statusHistory |  | 0..* | BackboneElement | List of past encounter statuses |  | 0..* | BackboneElement | List of past encounter statuses |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
status |  | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: ?? (required): Current state of the encounter. |  | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: ?? (required): Current state of the encounter. |
period |  | 1..1 | Period | The time that the episode was in the specified status |  | 1..1 | Period | The time that the episode was in the specified status |
class | S Σ | 1..1 | Coding | Classification of patient encounter Binding: ?? (extensible): Classification of the encounter. | S Σ | 1..1 | Coding | (USCDI) Classification of patient encounter Binding: ?? (extensible): Classification of the encounter. |
classHistory |  | 0..* | BackboneElement | List of past encounter classes |  | 0..* | BackboneElement | List of past encounter classes |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
class |  | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ?? (extensible): Classification of the encounter. |  | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ?? (extensible): Classification of the encounter. |
period |  | 1..1 | Period | The time that the episode was in the specified class |  | 1..1 | Period | The time that the episode was in the specified class |
type | S Σ | 1..* | CodeableConcept | Specific type of encounter Binding: ?? (extensible): Valueset to describe the Encounter Type | S Σ | 1..* | CodeableConcept | (USCDI) Specific type of encounter Binding: ?? (extensible): Valueset to describe the Encounter Type |
serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: ?? (example): Broad categorization of the service that is to be provided. | Σ | 0..1 | CodeableConcept | Specific type of service Binding: ?? (example): Broad categorization of the service that is to be provided. |
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ?? (example): Indicates the urgency of the encounter. |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ?? (example): Indicates the urgency of the encounter. |
subject | S Σ | 1..1 | Reference(US Core Patient Profile(4.0.0)) | The patient or group present at the encounter | S Σ | 1..1 | Reference(US Core Patient Profile) | (USCDI) The patient or group present at the encounter |
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against | 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 |  | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter |
participant | S Σ | 0..* | BackboneElement | List of participants involved in the encounter | S Σ | 0..* | BackboneElement | (USCDI) List of participants involved in the encounter |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
type | S Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ?? (extensible): Role of participant in encounter. | S Σ | 0..* | CodeableConcept | (USCDI) Role of participant in encounter Binding: ?? (extensible): Role of participant in encounter. |
period | S | 0..1 | Period | Period of time during the encounter that the participant participated | S | 0..1 | Period | (USCDI) Period of time during the encounter that the participant participated |
individual | S Σ | 0..1 | Reference(US Core Practitioner Profile(4.0.0) S | US Core PractitionerRole Profile(4.0.0) | RelatedPerson) | Persons involved in the encounter other than the patient | S Σ | 0..1 | Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | (USCDI) Persons involved in the encounter other than the patient |
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter |
period | S | 0..1 | Period | The start and end time of the encounter | S | 0..1 | Period | (USCDI) The start and end time of the encounter |
length |  | 0..1 | Duration | Quantity of time the encounter lasted (less time absent) |  | 0..1 | Duration | Quantity of time the encounter lasted (less time absent) |
reasonCode | S Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: ?? (preferred): Reason why the encounter takes place. | S Σ | 0..* | CodeableConcept | (USCDI) Coded reason the encounter takes place Binding: ?? (preferred): Reason why the encounter takes place. |
reasonReference | S Σ | 0..1 | Reference(US Core Condition Profile(4.0.0) S | US Core Procedure Profile(4.0.0) | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) | S Σ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile S | US Core Condition Encounter Diagnosis Profile S | US Core Procedure Profile | Observation | ImmunizationRecommendation) | (USCDI) Reason the encounter takes place (reference) | Element maximum cardinalities differ: '1' vs '2147483647'
diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
condition | Σ | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter | Σ | 1..1 | Reference(Condition | Procedure) | 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: ?? (preferred): The type of diagnosis this condition represents. |  | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: ?? (preferred): The type of diagnosis this condition represents. |
rank |  | 0..1 | positiveInt | Ranking of the diagnosis (for each role type) |  | 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 |  | 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 | S | 0..1 | BackboneElement | (USCDI) Details about the admission to a healthcare service |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
preAdmissionIdentifier |  | 0..1 | Identifier | Pre-admission identifier |  | 0..1 | Identifier | Pre-admission identifier |
origin |  | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission |  | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission |
admitSource |  | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: ?? (preferred): From where the patient was admitted. |  | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: ?? (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: ?? (example): The reason for re-admission of this hospitalization encounter. |  | 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: ?? (example): The reason for re-admission of this hospitalization encounter. |
dietPreference |  | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: ?? (example): Medical, cultural or ethical food preferences to help with catering requirements. |  | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: ?? (example): Medical, cultural or ethical food preferences to help with catering requirements. |
specialCourtesy |  | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: ?? (preferred): Special courtesies. |  | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: ?? (preferred): Special courtesies. |
specialArrangement |  | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: ?? (preferred): Special arrangements. |  | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: ?? (preferred): Special arrangements. |
destination |  | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged |  | 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: ?? (example): Discharge Disposition. | S | 0..1 | CodeableConcept | (USCDI) Category 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 | S | 0..* | BackboneElement | List of locations where the patient has been | S | 0..* | BackboneElement | (USCDI) List of locations where the patient has been |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
location | S | 1..1 | Reference(Location) | Location the encounter takes place | S | 1..1 | Reference(Location) | (USCDI) Location the encounter takes place |
status |  | 0..1 | code | planned | active | reserved | completed Binding: ?? (required): The status of the location. |  | 0..1 | code | planned | active | reserved | completed Binding: ?? (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: ?? (example): Physical form of the location. |  | 0..1 | CodeableConcept | The 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..1 | Period | Time period during which the patient was present at the location |  | 0..1 | Period | Time period during which the patient was present at the location |
serviceProvider | S | 0..1 | Reference(US Core Organization Profile(4.0.0)) | The organization (facility) responsible for this encounter | S | 0..1 | Reference(US Core Organization Profile) | (USCDI) The organization (facility) responsible for this encounter |
partOf |  | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of |  | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of |
Documentation for this format