US Public Health Profiles Library
1.0.0 - STU1

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

## Resource Profile: US Public Health Encounter

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:

- sets the subject to US Public Health Patient
- adds a ResponsibleProvider participant slice that sets:
  - type to ATND
  - individual to US Public Health PractitionerRole
- sets diagnosis to must support
- sets the location to US Public Health Location
- sets the serviceProvider to US Public Health Organization

Usage:

- Refer to this Resource Profile: US Public Health Composition
- Examples for this Resource Profile: Encounter/us-ph-encounter-eve-everywoman-outpatient

### Formal Views of Profile Content

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

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

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 | S Σ | 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 | S Σ | 1..1 | uri | 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
status | ?!S Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class | S Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
type | S Σ | 1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type
subject | S Σ | 1..1 | Reference(US Public Health Patient) | The patient or group present at the encounter
Slices for participant | S Σ | 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 | S Σ | 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 | S Σ | 0..1 | Reference(US Core Practitioner Profile) | Persons involved in the encounter other than the patient
participant:responsibleProvider | S Σ | 0..1 | BackboneElement | Responsible provider
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | S Σ | 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 | S Σ | 1..1 | Reference(US Public Health PractitionerRole) | Responsible Provider
period | S | 0..1 | Period | The start and end time of the encounter
reasonCode | S Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference | S Σ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile | US Core Condition Encounter Diagnosis Profile) | Reason the encounter takes place (reference)
diagnosis | S Σ | 0..* | BackboneElement | Encounter diagnosis
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
condition | S Σ | 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

#### Terminology Bindings

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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | S Σ | 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 | S Σ | 1..1 | uri | 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
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 | ?!S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference | 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) | Reason the encounter takes place (reference)
diagnosis | S Σ | 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 | S Σ | 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

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Encounter.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
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:

- US Public Health Patient (http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient)
- US Public Health PractitionerRole (http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-practitionerrole)
- US Public Health Condition Encounter Diagnosis (http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-condition-encounter-diagnosis)
- US Public Health Location (http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-location)
- US Public Health Organization (http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-organization)

Slices

This structure defines the following Slices:

- The element Encounter.participant is sliced based on the value of type:type

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 | S Σ | 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 | S Σ | 1..1 | uri | 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
status | ?!S Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class | S Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
type | S Σ | 1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type
subject | S Σ | 1..1 | Reference(US Public Health Patient) | The patient or group present at the encounter
Slices for participant | S Σ | 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 | S Σ | 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 | S Σ | 0..1 | Reference(US Core Practitioner Profile) | Persons involved in the encounter other than the patient
participant:responsibleProvider | S Σ | 0..1 | BackboneElement | Responsible provider
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | S Σ | 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 | S Σ | 1..1 | Reference(US Public Health PractitionerRole) | Responsible Provider
period | S | 0..1 | Period | The start and end time of the encounter
reasonCode | S Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference | S Σ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile | US Core Condition Encounter Diagnosis Profile) | Reason the encounter takes place (reference)
diagnosis | S Σ | 0..* | BackboneElement | Encounter diagnosis
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
condition | S Σ | 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

#### Terminology Bindings

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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | S Σ | 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 | S Σ | 1..1 | uri | 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
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 | ?!S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference | 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) | Reason the encounter takes place (reference)
diagnosis | S Σ | 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 | S Σ | 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

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Encounter.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
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:

- US Public Health Patient (http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient)
- US Public Health PractitionerRole (http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-practitionerrole)
- US Public Health Condition Encounter Diagnosis (http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-condition-encounter-diagnosis)
- US Public Health Location (http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-location)
- US Public Health Organization (http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-organization)

Slices

This structure defines the following Slices:

- The element Encounter.participant is sliced based on the value of type:type

Other representations of profile: CSV, Excel, Schematron