Kenya Emergency FHIR Implementation Guide
0.1.0 - ci-build Kenya flag

Kenya Emergency FHIR Implementation Guide, published by Digital Health Agency (DHA), Kenya. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/Kenya-Emmergency-FHIR-IG/ and changes regularly. See the Directory of published versions

Resource Profile: Encounter - Emergency Point of Care

Official URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/em-poc-encounter Version: 0.1.0
Active as of 2026-07-20 Computable Name: EMPOCEncounter

Represents the direct patient-care encounter performed by an emergency medical team at the scene or during transport.

The point-of-care Encounter is subordinate to the root emergency incident Encounter and references it through Encounter.partOf.

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 C 0..* Encounter An interaction during which services are provided to the patient
Constraints: em-poc-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..* Identifier Identifier(s) by which this encounter is known
... class SΣ 1..1 Coding Classification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the 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
.... system 1..1 uri Identity of the terminology system
Fixed Value: https://nshr-uat.sha.go.ke/fhir/CodeSystem/em-encounter-class
.... version 0..1 string Version of the system - if relevant
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FLD
.... display 0..1 string Representation defined by the system
.... userSelected 0..1 boolean If this coding was chosen directly by the user
... type SΣ 1..* CodeableConcept Specific type of encounter
Binding: Emergency Point-of-Care Encounter Type Value Set (required)
... priority S 1..1 CodeableConcept Clinical acuity assigned after assessment by the emergency team
Binding: Emergency Clinical Acuity Value Set (required)
... subject SΣ 1..1 Reference(Patient) The patient or group present at the encounter
... episodeOfCare SΣ 1..1 Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... participant SΣ 1..* BackboneElement List of participants involved in the encounter
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... individual SΣ 1..1 Reference(Practitioner | PractitionerRole) Persons involved in the encounter other than the patient
... period S 1..1 Period The start and end time of the encounter
.... start SΣC 1..1 dateTime Starting time with inclusive boundary
.... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
... reasonCode SΣ 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... diagnosis SΣ 0..* BackboneElement The list of diagnosis relevant to this encounter
.... 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
... 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(Location - Emergency Destination Facility) Location/organization to which the patient is discharged
... location S 0..* BackboneElement List of locations where the patient has been
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location S 1..1 Reference(Location - Emergency Incident Scene | Location) Location the encounter takes place
... serviceProvider S 1..1 Reference(Organization) The organization (facility) responsible for this encounter
... partOf S 1..1 Reference(Encounter - Emergency Medical Incident) Root emergency incident Encounter

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base extensible ActEncounterCode 📦3.0.0 THO v7.2
Encounter.type Base required Emergency Point-of-Care Encounter Type Value Set 📦0.1.0 This IG
Encounter.priority Base required Emergency Clinical Acuity Value Set 📦0.1.0 This IG
Encounter.reasonCode Base preferred Encounter Reason Codes 📍4.0.1 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().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())
em-poc-1 error Encounter The point-of-care Encounter period end must not occur before its period start. period.end.empty() or period.start.empty() or period.end >= period.start
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 C 0..* Encounter An interaction during which services are provided to the patient
Constraints: em-poc-1
... identifier S 1..* Identifier Identifier(s) by which this encounter is known
... status S 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
... class S 1..1 Coding Classification of patient encounter
Required Pattern: At least the following
.... system 1..1 uri Identity of the terminology system
Fixed Value: https://nshr-uat.sha.go.ke/fhir/CodeSystem/em-encounter-class
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FLD
... priority S 1..1 CodeableConcept Clinical acuity assigned after assessment by the emergency team
Binding: Emergency Clinical Acuity Value Set (required)
... subject S 1..1 Reference(Patient) The patient or group present at the encounter
... episodeOfCare S 1..1 Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... participant S 1..* BackboneElement List of participants involved in the encounter
.... individual S 1..1 Reference(Practitioner | PractitionerRole) Persons involved in the encounter other than the patient
... period S 1..1 Period The start and end time of the encounter
.... start S 1..1 dateTime Starting time with inclusive boundary
.... end S 0..1 dateTime End time with inclusive boundary, if not ongoing
... reasonCode S 0..* CodeableConcept Coded reason the encounter takes place
... diagnosis S 0..* BackboneElement The list of diagnosis relevant to this encounter
... hospitalization S 0..1 BackboneElement Details about the admission to a healthcare service
.... destination S 0..1 Reference(Location - Emergency Destination Facility) Location/organization to which the patient is discharged
... location S 0..* BackboneElement List of locations where the patient has been
.... location S 1..1 Reference(Location - Emergency Incident Scene | Location) Location the encounter takes place
... serviceProvider S 1..1 Reference(Organization) The organization (facility) responsible for this encounter
... partOf S 1..1 Reference(Encounter - Emergency Medical Incident) Root emergency incident Encounter

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.type Base required Emergency Point-of-Care Encounter Type Value Set 📦0.1.0 This IG
Encounter.priority Base required Emergency Clinical Acuity Value Set 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
em-poc-1 error Encounter The point-of-care Encounter period end must not occur before its period start. period.end.empty() or period.start.empty() or period.end >= period.start
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter C 0..* Encounter An interaction during which services are provided to the patient
Constraints: em-poc-1
... 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 BindingsPurpose
AllLanguages Max Binding
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..* Identifier Identifier(s) by which this encounter is known
... status ?!SΣ 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
.... period 1..1 Period The time that the episode was in the specified status
... class SΣ 1..1 Coding Classification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.
Required Pattern: At least the following
.... 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: https://nshr-uat.sha.go.ke/fhir/CodeSystem/em-encounter-class
.... version 0..1 string Version of the system - if relevant
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FLD
.... display 0..1 string Representation defined by the system
.... userSelected 0..1 boolean If this coding was chosen directly by the user
... classHistory 0..* BackboneElement List of past encounter classes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.
.... period 1..1 Period The time that the episode was in the specified class
... type SΣ 1..* CodeableConcept Specific type of encounter
Binding: Emergency Point-of-Care Encounter Type Value Set (required)
... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
... priority S 1..1 CodeableConcept Clinical acuity assigned after assessment by the emergency team
Binding: Emergency Clinical Acuity Value Set (required)
... subject SΣ 1..1 Reference(Patient) The patient or group present at the encounter
... episodeOfCare SΣ 1..1 Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
... participant SΣ 1..* BackboneElement List of participants involved in the 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
.... type Σ 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
.... individual SΣ 1..1 Reference(Practitioner | PractitionerRole) Persons involved in the encounter other than the patient
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... period S 1..1 Period The start and end time of the encounter
.... 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 SΣC 1..1 dateTime Starting time with inclusive boundary
.... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
... reasonCode SΣ 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... reasonReference Σ 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
... diagnosis SΣ 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(Location - Emergency Destination Facility) 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 S 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 S 1..1 Reference(Location - Emergency Incident Scene | Location) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
.... physicalType 0..1 CodeableConcept The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.
.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider S 1..1 Reference(Organization) The organization (facility) responsible for this encounter
... partOf S 1..1 Reference(Encounter - Emergency Medical Incident) Root emergency incident Encounter

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Encounter.status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base extensible ActEncounterCode 📦3.0.0 THO v7.2
Encounter.classHistory.​class Base extensible ActEncounterCode 📦3.0.0 THO v7.2
Encounter.type Base required Emergency Point-of-Care Encounter Type Value Set 📦0.1.0 This IG
Encounter.serviceType Base example Service type 📍4.0.1 FHIR Std.
Encounter.priority Base required Emergency Clinical Acuity Value Set 📦0.1.0 This IG
Encounter.participant.​type Base extensible Participant type 📍4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📍4.0.1 FHIR Std.
Encounter.diagnosis.​use Base preferred DiagnosisRole 📍4.0.1 FHIR Std.
Encounter.hospitalization.​admitSource Base preferred Admit source 📍4.0.1 FHIR Std.
Encounter.hospitalization.​reAdmission Base example hl7VS-re-admissionIndicator 📦3.0.0 THO v7.2
Encounter.hospitalization.​dietPreference Base example Diet 📍4.0.1 FHIR Std.
Encounter.hospitalization.​specialCourtesy Base preferred Special courtesy 📍4.0.1 FHIR Std.
Encounter.hospitalization.​specialArrangement Base preferred Special arrangements 📍4.0.1 FHIR Std.
Encounter.hospitalization.​dischargeDisposition Base example Discharge disposition 📍4.0.1 FHIR Std.
Encounter.location.status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location.physicalType Base example Location type 📍4.0.1 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().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())
em-poc-1 error Encounter The point-of-care Encounter period end must not occur before its period start. period.end.empty() or period.start.empty() or period.end >= period.start
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 C 0..* Encounter An interaction during which services are provided to the patient
Constraints: em-poc-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..* Identifier Identifier(s) by which this encounter is known
... class SΣ 1..1 Coding Classification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the 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
.... system 1..1 uri Identity of the terminology system
Fixed Value: https://nshr-uat.sha.go.ke/fhir/CodeSystem/em-encounter-class
.... version 0..1 string Version of the system - if relevant
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FLD
.... display 0..1 string Representation defined by the system
.... userSelected 0..1 boolean If this coding was chosen directly by the user
... type SΣ 1..* CodeableConcept Specific type of encounter
Binding: Emergency Point-of-Care Encounter Type Value Set (required)
... priority S 1..1 CodeableConcept Clinical acuity assigned after assessment by the emergency team
Binding: Emergency Clinical Acuity Value Set (required)
... subject SΣ 1..1 Reference(Patient) The patient or group present at the encounter
... episodeOfCare SΣ 1..1 Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... participant SΣ 1..* BackboneElement List of participants involved in the encounter
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... individual SΣ 1..1 Reference(Practitioner | PractitionerRole) Persons involved in the encounter other than the patient
... period S 1..1 Period The start and end time of the encounter
.... start SΣC 1..1 dateTime Starting time with inclusive boundary
.... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
... reasonCode SΣ 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... diagnosis SΣ 0..* BackboneElement The list of diagnosis relevant to this encounter
.... 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
... 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(Location - Emergency Destination Facility) Location/organization to which the patient is discharged
... location S 0..* BackboneElement List of locations where the patient has been
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location S 1..1 Reference(Location - Emergency Incident Scene | Location) Location the encounter takes place
... serviceProvider S 1..1 Reference(Organization) The organization (facility) responsible for this encounter
... partOf S 1..1 Reference(Encounter - Emergency Medical Incident) Root emergency incident Encounter

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base extensible ActEncounterCode 📦3.0.0 THO v7.2
Encounter.type Base required Emergency Point-of-Care Encounter Type Value Set 📦0.1.0 This IG
Encounter.priority Base required Emergency Clinical Acuity Value Set 📦0.1.0 This IG
Encounter.reasonCode Base preferred Encounter Reason Codes 📍4.0.1 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().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())
em-poc-1 error Encounter The point-of-care Encounter period end must not occur before its period start. period.end.empty() or period.start.empty() or period.end >= period.start
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 C 0..* Encounter An interaction during which services are provided to the patient
Constraints: em-poc-1
... identifier S 1..* Identifier Identifier(s) by which this encounter is known
... status S 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
... class S 1..1 Coding Classification of patient encounter
Required Pattern: At least the following
.... system 1..1 uri Identity of the terminology system
Fixed Value: https://nshr-uat.sha.go.ke/fhir/CodeSystem/em-encounter-class
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FLD
... priority S 1..1 CodeableConcept Clinical acuity assigned after assessment by the emergency team
Binding: Emergency Clinical Acuity Value Set (required)
... subject S 1..1 Reference(Patient) The patient or group present at the encounter
... episodeOfCare S 1..1 Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... participant S 1..* BackboneElement List of participants involved in the encounter
.... individual S 1..1 Reference(Practitioner | PractitionerRole) Persons involved in the encounter other than the patient
... period S 1..1 Period The start and end time of the encounter
.... start S 1..1 dateTime Starting time with inclusive boundary
.... end S 0..1 dateTime End time with inclusive boundary, if not ongoing
... reasonCode S 0..* CodeableConcept Coded reason the encounter takes place
... diagnosis S 0..* BackboneElement The list of diagnosis relevant to this encounter
... hospitalization S 0..1 BackboneElement Details about the admission to a healthcare service
.... destination S 0..1 Reference(Location - Emergency Destination Facility) Location/organization to which the patient is discharged
... location S 0..* BackboneElement List of locations where the patient has been
.... location S 1..1 Reference(Location - Emergency Incident Scene | Location) Location the encounter takes place
... serviceProvider S 1..1 Reference(Organization) The organization (facility) responsible for this encounter
... partOf S 1..1 Reference(Encounter - Emergency Medical Incident) Root emergency incident Encounter

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.type Base required Emergency Point-of-Care Encounter Type Value Set 📦0.1.0 This IG
Encounter.priority Base required Emergency Clinical Acuity Value Set 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
em-poc-1 error Encounter The point-of-care Encounter period end must not occur before its period start. period.end.empty() or period.start.empty() or period.end >= period.start

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter C 0..* Encounter An interaction during which services are provided to the patient
Constraints: em-poc-1
... 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 BindingsPurpose
AllLanguages Max Binding
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..* Identifier Identifier(s) by which this encounter is known
... status ?!SΣ 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
.... period 1..1 Period The time that the episode was in the specified status
... class SΣ 1..1 Coding Classification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.
Required Pattern: At least the following
.... 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: https://nshr-uat.sha.go.ke/fhir/CodeSystem/em-encounter-class
.... version 0..1 string Version of the system - if relevant
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FLD
.... display 0..1 string Representation defined by the system
.... userSelected 0..1 boolean If this coding was chosen directly by the user
... classHistory 0..* BackboneElement List of past encounter classes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.
.... period 1..1 Period The time that the episode was in the specified class
... type SΣ 1..* CodeableConcept Specific type of encounter
Binding: Emergency Point-of-Care Encounter Type Value Set (required)
... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
... priority S 1..1 CodeableConcept Clinical acuity assigned after assessment by the emergency team
Binding: Emergency Clinical Acuity Value Set (required)
... subject SΣ 1..1 Reference(Patient) The patient or group present at the encounter
... episodeOfCare SΣ 1..1 Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
... participant SΣ 1..* BackboneElement List of participants involved in the 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
.... type Σ 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
.... individual SΣ 1..1 Reference(Practitioner | PractitionerRole) Persons involved in the encounter other than the patient
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... period S 1..1 Period The start and end time of the encounter
.... 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 SΣC 1..1 dateTime Starting time with inclusive boundary
.... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
... reasonCode SΣ 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... reasonReference Σ 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
... diagnosis SΣ 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(Location - Emergency Destination Facility) 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 S 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 S 1..1 Reference(Location - Emergency Incident Scene | Location) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
.... physicalType 0..1 CodeableConcept The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.
.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider S 1..1 Reference(Organization) The organization (facility) responsible for this encounter
... partOf S 1..1 Reference(Encounter - Emergency Medical Incident) Root emergency incident Encounter

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Encounter.status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base extensible ActEncounterCode 📦3.0.0 THO v7.2
Encounter.classHistory.​class Base extensible ActEncounterCode 📦3.0.0 THO v7.2
Encounter.type Base required Emergency Point-of-Care Encounter Type Value Set 📦0.1.0 This IG
Encounter.serviceType Base example Service type 📍4.0.1 FHIR Std.
Encounter.priority Base required Emergency Clinical Acuity Value Set 📦0.1.0 This IG
Encounter.participant.​type Base extensible Participant type 📍4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📍4.0.1 FHIR Std.
Encounter.diagnosis.​use Base preferred DiagnosisRole 📍4.0.1 FHIR Std.
Encounter.hospitalization.​admitSource Base preferred Admit source 📍4.0.1 FHIR Std.
Encounter.hospitalization.​reAdmission Base example hl7VS-re-admissionIndicator 📦3.0.0 THO v7.2
Encounter.hospitalization.​dietPreference Base example Diet 📍4.0.1 FHIR Std.
Encounter.hospitalization.​specialCourtesy Base preferred Special courtesy 📍4.0.1 FHIR Std.
Encounter.hospitalization.​specialArrangement Base preferred Special arrangements 📍4.0.1 FHIR Std.
Encounter.hospitalization.​dischargeDisposition Base example Discharge disposition 📍4.0.1 FHIR Std.
Encounter.location.status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location.physicalType Base example Location type 📍4.0.1 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().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())
em-poc-1 error Encounter The point-of-care Encounter period end must not occur before its period start. period.end.empty() or period.start.empty() or period.end >= period.start
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

 

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