Estonian Base Implementation Guide
1.3.0 - trial-use Estonia flag

Estonian Base Implementation Guide, published by HL7 Estonia. This guide is not an authorized publication; it is the continuous build for version 1.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7EE/ig-ee-base/ and changes regularly. See the Directory of published versions

Resource Profile: EEBase Encounter

Official URL: https://fhir.ee/base/StructureDefinition/ee-encounter Version: 1.3.0
Draft as of 2025-10-13 Computable Name: EEBaseEncounter

Encounter is an interaction between a patient and healthcare provider(s) to provide healthcare service(s) or assess a patient's health status. There are many types of encounters (such as ambulatory, inpatient, home visits, emergency and the like) which is the reason why the resource encompasses the lifecycle from pre-admission to the actual encounter (for ambulatory encounters) and admission, stay and discharge (for inpatient encounters). Encounter is primarily used to record information about the actual activities that occurred, where Appointment is used to record planned activities.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:modeOfArrival 0..1 Coding The method that the patient arrived at the facility.
URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival profiled by https://fhir.ee/base/StructureDefinition/ee-mode-of-arrival
Binding: Mode Of Arrival (extensible)
.... extension:associatedEncounter 0..1 Reference(Encounter) Associated Encounter
URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter
... status ?!SΣ 1..1 code planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown
Binding: EncounterStatus (required): Current state of the encounter.
... class SΣ 0..* CodeableConcept Classification of patient encounter context - e.g. Inpatient, outpatient
Binding: Encounter class (extensible)
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (extensible)
... serviceType Σ 0..* CodeableReference(EEBase HealthcareService) Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
... subject Σ 0..1 Reference(Group | EEBase Patient) The patient or group related to this encounter
... episodeOfCare Σ 0..* Reference(EEBase EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... partOf 0..1 Reference(EEBase Encounter) Reference to previous encounter
... serviceProvider 0..1 Reference(EEBase Organization) The organization (facility) responsible for this encounter

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.status Base required Encounter Status 📍5.0.0 FHIR Std.
Encounter.class Base extensible Encounter class 📦2.0.1 THO v6.5
Encounter.priority Base extensible ActPriority 📦3.0.0 THO v6.5
Encounter.serviceType Base example Service Type 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Encounter If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Encounter If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Encounter If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Encounter If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Encounter A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:modeOfArrival 0..1 Coding The method that the patient arrived at the facility.
URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival profiled by https://fhir.ee/base/StructureDefinition/ee-mode-of-arrival
Binding: Mode Of Arrival (extensible)
.... extension:associatedEncounter 0..1 Reference(Encounter) Associated Encounter
URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter
... status S 1..1 code planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown
... class S 0..* CodeableConcept Classification of patient encounter context - e.g. Inpatient, outpatient
Binding: Encounter class (extensible)
... serviceType 0..* CodeableReference(EEBase HealthcareService) Specific type of service
... subject 0..1 Reference(Group | EEBase Patient) The patient or group related to this encounter
... episodeOfCare 0..* Reference(EEBase EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... partOf 0..1 Reference(EEBase Encounter) Reference to previous encounter
... serviceProvider 0..1 Reference(EEBase Organization) The organization (facility) responsible for this encounter
... participant
.... actor 0..1 Reference(EEBase Practitioner | EEBase PractitionerRole | EEBase RelatedPerson) The individual, device, or service participating in the encounter
... reason
.... value 0..* CodeableReference(Condition | DiagnosticReport | EEBase Observation | ImmunizationRecommendation | Procedure) Reason the encounter takes place (core or reference)
... admission
.... origin 0..1 Reference(EEBase Location | EEBase Organization) The location/organization from which the patient came before admission
.... destination 0..1 Reference(EEBase Location | EEBase Organization) Location/organization to which the patient is discharged
... location
.... location 1..1 Reference(EEBase Location) Location the encounter takes place

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.class Base extensible Encounter class 📦2.0.1 THO v6.5
Encounter.priority Base extensible ActPriority 📦3.0.0 THO v6.5
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:modeOfArrival 0..1 Coding The method that the patient arrived at the facility.
URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival profiled by https://fhir.ee/base/StructureDefinition/ee-mode-of-arrival
Binding: Mode Of Arrival (extensible)
.... extension:associatedEncounter 0..1 Reference(Encounter) Associated Encounter
URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) by which this encounter is known
... status ?!SΣ 1..1 code planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown
Binding: EncounterStatus (required): Current state of the encounter.
... class SΣ 0..* CodeableConcept Classification of patient encounter context - e.g. Inpatient, outpatient
Binding: Encounter class (extensible)
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (extensible)
... type Σ 0..* CodeableConcept Specific type of encounter (e.g. e-mail consultation, surgical day-care, ...)
Binding: EncounterType (example): A specific code indicating type of service provided
... serviceType Σ 0..* CodeableReference(EEBase HealthcareService) Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
... subject Σ 0..1 Reference(Group | EEBase Patient) The patient or group related to this encounter
... subjectStatus 0..1 CodeableConcept The current status of the subject in relation to the Encounter
Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter.
... episodeOfCare Σ 0..* Reference(EEBase EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest) The request that initiated this encounter
... careTeam 0..* Reference(CareTeam) The group(s) that are allocated to participate in this encounter
... partOf 0..1 Reference(EEBase Encounter) Reference to previous encounter
... serviceProvider 0..1 Reference(EEBase Organization) The organization (facility) responsible for this encounter
... participant ΣC 0..* BackboneElement List of participants involved in the encounter
Constraints: enc-1, enc-2
.... 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 ΣC 0..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.
.... period 0..1 Period Period of time during the encounter that the participant participated
.... actor ΣC 0..1 Reference(EEBase Practitioner | EEBase PractitionerRole | EEBase RelatedPerson) The individual, device, or service participating in the encounter
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... virtualService 0..* VirtualServiceDetail Connection details of a virtual service (e.g. conference call)
... actualPeriod 0..1 Period The actual start and end time of the encounter
... plannedStartDate 0..1 dateTime The planned start date/time (or admission date) of the encounter
... plannedEndDate 0..1 dateTime The planned end date/time (or discharge date) of the encounter
... length 0..1 Duration Actual quantity of time the encounter lasted (less time absent)
... reason Σ 0..* BackboneElement The list of medical reasons that are expected to be addressed during the episode of care
.... 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
.... use Σ 0..* CodeableConcept What the reason value should be used for/as
Binding: EncounterReasonUse (example)
.... value Σ 0..* CodeableReference(Condition | DiagnosticReport | EEBase Observation | ImmunizationRecommendation | Procedure) Reason the encounter takes place (core or reference)
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 0..* CodeableReference(Condition) The diagnosis relevant to the encounter
Binding: ConditionProblemDiagnosisCodes (example)
.... use 0..* CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements.
... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc
Binding: SpecialArrangements (preferred): Special arrangements.
... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.
... admission 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(EEBase Location | EEBase 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 Indicates that the patient is being re-admitted
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this admission encounter.
.... destination 0..1 Reference(EEBase Location | EEBase Organization) Location/organization to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.
... location 0..* BackboneElement List of locations where the patient has been
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location 1..1 Reference(EEBase Location) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
.... form 0..1 CodeableConcept The physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.)
Binding: LocationForm (example): Physical form of the location.
.... period 0..1 Period Time period during which the patient was present at the location

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.language Base required All Languages 📍5.0.0 FHIR Std.
Encounter.status Base required Encounter Status 📍5.0.0 FHIR Std.
Encounter.class Base extensible Encounter class 📦2.0.1 THO v6.5
Encounter.priority Base extensible ActPriority 📦3.0.0 THO v6.5
Encounter.type Base example Encounter Type 📍5.0.0 FHIR Std.
Encounter.serviceType Base example Service Type 📍5.0.0 FHIR Std.
Encounter.subjectStatus Base example Encounter Subject Status 📍5.0.0 FHIR Std.
Encounter.participant.​type Base extensible Participant Type 📍5.0.0 FHIR Std.
Encounter.reason.use Base example Encounter Reason Use 📍5.0.0 FHIR Std.
Encounter.reason.value Base preferred Encounter Reason Codes 📍5.0.0 FHIR Std.
Encounter.diagnosis.​condition Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.
Encounter.diagnosis.​use Base preferred Encounter Diagnosis Use 📍5.0.0 FHIR Std.
Encounter.dietPreference Base example Diet 📍5.0.0 FHIR Std.
Encounter.specialArrangement Base preferred Special Arrangements 📍5.0.0 FHIR Std.
Encounter.specialCourtesy Base preferred Special Courtesy 📍5.0.0 FHIR Std.
Encounter.admission.​admitSource Base preferred Admit Source 📍5.0.0 FHIR Std.
Encounter.admission.​reAdmission Base example hl7VS-re-admissionIndicator 📦2.0.0 THO v6.5
Encounter.admission.​dischargeDisposition Base example Discharge Disposition 📍5.0.0 FHIR Std.
Encounter.location.status Base required Encounter Location Status 📍5.0.0 FHIR Std.
Encounter.location.form Base example Location Form 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Encounter If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Encounter If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Encounter If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Encounter If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Encounter A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
enc-1 error Encounter.participant A type must be provided when no explicit actor is specified actor.exists() or type.exists()
enc-2 error Encounter.participant A type cannot be provided for a patient or group participant actor.exists(resolve() is Patient or resolve() is Group) implies type.exists().not()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:modeOfArrival 0..1 Coding The method that the patient arrived at the facility.
URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival profiled by https://fhir.ee/base/StructureDefinition/ee-mode-of-arrival
Binding: Mode Of Arrival (extensible)
.... extension:associatedEncounter 0..1 Reference(Encounter) Associated Encounter
URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter
... status ?!SΣ 1..1 code planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown
Binding: EncounterStatus (required): Current state of the encounter.
... class SΣ 0..* CodeableConcept Classification of patient encounter context - e.g. Inpatient, outpatient
Binding: Encounter class (extensible)
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (extensible)
... serviceType Σ 0..* CodeableReference(EEBase HealthcareService) Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
... subject Σ 0..1 Reference(Group | EEBase Patient) The patient or group related to this encounter
... episodeOfCare Σ 0..* Reference(EEBase EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... partOf 0..1 Reference(EEBase Encounter) Reference to previous encounter
... serviceProvider 0..1 Reference(EEBase Organization) The organization (facility) responsible for this encounter

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.status Base required Encounter Status 📍5.0.0 FHIR Std.
Encounter.class Base extensible Encounter class 📦2.0.1 THO v6.5
Encounter.priority Base extensible ActPriority 📦3.0.0 THO v6.5
Encounter.serviceType Base example Service Type 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Encounter If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Encounter If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Encounter If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Encounter If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Encounter A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:modeOfArrival 0..1 Coding The method that the patient arrived at the facility.
URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival profiled by https://fhir.ee/base/StructureDefinition/ee-mode-of-arrival
Binding: Mode Of Arrival (extensible)
.... extension:associatedEncounter 0..1 Reference(Encounter) Associated Encounter
URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter
... status S 1..1 code planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown
... class S 0..* CodeableConcept Classification of patient encounter context - e.g. Inpatient, outpatient
Binding: Encounter class (extensible)
... serviceType 0..* CodeableReference(EEBase HealthcareService) Specific type of service
... subject 0..1 Reference(Group | EEBase Patient) The patient or group related to this encounter
... episodeOfCare 0..* Reference(EEBase EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... partOf 0..1 Reference(EEBase Encounter) Reference to previous encounter
... serviceProvider 0..1 Reference(EEBase Organization) The organization (facility) responsible for this encounter
... participant
.... actor 0..1 Reference(EEBase Practitioner | EEBase PractitionerRole | EEBase RelatedPerson) The individual, device, or service participating in the encounter
... reason
.... value 0..* CodeableReference(Condition | DiagnosticReport | EEBase Observation | ImmunizationRecommendation | Procedure) Reason the encounter takes place (core or reference)
... admission
.... origin 0..1 Reference(EEBase Location | EEBase Organization) The location/organization from which the patient came before admission
.... destination 0..1 Reference(EEBase Location | EEBase Organization) Location/organization to which the patient is discharged
... location
.... location 1..1 Reference(EEBase Location) Location the encounter takes place

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.class Base extensible Encounter class 📦2.0.1 THO v6.5
Encounter.priority Base extensible ActPriority 📦3.0.0 THO v6.5

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:modeOfArrival 0..1 Coding The method that the patient arrived at the facility.
URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival profiled by https://fhir.ee/base/StructureDefinition/ee-mode-of-arrival
Binding: Mode Of Arrival (extensible)
.... extension:associatedEncounter 0..1 Reference(Encounter) Associated Encounter
URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) by which this encounter is known
... status ?!SΣ 1..1 code planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown
Binding: EncounterStatus (required): Current state of the encounter.
... class SΣ 0..* CodeableConcept Classification of patient encounter context - e.g. Inpatient, outpatient
Binding: Encounter class (extensible)
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (extensible)
... type Σ 0..* CodeableConcept Specific type of encounter (e.g. e-mail consultation, surgical day-care, ...)
Binding: EncounterType (example): A specific code indicating type of service provided
... serviceType Σ 0..* CodeableReference(EEBase HealthcareService) Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
... subject Σ 0..1 Reference(Group | EEBase Patient) The patient or group related to this encounter
... subjectStatus 0..1 CodeableConcept The current status of the subject in relation to the Encounter
Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter.
... episodeOfCare Σ 0..* Reference(EEBase EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest) The request that initiated this encounter
... careTeam 0..* Reference(CareTeam) The group(s) that are allocated to participate in this encounter
... partOf 0..1 Reference(EEBase Encounter) Reference to previous encounter
... serviceProvider 0..1 Reference(EEBase Organization) The organization (facility) responsible for this encounter
... participant ΣC 0..* BackboneElement List of participants involved in the encounter
Constraints: enc-1, enc-2
.... 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 ΣC 0..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.
.... period 0..1 Period Period of time during the encounter that the participant participated
.... actor ΣC 0..1 Reference(EEBase Practitioner | EEBase PractitionerRole | EEBase RelatedPerson) The individual, device, or service participating in the encounter
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... virtualService 0..* VirtualServiceDetail Connection details of a virtual service (e.g. conference call)
... actualPeriod 0..1 Period The actual start and end time of the encounter
... plannedStartDate 0..1 dateTime The planned start date/time (or admission date) of the encounter
... plannedEndDate 0..1 dateTime The planned end date/time (or discharge date) of the encounter
... length 0..1 Duration Actual quantity of time the encounter lasted (less time absent)
... reason Σ 0..* BackboneElement The list of medical reasons that are expected to be addressed during the episode of care
.... 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
.... use Σ 0..* CodeableConcept What the reason value should be used for/as
Binding: EncounterReasonUse (example)
.... value Σ 0..* CodeableReference(Condition | DiagnosticReport | EEBase Observation | ImmunizationRecommendation | Procedure) Reason the encounter takes place (core or reference)
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 0..* CodeableReference(Condition) The diagnosis relevant to the encounter
Binding: ConditionProblemDiagnosisCodes (example)
.... use 0..* CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements.
... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc
Binding: SpecialArrangements (preferred): Special arrangements.
... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.
... admission 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(EEBase Location | EEBase 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 Indicates that the patient is being re-admitted
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this admission encounter.
.... destination 0..1 Reference(EEBase Location | EEBase Organization) Location/organization to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.
... location 0..* BackboneElement List of locations where the patient has been
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location 1..1 Reference(EEBase Location) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
.... form 0..1 CodeableConcept The physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.)
Binding: LocationForm (example): Physical form of the location.
.... period 0..1 Period Time period during which the patient was present at the location

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.language Base required All Languages 📍5.0.0 FHIR Std.
Encounter.status Base required Encounter Status 📍5.0.0 FHIR Std.
Encounter.class Base extensible Encounter class 📦2.0.1 THO v6.5
Encounter.priority Base extensible ActPriority 📦3.0.0 THO v6.5
Encounter.type Base example Encounter Type 📍5.0.0 FHIR Std.
Encounter.serviceType Base example Service Type 📍5.0.0 FHIR Std.
Encounter.subjectStatus Base example Encounter Subject Status 📍5.0.0 FHIR Std.
Encounter.participant.​type Base extensible Participant Type 📍5.0.0 FHIR Std.
Encounter.reason.use Base example Encounter Reason Use 📍5.0.0 FHIR Std.
Encounter.reason.value Base preferred Encounter Reason Codes 📍5.0.0 FHIR Std.
Encounter.diagnosis.​condition Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.
Encounter.diagnosis.​use Base preferred Encounter Diagnosis Use 📍5.0.0 FHIR Std.
Encounter.dietPreference Base example Diet 📍5.0.0 FHIR Std.
Encounter.specialArrangement Base preferred Special Arrangements 📍5.0.0 FHIR Std.
Encounter.specialCourtesy Base preferred Special Courtesy 📍5.0.0 FHIR Std.
Encounter.admission.​admitSource Base preferred Admit Source 📍5.0.0 FHIR Std.
Encounter.admission.​reAdmission Base example hl7VS-re-admissionIndicator 📦2.0.0 THO v6.5
Encounter.admission.​dischargeDisposition Base example Discharge Disposition 📍5.0.0 FHIR Std.
Encounter.location.status Base required Encounter Location Status 📍5.0.0 FHIR Std.
Encounter.location.form Base example Location Form 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Encounter If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Encounter If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Encounter If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Encounter If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Encounter A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
enc-1 error Encounter.participant A type must be provided when no explicit actor is specified actor.exists() or type.exists()
enc-2 error Encounter.participant A type cannot be provided for a patient or group participant actor.exists(resolve() is Patient or resolve() is Group) implies type.exists().not()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

 

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