US Public Health Profiles Library, published by HL7 Public Health Working 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/fhir-us-ph-common-library-ig/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-encounter | Version: 1.0.0 | |||
Active as of 2023-10-04 | Computable Name: USPublicHealthEncounter |
This Encounter profile represents the encounter related to a public health event
It is based on the US Core Encounter profile and further constrains it as follows:
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreEncounterProfile
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | 0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient | |
subject | 1..1 | Reference(US Public Health Patient) | The patient or group present at the encounter | |
Slices for participant | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by type:type | |
participant:responsibleProvider | S | 0..1 | BackboneElement | Responsible provider |
type | 1..1 | CodeableConcept | Responsible provider Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ATND | |
individual | 1..1 | Reference(US Public Health PractitionerRole) | Responsible Provider | |
diagnosis | S | 0..* | BackboneElement | Encounter diagnosis |
condition | S | 1..1 | Reference(US Public Health Condition Encounter Diagnosis) | 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 …) |
location | 1..* | BackboneElement | Public health encounter location | |
location | 1..1 | Reference(US Public Health Location) | Location the encounter takes place | |
serviceProvider | 0..1 | Reference(US Public Health Organization) | The organization (facility) responsible for this encounter | |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | 0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | SΣ | 0..* | Identifier | Identifier(s) by which this encounter is known |
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
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 |
status | ?!SΣ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. |
class | SΣ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter. |
type | SΣ | 1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type |
subject | SΣ | 1..1 | Reference(US Public Health Patient) | The patient or group present at the encounter |
Slices for participant | SΣ | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by type:type |
participant:All Slices | Content/Rules for all slices | |||
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) | Persons involved in the encounter other than the patient |
participant:responsibleProvider | SΣ | 0..1 | BackboneElement | Responsible provider |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
type | SΣ | 1..1 | CodeableConcept | Responsible provider Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ATND | |
period | S | 0..1 | Period | Period of time during the encounter that the participant participated |
individual | SΣ | 1..1 | Reference(US Public Health PractitionerRole) | Responsible Provider |
period | S | 0..1 | Period | The start and end time of the encounter |
reasonCode | SΣ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. |
reasonReference | SΣ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile | US Core Condition Encounter Diagnosis Profile) | Reason the encounter takes place (reference) |
diagnosis | SΣ | 0..* | BackboneElement | Encounter diagnosis |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
condition | SΣ | 1..1 | Reference(US Public Health Condition Encounter Diagnosis) | 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: DiagnosisRole (preferred): The type of diagnosis this condition represents. |
hospitalization | S | 0..1 | BackboneElement | Details about the admission to a healthcare service |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
dischargeDisposition | S | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17 |
location | S | 1..* | BackboneElement | Public health encounter location |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
location | S | 1..1 | Reference(US Public Health Location) | Location the encounter takes place |
serviceProvider | S | 0..1 | Reference(US Public Health Organization) | The organization (facility) responsible for this encounter |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Encounter.identifier.use | required | IdentifierUse |
Encounter.status | required | EncounterStatus |
Encounter.class | extensible | ActEncounterCode |
Encounter.type | extensible | USCoreEncounterType |
Encounter.participant.type | extensible | ParticipantType |
Encounter.participant:responsibleProvider.type | extensible | Pattern: ATND |
Encounter.reasonCode | preferred | EncounterReasonCodes |
Encounter.diagnosis.use | preferred | DiagnosisRole |
Encounter.hospitalization.dischargeDisposition | preferred | USCoreDischargeDisposition (a valid code from http://www.nubc.org/patient-discharge ) |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Encounter | 0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient | |||||
id | Σ | 0..1 | id | 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): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
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 | |||||
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: ActEncounterCode (extensible): Classification of the encounter. | ||||
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(US Public Health 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 | |||||
Slices for participant | SΣ | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by type:type | ||||
participant:All Slices | Content/Rules for all slices | |||||||
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 | US Core RelatedPerson Profile) | Persons involved in the encounter other than the patient | ||||
participant:responsibleProvider | SΣ | 0..1 | BackboneElement | Responsible provider | ||||
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 | 1..1 | CodeableConcept | Responsible provider Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ATND | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
period | S | 0..1 | Period | Period of time during the encounter that the participant participated | ||||
individual | SΣ | 1..1 | Reference(US Public Health PractitionerRole) | Responsible Provider | ||||
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | ||||
period | S | 0..1 | Period | The start and end time of the encounter | ||||
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..* | 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) | ||||
diagnosis | SΣ | 0..* | BackboneElement | Encounter diagnosis | ||||
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 | ||||
condition | SΣ | 1..1 | Reference(US Public Health Condition Encounter Diagnosis) | 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: DiagnosisRole (preferred): The type of diagnosis this condition represents. | ||||
rank | 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 | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
preAdmissionIdentifier | 0..1 | Identifier | Pre-admission identifier | |||||
origin | 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: 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: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17 | ||||
location | S | 1..* | BackboneElement | Public health encounter location | ||||
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(US Public Health 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 Public Health Organization) | The organization (facility) responsible for this encounter | ||||
partOf | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | ||||
Encounter.language | preferred | CommonLanguages
| ||||
Encounter.identifier.use | required | IdentifierUse | ||||
Encounter.identifier.type | extensible | Identifier Type Codes | ||||
Encounter.status | required | EncounterStatus | ||||
Encounter.statusHistory.status | required | EncounterStatus | ||||
Encounter.class | extensible | ActEncounterCode | ||||
Encounter.classHistory.class | extensible | ActEncounterCode | ||||
Encounter.type | extensible | USCoreEncounterType | ||||
Encounter.serviceType | example | ServiceType | ||||
Encounter.priority | example | ActPriority | ||||
Encounter.participant.type | extensible | ParticipantType | ||||
Encounter.participant:responsibleProvider.type | extensible | Pattern: ATND | ||||
Encounter.reasonCode | preferred | EncounterReasonCodes | ||||
Encounter.diagnosis.use | preferred | DiagnosisRole | ||||
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 | preferred | USCoreDischargeDisposition (a valid code from http://www.nubc.org/patient-discharge ) | ||||
Encounter.location.status | required | EncounterLocationStatus | ||||
Encounter.location.physicalType | example | LocationType |
This structure is derived from USCoreEncounterProfile
Summary
Mandatory: 1 element (2 nested mandatory elements)
Must-Support: 4 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from USCoreEncounterProfile
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | 0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient | |
subject | 1..1 | Reference(US Public Health Patient) | The patient or group present at the encounter | |
Slices for participant | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by type:type | |
participant:responsibleProvider | S | 0..1 | BackboneElement | Responsible provider |
type | 1..1 | CodeableConcept | Responsible provider Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ATND | |
individual | 1..1 | Reference(US Public Health PractitionerRole) | Responsible Provider | |
diagnosis | S | 0..* | BackboneElement | Encounter diagnosis |
condition | S | 1..1 | Reference(US Public Health Condition Encounter Diagnosis) | 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 …) |
location | 1..* | BackboneElement | Public health encounter location | |
location | 1..1 | Reference(US Public Health Location) | Location the encounter takes place | |
serviceProvider | 0..1 | Reference(US Public Health Organization) | The organization (facility) responsible for this encounter | |
Documentation for this format |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | 0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | SΣ | 0..* | Identifier | Identifier(s) by which this encounter is known |
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
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 |
status | ?!SΣ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. |
class | SΣ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter. |
type | SΣ | 1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type |
subject | SΣ | 1..1 | Reference(US Public Health Patient) | The patient or group present at the encounter |
Slices for participant | SΣ | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by type:type |
participant:All Slices | Content/Rules for all slices | |||
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) | Persons involved in the encounter other than the patient |
participant:responsibleProvider | SΣ | 0..1 | BackboneElement | Responsible provider |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
type | SΣ | 1..1 | CodeableConcept | Responsible provider Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ATND | |
period | S | 0..1 | Period | Period of time during the encounter that the participant participated |
individual | SΣ | 1..1 | Reference(US Public Health PractitionerRole) | Responsible Provider |
period | S | 0..1 | Period | The start and end time of the encounter |
reasonCode | SΣ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. |
reasonReference | SΣ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile | US Core Condition Encounter Diagnosis Profile) | Reason the encounter takes place (reference) |
diagnosis | SΣ | 0..* | BackboneElement | Encounter diagnosis |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
condition | SΣ | 1..1 | Reference(US Public Health Condition Encounter Diagnosis) | 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: DiagnosisRole (preferred): The type of diagnosis this condition represents. |
hospitalization | S | 0..1 | BackboneElement | Details about the admission to a healthcare service |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
dischargeDisposition | S | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17 |
location | S | 1..* | BackboneElement | Public health encounter location |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
location | S | 1..1 | Reference(US Public Health Location) | Location the encounter takes place |
serviceProvider | S | 0..1 | Reference(US Public Health Organization) | The organization (facility) responsible for this encounter |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Encounter.identifier.use | required | IdentifierUse |
Encounter.status | required | EncounterStatus |
Encounter.class | extensible | ActEncounterCode |
Encounter.type | extensible | USCoreEncounterType |
Encounter.participant.type | extensible | ParticipantType |
Encounter.participant:responsibleProvider.type | extensible | Pattern: ATND |
Encounter.reasonCode | preferred | EncounterReasonCodes |
Encounter.diagnosis.use | preferred | DiagnosisRole |
Encounter.hospitalization.dischargeDisposition | preferred | USCoreDischargeDisposition (a valid code from http://www.nubc.org/patient-discharge ) |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Encounter | 0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient | |||||
id | Σ | 0..1 | id | 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): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
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 | |||||
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: ActEncounterCode (extensible): Classification of the encounter. | ||||
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(US Public Health 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 | |||||
Slices for participant | SΣ | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by type:type | ||||
participant:All Slices | Content/Rules for all slices | |||||||
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 | US Core RelatedPerson Profile) | Persons involved in the encounter other than the patient | ||||
participant:responsibleProvider | SΣ | 0..1 | BackboneElement | Responsible provider | ||||
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 | 1..1 | CodeableConcept | Responsible provider Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ATND | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
period | S | 0..1 | Period | Period of time during the encounter that the participant participated | ||||
individual | SΣ | 1..1 | Reference(US Public Health PractitionerRole) | Responsible Provider | ||||
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | ||||
period | S | 0..1 | Period | The start and end time of the encounter | ||||
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..* | 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) | ||||
diagnosis | SΣ | 0..* | BackboneElement | Encounter diagnosis | ||||
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 | ||||
condition | SΣ | 1..1 | Reference(US Public Health Condition Encounter Diagnosis) | 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: DiagnosisRole (preferred): The type of diagnosis this condition represents. | ||||
rank | 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 | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
preAdmissionIdentifier | 0..1 | Identifier | Pre-admission identifier | |||||
origin | 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: 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: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17 | ||||
location | S | 1..* | BackboneElement | Public health encounter location | ||||
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(US Public Health 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 Public Health Organization) | The organization (facility) responsible for this encounter | ||||
partOf | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | ||||
Encounter.language | preferred | CommonLanguages
| ||||
Encounter.identifier.use | required | IdentifierUse | ||||
Encounter.identifier.type | extensible | Identifier Type Codes | ||||
Encounter.status | required | EncounterStatus | ||||
Encounter.statusHistory.status | required | EncounterStatus | ||||
Encounter.class | extensible | ActEncounterCode | ||||
Encounter.classHistory.class | extensible | ActEncounterCode | ||||
Encounter.type | extensible | USCoreEncounterType | ||||
Encounter.serviceType | example | ServiceType | ||||
Encounter.priority | example | ActPriority | ||||
Encounter.participant.type | extensible | ParticipantType | ||||
Encounter.participant:responsibleProvider.type | extensible | Pattern: ATND | ||||
Encounter.reasonCode | preferred | EncounterReasonCodes | ||||
Encounter.diagnosis.use | preferred | DiagnosisRole | ||||
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 | preferred | USCoreDischargeDisposition (a valid code from http://www.nubc.org/patient-discharge ) | ||||
Encounter.location.status | required | EncounterLocationStatus | ||||
Encounter.location.physicalType | example | LocationType |
This structure is derived from USCoreEncounterProfile
Summary
Mandatory: 1 element (2 nested mandatory elements)
Must-Support: 4 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron