UV_Vital Records Birth and Fetal Death Reporting
1.1.0 - STU 1.1

UV_Vital Records Birth and Fetal Death Reporting, published by IHE International. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/fhir-bfdr/ and changes regularly. See the Directory of published versions

## Resource Profile: Encounter - Birth

Official URL: https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Encounter-birth | Version: 1.1.0
Active as of 2024-07-09 | Computable Name: EncounterBirth

This Encounter profile represents the child’s birth encounter.

This Encounter can reference the mother’s maternity encounter using the partOf data element.

### Form Mapping

This profile is mapped to:

- Item 5. Facility Name / Address in the 2003 Revision of the U.S. Standard Certificate of Live Birth
- Item 12. Date Certified in the 2003 Revision of the U.S. Standard Certificate of Live Birth
- Item 17. Facility Id. in the 2003 Revision of the U.S. Standard Certificate of Live Birth
- Item 26. Place Where Birth Occurred in the 2003 Revision of the U.S. Standard Certificate of Live Birth
- Item 56. Was Infant Transferred Within 24 Hours Of Delivery? in the 2003 Revision of the U.S. Standard Certificate of Live Birth
- Item 1. Facility name / address in the 2016 US Standard Facility Worksheet for the Live Birth Certificate
- Item 2. Facility I.D. in the 2016 US Standard Facility Worksheet for the Live Birth Certificate
- Item 5. Place where birth occurred in the 2016 US Standard Facility Worksheet for the Live Birth Certificate
- Item 20. Date certified in the 2016 US Standard Facility Worksheet for the Live Birth Certificate
- Item 38. Was infant transferred within 24 hours of delivery? in the 2016 US Standard Facility Worksheet for the Live Birth Certificate
- Item 38. Was infant transferred within 24 hours of delivery? in the 2016 US Standard Attachment to the Facility Worksheet for the Live Birth Certificate for Multiple Births

### IJE Mapping

Use Case | IJE Field# | Description | IJE Name | Field
--- | --- | --- | --- | ---
Natality | 11 | Place Where Birth Occurred (type of place or institution) | BPLACE | location.physicalType
Natality | 336 | Date Signed by Certifier–Day | CERTIFIED_DY | participant:certifier.period.start
Natality | 335 | Date Signed by Certifier–Month | CERTIFIED_MO | participant:certifier.period.start
Natality | 334 | Date Signed by Certifier–Year | CERTIFIED_YR | participant:certifier.period.start
Natality | 12 | Father’s Surname | FNPI | location.identifier
Natality | 253 | Name of Facility of Birth | HOSP | name
Natality | 303 | Facility Infant Transferred To (if transferred w/in 24 hours) | HOSPTO | hospitalization.destination
Natality | 231 | Was Infant Transferred Within 24 Hours of Delivery? | ITRAN | hospitalization.dischargeDisposition
Natality | 13 | Facility ID (State-Assigned) | SFN | identifier

Usage:

- Refer to this Resource Profile: Composition - Jurisdiction Live Birth Report and Composition - Provider Live Birth Report
- Examples for this Resource Profile: Encounter/encounter-birth-babyg-quinn

### 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(5.0.1) | An interaction during which services are provided to the patient
subject | S | 1..1 | Reference(Patient - Child - Vital Records) | The patient or group present at the encounter
Slices for participant | S | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by value:type
participant:attendant | S | 0..* | BackboneElement | The person responsible for delivering the child.
type | S | 1..1 | CodeableConcept | Birth attendant [Extended Identifier] 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 87286-1
individual | S | 1..1 | Reference(Practitioner - Vital Records) | Persons involved in the encounter other than the patient
participant:certifier | S | 0..* | BackboneElement | The individual who certifies to the fact that the birth occurred.
type | S | 1..1 | CodeableConcept | Birth certifier [Extended Identifier] 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 87287-9
period |  | 0..1 | Period | Period of time during the encounter that the participant participated
start | S | 0..1 | dateTime | Date certified
individual | S | 1..1 | Reference(Practitioner - Vital Records) | Persons involved in the encounter other than the patient
hospitalization | S | 0..1 | BackboneElement | Details about the admission to a healthcare service
destination | S | 0..1 | Reference(US Core Location Profile(5.0.1)) | If infant transferred, facility transferred to
dischargeDisposition | S | 0..1 | CodeableConcept | If infant transferred within 24 hours of delivery, set code = "other-hcf" (Other healthcare facility)
location | S | 0..* | BackboneElement | Information about the location of birth
location | S | 1..1 | Reference(US Core Location Profile(5.0.1)) | Facility name (if not institution, give street and number)
physicalType | S | 0..1 | CodeableConcept | The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: Birth or Delivery Occurred (NCHS) (preferred): Birth or Delivery Occurred (NCHS)
partOf | S | 0..1 | Reference(Encounter - Maternity) | Reference to the mother's maternity encounter
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Encounter.location.physicalType | preferred | PHVS_BirthDeliveryOccurred_NCHS `http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7124`

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Encounter |  | 0..* | USCoreEncounterProfile(5.0.1) | 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(Patient - Child - Vital Records) | 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 value: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(5.0.1)) | Persons involved in the encounter other than the patient
participant:attendant | S Σ | 0..* | BackboneElement | The person responsible for delivering the child.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | S Σ | 1..1 | CodeableConcept | Birth attendant [Extended Identifier] 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 87286-1
period | S | 0..1 | Period | Period of time during the encounter that the participant participated
individual | S Σ | 1..1 | Reference(Practitioner - Vital Records) | Persons involved in the encounter other than the patient
participant:certifier | S Σ | 0..* | BackboneElement | The individual who certifies to the fact that the birth occurred.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | S Σ | 1..1 | CodeableConcept | Birth certifier [Extended Identifier] 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 87287-9
period | S | 0..1 | Period | Period of time during the encounter that the participant participated
start | S Σ C | 0..1 | dateTime | Date certified
individual | S Σ | 1..1 | Reference(Practitioner - Vital Records) | Persons involved in the encounter other than the patient
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)
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
destination | S | 0..1 | Reference(US Core Location Profile(5.0.1)) | If infant transferred, facility transferred to
dischargeDisposition | S | 0..1 | CodeableConcept | If infant transferred within 24 hours of delivery, set code = "other-hcf" (Other healthcare facility) Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17
location | S | 0..* | BackboneElement | Information about the location of birth
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
location | S | 1..1 | Reference(US Core Location Profile(5.0.1)) | Facility name (if not institution, give street and number)
physicalType | S | 0..1 | CodeableConcept | The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: Birth or Delivery Occurred (NCHS) (preferred): Birth or Delivery Occurred (NCHS)
serviceProvider | S | 0..1 | Reference(US Core Organization Profile(5.0.1)) | The organization (facility) responsible for this encounter
partOf | S | 0..1 | Reference(Encounter - Maternity) | Reference to the mother's maternity encounter
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Encounter.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` from the FHIR Standard
Encounter.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` from the FHIR Standard
Encounter.class | extensible | ActEncounterCode `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode`
Encounter.type | extensible | USCoreEncounterType `http://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type`
Encounter.participant.type | extensible | ParticipantType `http://hl7.org/fhir/ValueSet/encounter-participant-type` from the FHIR Standard
Encounter.participant:attendant.type | extensible | Pattern: LOINC Code 87286-1 `http://hl7.org/fhir/ValueSet/encounter-participant-type` from the FHIR Standard
Encounter.participant:certifier.type | extensible | Pattern: LOINC Code 87287-9 `http://hl7.org/fhir/ValueSet/encounter-participant-type` from the FHIR Standard
Encounter.reasonCode | preferred | EncounterReasonCodes `http://hl7.org/fhir/ValueSet/encounter-reason` from the FHIR Standard
Encounter.hospitalization.dischargeDisposition | preferred | USCoreDischargeDisposition (a valid code from `http://www.nubc.org/patient-discharge`) `http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition`
Encounter.location.physicalType | preferred | PHVS_BirthDeliveryOccurred_NCHS `http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7124`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | 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() |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Encounter |  | 0..* | USCoreEncounterProfile(5.0.1) | 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(Patient - Child - Vital Records) | 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 value: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(5.0.1) S | US Core PractitionerRole Profile(5.0.1) | US Core RelatedPerson Profile) | Persons involved in the encounter other than the patient
participant:attendant | S Σ | 0..* | BackboneElement | The person responsible for delivering the child.
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 | Birth attendant [Extended Identifier] 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 87286-1
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(Practitioner - Vital Records) | Persons involved in the encounter other than the patient
participant:certifier | S Σ | 0..* | BackboneElement | The individual who certifies to the fact that the birth occurred.
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 | Birth certifier [Extended Identifier] 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 87287-9
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
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | S Σ C | 0..1 | dateTime | Date certified
end | Σ C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
individual | S Σ | 1..1 | Reference(Practitioner - Vital Records) | Persons involved in the encounter other than the patient
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter
period | S | 0..1 | Period | The start and end time of the encounter
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(5.0.1) | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference)
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 | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter
use |  | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: 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 | S | 0..1 | Reference(US Core Location Profile(5.0.1)) | If infant transferred, facility transferred to
dischargeDisposition | S | 0..1 | CodeableConcept | If infant transferred within 24 hours of delivery, set code = "other-hcf" (Other healthcare facility) Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17
location | S | 0..* | BackboneElement | Information about the location of birth
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 Core Location Profile(5.0.1)) | Facility name (if not institution, give street and number)
status |  | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType | S | 0..1 | CodeableConcept | The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: Birth or Delivery Occurred (NCHS) (preferred): Birth or Delivery Occurred (NCHS)
period |  | 0..1 | Period | Time period during which the patient was present at the location
serviceProvider | S | 0..1 | Reference(US Core Organization Profile(5.0.1)) | The organization (facility) responsible for this encounter
partOf | S | 0..1 | Reference(Encounter - Maternity) | Reference to the mother's maternity encounter
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Encounter.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Encounter.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` from the FHIR Standard
Encounter.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` from the FHIR Standard
Encounter.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` from the FHIR Standard
Encounter.statusHistory.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` from the FHIR Standard
Encounter.class | extensible | ActEncounterCode `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode`
Encounter.classHistory.class | extensible | ActEncounterCode `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode`
Encounter.type | extensible | USCoreEncounterType `http://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type`
Encounter.serviceType | example | ServiceType `http://hl7.org/fhir/ValueSet/service-type` from the FHIR Standard
Encounter.priority | example | ActPriority `http://terminology.hl7.org/ValueSet/v3-ActPriority`
Encounter.participant.type | extensible | ParticipantType `http://hl7.org/fhir/ValueSet/encounter-participant-type` from the FHIR Standard
Encounter.participant:attendant.type | extensible | Pattern: LOINC Code 87286-1 `http://hl7.org/fhir/ValueSet/encounter-participant-type` from the FHIR Standard
Encounter.participant:certifier.type | extensible | Pattern: LOINC Code 87287-9 `http://hl7.org/fhir/ValueSet/encounter-participant-type` from the FHIR Standard
Encounter.reasonCode | preferred | EncounterReasonCodes `http://hl7.org/fhir/ValueSet/encounter-reason` from the FHIR Standard
Encounter.diagnosis.use | preferred | DiagnosisRole `http://hl7.org/fhir/ValueSet/diagnosis-role` from the FHIR Standard
Encounter.hospitalization.admitSource | preferred | AdmitSource `http://hl7.org/fhir/ValueSet/encounter-admit-source` from the FHIR Standard
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicator `http://terminology.hl7.org/ValueSet/v2-0092`
Encounter.hospitalization.dietPreference | example | Diet `http://hl7.org/fhir/ValueSet/encounter-diet` from the FHIR Standard
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesy `http://hl7.org/fhir/ValueSet/encounter-special-courtesy` from the FHIR Standard
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangements `http://hl7.org/fhir/ValueSet/encounter-special-arrangements` from the FHIR Standard
Encounter.hospitalization.dischargeDisposition | preferred | USCoreDischargeDisposition (a valid code from `http://www.nubc.org/patient-discharge`) `http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition`
Encounter.location.status | required | EncounterLocationStatus `http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1` from the FHIR Standard
Encounter.location.physicalType | preferred | PHVS_BirthDeliveryOccurred_NCHS `http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7124`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | 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 USCoreEncounterProfile

Summary

Mandatory: 1 element(4 nested mandatory elements)
Must-Support: 16 elements

Structures

This structure refers to these other structures:

- Patient - Child - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr)
- Practitioner - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr)
- US Core Location Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-location)
- Encounter - Maternity (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Encounter-maternity)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Encounter.participant

Differential View

This structure is derived from USCoreEncounterProfile

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Encounter |  | 0..* | USCoreEncounterProfile(5.0.1) | An interaction during which services are provided to the patient
subject | S | 1..1 | Reference(Patient - Child - Vital Records) | The patient or group present at the encounter
Slices for participant | S | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by value:type
participant:attendant | S | 0..* | BackboneElement | The person responsible for delivering the child.
type | S | 1..1 | CodeableConcept | Birth attendant [Extended Identifier] 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 87286-1
individual | S | 1..1 | Reference(Practitioner - Vital Records) | Persons involved in the encounter other than the patient
participant:certifier | S | 0..* | BackboneElement | The individual who certifies to the fact that the birth occurred.
type | S | 1..1 | CodeableConcept | Birth certifier [Extended Identifier] 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 87287-9
period |  | 0..1 | Period | Period of time during the encounter that the participant participated
start | S | 0..1 | dateTime | Date certified
individual | S | 1..1 | Reference(Practitioner - Vital Records) | Persons involved in the encounter other than the patient
hospitalization | S | 0..1 | BackboneElement | Details about the admission to a healthcare service
destination | S | 0..1 | Reference(US Core Location Profile(5.0.1)) | If infant transferred, facility transferred to
dischargeDisposition | S | 0..1 | CodeableConcept | If infant transferred within 24 hours of delivery, set code = "other-hcf" (Other healthcare facility)
location | S | 0..* | BackboneElement | Information about the location of birth
location | S | 1..1 | Reference(US Core Location Profile(5.0.1)) | Facility name (if not institution, give street and number)
physicalType | S | 0..1 | CodeableConcept | The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: Birth or Delivery Occurred (NCHS) (preferred): Birth or Delivery Occurred (NCHS)
partOf | S | 0..1 | Reference(Encounter - Maternity) | Reference to the mother's maternity encounter
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Encounter.location.physicalType | preferred | PHVS_BirthDeliveryOccurred_NCHS `http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7124`

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Encounter |  | 0..* | USCoreEncounterProfile(5.0.1) | 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(Patient - Child - Vital Records) | 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 value: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(5.0.1)) | Persons involved in the encounter other than the patient
participant:attendant | S Σ | 0..* | BackboneElement | The person responsible for delivering the child.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | S Σ | 1..1 | CodeableConcept | Birth attendant [Extended Identifier] 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 87286-1
period | S | 0..1 | Period | Period of time during the encounter that the participant participated
individual | S Σ | 1..1 | Reference(Practitioner - Vital Records) | Persons involved in the encounter other than the patient
participant:certifier | S Σ | 0..* | BackboneElement | The individual who certifies to the fact that the birth occurred.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | S Σ | 1..1 | CodeableConcept | Birth certifier [Extended Identifier] 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 87287-9
period | S | 0..1 | Period | Period of time during the encounter that the participant participated
start | S Σ C | 0..1 | dateTime | Date certified
individual | S Σ | 1..1 | Reference(Practitioner - Vital Records) | Persons involved in the encounter other than the patient
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)
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
destination | S | 0..1 | Reference(US Core Location Profile(5.0.1)) | If infant transferred, facility transferred to
dischargeDisposition | S | 0..1 | CodeableConcept | If infant transferred within 24 hours of delivery, set code = "other-hcf" (Other healthcare facility) Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17
location | S | 0..* | BackboneElement | Information about the location of birth
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
location | S | 1..1 | Reference(US Core Location Profile(5.0.1)) | Facility name (if not institution, give street and number)
physicalType | S | 0..1 | CodeableConcept | The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: Birth or Delivery Occurred (NCHS) (preferred): Birth or Delivery Occurred (NCHS)
serviceProvider | S | 0..1 | Reference(US Core Organization Profile(5.0.1)) | The organization (facility) responsible for this encounter
partOf | S | 0..1 | Reference(Encounter - Maternity) | Reference to the mother's maternity encounter
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Encounter.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` from the FHIR Standard
Encounter.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` from the FHIR Standard
Encounter.class | extensible | ActEncounterCode `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode`
Encounter.type | extensible | USCoreEncounterType `http://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type`
Encounter.participant.type | extensible | ParticipantType `http://hl7.org/fhir/ValueSet/encounter-participant-type` from the FHIR Standard
Encounter.participant:attendant.type | extensible | Pattern: LOINC Code 87286-1 `http://hl7.org/fhir/ValueSet/encounter-participant-type` from the FHIR Standard
Encounter.participant:certifier.type | extensible | Pattern: LOINC Code 87287-9 `http://hl7.org/fhir/ValueSet/encounter-participant-type` from the FHIR Standard
Encounter.reasonCode | preferred | EncounterReasonCodes `http://hl7.org/fhir/ValueSet/encounter-reason` from the FHIR Standard
Encounter.hospitalization.dischargeDisposition | preferred | USCoreDischargeDisposition (a valid code from `http://www.nubc.org/patient-discharge`) `http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition`
Encounter.location.physicalType | preferred | PHVS_BirthDeliveryOccurred_NCHS `http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7124`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | 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() |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Encounter |  | 0..* | USCoreEncounterProfile(5.0.1) | 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(Patient - Child - Vital Records) | 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 value: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(5.0.1) S | US Core PractitionerRole Profile(5.0.1) | US Core RelatedPerson Profile) | Persons involved in the encounter other than the patient
participant:attendant | S Σ | 0..* | BackboneElement | The person responsible for delivering the child.
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 | Birth attendant [Extended Identifier] 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 87286-1
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(Practitioner - Vital Records) | Persons involved in the encounter other than the patient
participant:certifier | S Σ | 0..* | BackboneElement | The individual who certifies to the fact that the birth occurred.
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 | Birth certifier [Extended Identifier] 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 87287-9
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
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | S Σ C | 0..1 | dateTime | Date certified
end | Σ C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
individual | S Σ | 1..1 | Reference(Practitioner - Vital Records) | Persons involved in the encounter other than the patient
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter
period | S | 0..1 | Period | The start and end time of the encounter
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(5.0.1) | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference)
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 | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter
use |  | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: 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 | S | 0..1 | Reference(US Core Location Profile(5.0.1)) | If infant transferred, facility transferred to
dischargeDisposition | S | 0..1 | CodeableConcept | If infant transferred within 24 hours of delivery, set code = "other-hcf" (Other healthcare facility) Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17
location | S | 0..* | BackboneElement | Information about the location of birth
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 Core Location Profile(5.0.1)) | Facility name (if not institution, give street and number)
status |  | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType | S | 0..1 | CodeableConcept | The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: Birth or Delivery Occurred (NCHS) (preferred): Birth or Delivery Occurred (NCHS)
period |  | 0..1 | Period | Time period during which the patient was present at the location
serviceProvider | S | 0..1 | Reference(US Core Organization Profile(5.0.1)) | The organization (facility) responsible for this encounter
partOf | S | 0..1 | Reference(Encounter - Maternity) | Reference to the mother's maternity encounter
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Encounter.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Encounter.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` from the FHIR Standard
Encounter.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` from the FHIR Standard
Encounter.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` from the FHIR Standard
Encounter.statusHistory.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` from the FHIR Standard
Encounter.class | extensible | ActEncounterCode `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode`
Encounter.classHistory.class | extensible | ActEncounterCode `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode`
Encounter.type | extensible | USCoreEncounterType `http://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type`
Encounter.serviceType | example | ServiceType `http://hl7.org/fhir/ValueSet/service-type` from the FHIR Standard
Encounter.priority | example | ActPriority `http://terminology.hl7.org/ValueSet/v3-ActPriority`
Encounter.participant.type | extensible | ParticipantType `http://hl7.org/fhir/ValueSet/encounter-participant-type` from the FHIR Standard
Encounter.participant:attendant.type | extensible | Pattern: LOINC Code 87286-1 `http://hl7.org/fhir/ValueSet/encounter-participant-type` from the FHIR Standard
Encounter.participant:certifier.type | extensible | Pattern: LOINC Code 87287-9 `http://hl7.org/fhir/ValueSet/encounter-participant-type` from the FHIR Standard
Encounter.reasonCode | preferred | EncounterReasonCodes `http://hl7.org/fhir/ValueSet/encounter-reason` from the FHIR Standard
Encounter.diagnosis.use | preferred | DiagnosisRole `http://hl7.org/fhir/ValueSet/diagnosis-role` from the FHIR Standard
Encounter.hospitalization.admitSource | preferred | AdmitSource `http://hl7.org/fhir/ValueSet/encounter-admit-source` from the FHIR Standard
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicator `http://terminology.hl7.org/ValueSet/v2-0092`
Encounter.hospitalization.dietPreference | example | Diet `http://hl7.org/fhir/ValueSet/encounter-diet` from the FHIR Standard
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesy `http://hl7.org/fhir/ValueSet/encounter-special-courtesy` from the FHIR Standard
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangements `http://hl7.org/fhir/ValueSet/encounter-special-arrangements` from the FHIR Standard
Encounter.hospitalization.dischargeDisposition | preferred | USCoreDischargeDisposition (a valid code from `http://www.nubc.org/patient-discharge`) `http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition`
Encounter.location.status | required | EncounterLocationStatus `http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1` from the FHIR Standard
Encounter.location.physicalType | preferred | PHVS_BirthDeliveryOccurred_NCHS `http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7124`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | 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 USCoreEncounterProfile

Summary

Mandatory: 1 element(4 nested mandatory elements)
Must-Support: 16 elements

Structures

This structure refers to these other structures:

- Patient - Child - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr)
- Practitioner - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr)
- US Core Location Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-location)
- Encounter - Maternity (https://profiles.ihe.net/QRPH/bfdr/StructureDefinition/Encounter-maternity)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Encounter.participant

Other representations of profile: CSV, Excel, Schematron