Guide d'implémentation Fr Core
2.2.0-ballot - ballot

Guide d'implémentation Fr Core, publié par Interop'Santé. Ce guide nest pas une publication autorisée ; cest la version en intégration continue pour la version 2.2.0-ballot construite par le CI Build FHIR (HL7® FHIR® Standard). Cette version est basée sur le contenu actuel de https://github.com/Interop-Sante/hl7.fhir.fr.core/ et change régulièrement. Voir le répertoire des versions publiées

## Resource Profile: FRCoreEncounterProfile - Detailed Descriptions

Active as of 2025-12-02

Definitions for the fr-core-encounter resource profile.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Des conseils sur linterprétation du contenu de ce tableau peuvent être trouvésici

0. Encounter
Définition | An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.
Court | An interaction during which services are provided to the patient
Contrôle | 0..*
Est modificateur | false
Résumé | false
Noms alternatifs | Visit
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Encounter.implicitRules
Définition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Court | A set of rules under which this content was created
Commentaires | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Contrôle | 0..1
Type | uri
Est modificateur | true parce que This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Encounter.extension
Définition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | ExtensionAdditional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | Cet élément introduit un ensemble de slices sur `Encounter.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
6. Encounter.extension:estimatedDischargeDate
Nom de la slice | estimatedDischargeDate
Définition | This extension is used to specify the estimated discharge date of the patient
Court | Estimated discharge date | Date de sortie estimée
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(FR Core Encounter Estimated Discharge Date Extension) (Type dextension : date)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. Encounter.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résumé | false
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. Encounter.identifier
Définition | Identifier(s) by which this encounter is known.Cet élément est multiévalué (pour ne pas bloquer les implémentations, car il arrive sur le terrain qu'il y ait plusieurs id pour une même admission, mais cette situation est considérée comme une anomalie) Identifier(s) by which this encounter is known.
Court | Identifier(s) by which this encounter is known | identifiant de la rencontre
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 10..*
Type | Identifier
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Encounter.identifier.use
Définition | The purpose of this identifier.
Court | usual | official | temp | secondary | old (If known)
Commentaires | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Est modificateur | true parce que This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Encounter.identifier.type
Définition | A coded type for an identifier that can be used to determine which identifier to use for a specific purpose | Type d'identifiant (admission ou de mouvement lors d'une hospitalisation) (JdV à définir) A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Court | Description of identifier
Commentaires | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Contrôle | 10..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de FR Core ValueSet Encounter identifier type http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-identifier-type` )
Type | CodeableConcept
Est modificateur | false
Résumé | true
Exigences | Allows users to make use of identifiers when the identifier system is not known.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Encounter.identifier.system
Définition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Le namespace est défini à partir de la racine d'identification (gérée par l'ANS) de l'organisation où a lieu la rencontre, concaténée avec par exemple le FINESS de l'établissent (ou FINEJ ou SIRET ou SIREN), cf annexe française des types de données HL7 en France. Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Court | The namespace for the identifier value
Commentaires | Identifier.system is always case sensitive.
Contrôle | 10..1
Type | uri
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemple | General: http://www.acme.com/identifiers/patient OID de l'ANS de gestion des organisations (1.2.250.1.71.4.2.2) suivi du FINESS suivi de la branche z qui gère les id de venue/mouvements si l'établissement n'a pas d'OID (sinon utilisation de l'OID de l'établissement): urn:oid:1.2.250.1.71.4.2.2.1330780321 autre solution, utilisation d'une URL: http://encounter-identifier-system.org
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Encounter.identifier.value
Définition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Court | The value that is unique
Commentaires | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Contrôle | 10..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exemple | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Encounter.identifier.assigner
Définition | Organization that issued/manages the identifier.
Court | Organization that issued id (may be just text)
Commentaires | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Contrôle | 0..1
Type | Reference(FR Core Organization Profile, Organization)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Encounter.status
Définition | planned | arrived | triaged | in-progress | onleave | finished | cancelled +.
Court | planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Commentaires | Note that internal business rules will determine the appropriate transitions that may occur between statuses (and also classes).
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` ) Current state of the encounter.
Type | code
Est modificateur | true parce que This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Encounter.class
Définition | Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.
Court | Classification of patient encounter
Contrôle | 1..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de ActEncounterCode (3.0.0)http://terminology.hl7.org/ValueSet/v3-ActEncounterCode (extensible to `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0` ) Classification of the encounter.
Type | Coding
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Encounter.class.system
Définition | The identification of the code system that defines the meaning of the symbol in the code.
Court | Identity of the terminology system
Commentaires | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Contrôle | 10..1
Type | uri
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Need to be unambiguous about the source of the definition of the symbol.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Encounter.class.code
Définition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Court | Symbol in syntax defined by the system
Contrôle | 10..1
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Need to refer to a particular code in the system.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Encounter.type
Définition | Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).
Court | Specific type of encounter
Commentaires | Since there are many ways to further classify encounters, this element is 0..*.
Contrôle | 0..1*
Binding | Pour des exemples de codes, voir FR Core ValueSet Encounter type http://hl7.org/fhir/ValueSet/encounter-type|4.0.1 (example to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-type` )
Type | CodeableConcept
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Encounter.subject
Définition | The patient or group present at the encounter.
Court | The patient or group present at the encounter
Commentaires | While the encounter is always about the patient, the patient might not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked).
Contrôle | 0..1
Type | Reference(FR Core Patient Profile, Group, Patient, Group)
Est modificateur | false
Résumé | true
Noms alternatifs | patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Encounter.participant
Définition | The list of people responsible for providing the service.
Court | List of participants involved in the encounter | Liste des personnes impliquées dans la rencontre
Contrôle | 0..*
Type | BackboneElement
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Encounter.participant.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
38. Encounter.participant.individual
Définition | Persons involved in the encounter other than the patient.
Court | Persons involved in the encounter other than the patient
Contrôle | 0..1
Type | Reference(RelatedPerson, FR Core Practitioner Profile, PractitionerRole, Practitioner, PractitionerRole, RelatedPerson)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. Encounter.appointment
Définition | The appointment that scheduled this encounter.
Court | The appointment that scheduled this encounter
Contrôle | 0..*
Type | Reference(FR Core Appointment Profile, Appointment)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. Encounter.period
Définition | The start and end time of the encounter.
Court | The start and end time of the encounter
Commentaires | If not (yet) known, the end of the Period may be omitted.
Contrôle | 10..1
Type | Period
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. Encounter.account
Définition | The set of accounts that may be used for billing for this Encounter.
Court | The set of accounts that may be used for billing for this Encounter
Commentaires | The billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules.
Contrôle | 0..1*
Type | Reference(Account)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. Encounter.serviceProvider
Définition | The organization that is primarily responsible for this Encounter's services. This MAY be the same as the organization on the Patient record, however it could be different, such as if the actor performing the services was from an external organization (which may be billed seperately) for an external consultation. Refer to the example bundle showing an abbreviated set of Encounters for a colonoscopy.
Court | The organization (facility) responsible for this encounter
Contrôle | 0..1
Type | Reference(FR Core Organization Profile, Organization)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. Encounter.partOf
Définition | Another Encounter of which this encounter is a part of (administratively or in time).
Court | Another Encounter this encounter is part of
Commentaires | This is also used for associating a child's encounter back to the mother's encounter. Refer to the Notes section in the Patient resource for further details.
Contrôle | 0..1
Type | Reference(FR Core Encounter Profile, Encounter)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Des conseils sur linterprétation du contenu de ce tableau peuvent être trouvésici

0. Encounter
2. Encounter.meta
4. Encounter.meta.profile
Slicing | Cet élément introduit un ensemble de slices sur `Encounter.meta.profile`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ $this
6. Encounter.meta.profile:fr-canonical
Nom de la slice | fr-canonical
Contrôle | 0..1
Valeur de motif | `https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter`
8. Encounter.extension
Slicing | Cet élément introduit un ensemble de slices sur `Encounter.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
10. Encounter.extension:estimatedDischargeDate
Nom de la slice | estimatedDischargeDate
Contrôle | 0..1
Type | Extension(FR Core Encounter Estimated Discharge Date Extension) (Type dextension : date)
12. Encounter.identifier
Définition | Identifier(s) by which this encounter is known.Cet élément est multiévalué (pour ne pas bloquer les implémentations, car il arrive sur le terrain qu'il y ait plusieurs id pour une même admission, mais cette situation est considérée comme une anomalie)
Court | Identifier(s) by which this encounter is known | identifiant de la rencontre
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 1..?
14. Encounter.identifier.type
Définition | A coded type for an identifier that can be used to determine which identifier to use for a specific purpose | Type d'identifiant (admission ou de mouvement lors d'une hospitalisation) (JdV à définir)
Contrôle | 1..?
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de FR Core ValueSet Encounter identifier type (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-identifier-type` )
16. Encounter.identifier.system
Définition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Le namespace est défini à partir de la racine d'identification (gérée par l'ANS) de l'organisation où a lieu la rencontre, concaténée avec par exemple le FINESS de l'établissent (ou FINEJ ou SIRET ou SIREN), cf annexe française des types de données HL7 en France.
Contrôle | 1..?
Exemple | OID de l'ANS de gestion des organisations (1.2.250.1.71.4.2.2) suivi du FINESS suivi de la branche z qui gère les id de venue/mouvements si l'établissement n'a pas d'OID (sinon utilisation de l'OID de l'établissement): urn:oid:1.2.250.1.71.4.2.2.1330780321 autre solution, utilisation d'une URL: http://encounter-identifier-system.org
18. Encounter.identifier.value
Contrôle | 1..?
20. Encounter.identifier.assigner
Type | Reference(FR Core Organization Profile)
22. Encounter.class
24. Encounter.class.system
Contrôle | 1..?
26. Encounter.class.code
Contrôle | 1..?
28. Encounter.type
Contrôle | 0..1
Binding | Pour des exemples de codes, voir FR Core ValueSet Encounter type (example to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-type` )
30. Encounter.subject
Type | Reference(FR Core Patient Profile, Group)
32. Encounter.participant
Court | List of participants involved in the encounter | Liste des personnes impliquées dans la rencontre
34. Encounter.participant.individual
Type | Reference(RelatedPerson, FR Core Practitioner Profile, PractitionerRole)
36. Encounter.appointment
Type | Reference(FR Core Appointment Profile)
38. Encounter.period
Contrôle | 1..?
40. Encounter.account
Contrôle | 0..1
42. Encounter.hospitalization
44. Encounter.hospitalization.preAdmissionIdentifier
Court | Pre-admission identifier | Identifiant de pré-admission
46. Encounter.hospitalization.preAdmissionIdentifier.type
Contrôle | 1..?
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de FR Core ValueSet Encounter identifier type (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-identifier-type` )
48. Encounter.hospitalization.preAdmissionIdentifier.system
Définition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Le namespace est défini à partir de la racine d'identification (gérée par l'ANS) de l'organisation où a lieu la rencontre , concaténée avec par exemple le FINESS de l'établissent (ou FINEJ ou SIRET ou SIREN), cf annexe française des types de données HL7 en France
Contrôle | 1..?
Valeur fixe | `1.2.250.1.71.4.2.2+.n°FINESS`
50. Encounter.hospitalization.preAdmissionIdentifier.value
Contrôle | 1..?
52. Encounter.hospitalization.preAdmissionIdentifier.assigner
Type | Reference(FR Core Organization Profile)
54. Encounter.hospitalization.origin
Type | Reference(FR Core Location Profile, FR Core Organization Profile)
56. Encounter.hospitalization.reAdmission
Court | the resaon of re-admission of this hospitalization encounter | Raison de la ré-admission du patient.
58. Encounter.hospitalization.destination
Type | Reference(FR Core Location Profile, FR Core Organization Profile)
60. Encounter.hospitalization.dischargeDisposition
Binding | Pour des exemples de codes, voir FR Core ValueSet Encounter discharge disposition (example to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-discharge-disposition` )
62. Encounter.location
64. Encounter.location.location
Type | Reference(FR Core Location Profile)
66. Encounter.location.physicalType
Binding | Pour des exemples de codes, voir FR Core ValueSet Location type (example to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-location-type` )
68. Encounter.serviceProvider
Type | Reference(FR Core Organization Profile)
70. Encounter.partOf
Type | Reference(FR Core Encounter Profile)

Des conseils sur linterprétation du contenu de ce tableau peuvent être trouvésici

0. Encounter
Définition | An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.
Court | An interaction during which services are provided to the patient
Contrôle | 0..*
Est modificateur | false
Résumé | false
Noms alternatifs | Visit
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`)
2. Encounter.id
Définition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Court | Logical id of this artifact
Commentaires | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Contrôle | 0..1
Type | id
Est modificateur | false
Résumé | true
4. Encounter.meta
Définition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Court | Metadata about the resource
Contrôle | 0..1
Type | Meta
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. Encounter.meta.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
8. Encounter.meta.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `Encounter.meta.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
10. Encounter.meta.versionId
Définition | The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
Court | Version specific identifier
Commentaires | The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
Contrôle | 0..1
Type | id
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. Encounter.meta.lastUpdated
Définition | When the resource last changed - e.g. when the version changed.
Court | When the resource version last changed
Commentaires | This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
Contrôle | 0..1
Type | instant
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
14. Encounter.meta.source
Définition | A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
Court | Identifies where the resource comes from
Commentaires | In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Contrôle | 0..1
Type | uri
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
16. Encounter.meta.profile
Définition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.
Court | Profiles this resource claims to conform to
Commentaires | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Contrôle | 0..*
Type | canonical(StructureDefinition)
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | Cet élément introduit un ensemble de slices sur `Encounter.meta.profile`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ $this
18. Encounter.meta.profile:fr-canonical
Nom de la slice | fr-canonical
Définition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.
Court | Profiles this resource claims to conform to
Commentaires | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Contrôle | 0..1
Type | canonical(StructureDefinition)
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Valeur de motif | `https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. Encounter.meta.security
Définition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
Court | Security Labels applied to this resource
Commentaires | The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Contrôle | 0..*
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de All Security Labels (extensible to `http://hl7.org/fhir/ValueSet/security-labels|4.0.1` ) Security Labels from the Healthcare Privacy and Security Classification System.
Type | Coding
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. Encounter.meta.tag
Définition | Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
Court | Tags applied to this resource
Commentaires | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Contrôle | 0..*
Binding | Pour des exemples de codes, voir CommonTags (example to `http://hl7.org/fhir/ValueSet/common-tags|4.0.1` ) Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Type | Coding
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. Encounter.implicitRules
Définition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Court | A set of rules under which this content was created
Commentaires | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Contrôle | 0..1
Type | uri
Est modificateur | true parce que This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. Encounter.language
Définition | The base language in which the resource is written.
Court | Language of the resource content
Commentaires | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. Encounter.text
Définition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Court | Text summary of the resource, for human interpretation
Commentaires | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Contrôle | 0..1
Type | Narrative
Est modificateur | false
Résumé | false
Noms alternatifs | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. Encounter.contained
Définition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Court | Contained, inline Resources
Commentaires | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Contrôle | 0..*
Type | Resource
Est modificateur | false
Résumé | false
Noms alternatifs | inline resources, anonymous resources, contained resources
32. Encounter.extension
Définition | An Extension
Court | Extension
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `Encounter.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
34. Encounter.extension:estimatedDischargeDate
Nom de la slice | estimatedDischargeDate
Définition | This extension is used to specify the estimated discharge date of the patient
Court | Estimated discharge date | Date de sortie estimée
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(FR Core Encounter Estimated Discharge Date Extension) (Type dextension : date)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
36. Encounter.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résumé | false
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
38. Encounter.identifier
Définition | Identifier(s) by which this encounter is known.Cet élément est multiévalué (pour ne pas bloquer les implémentations, car il arrive sur le terrain qu'il y ait plusieurs id pour une même admission, mais cette situation est considérée comme une anomalie)
Court | Identifier(s) by which this encounter is known | identifiant de la rencontre
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 1..*
Type | Identifier
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. Encounter.identifier.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
42. Encounter.identifier.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `Encounter.identifier.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
44. Encounter.identifier.use
Définition | The purpose of this identifier.
Court | usual | official | temp | secondary | old (If known)
Commentaires | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Est modificateur | true parce que This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. Encounter.identifier.type
Définition | A coded type for an identifier that can be used to determine which identifier to use for a specific purpose | Type d'identifiant (admission ou de mouvement lors d'une hospitalisation) (JdV à définir)
Court | Description of identifier
Commentaires | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Contrôle | 1..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de FR Core ValueSet Encounter identifier type (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-identifier-type` )
Type | CodeableConcept
Est modificateur | false
Résumé | true
Exigences | Allows users to make use of identifiers when the identifier system is not known.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. Encounter.identifier.system
Définition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Le namespace est défini à partir de la racine d'identification (gérée par l'ANS) de l'organisation où a lieu la rencontre, concaténée avec par exemple le FINESS de l'établissent (ou FINEJ ou SIRET ou SIREN), cf annexe française des types de données HL7 en France.
Court | The namespace for the identifier value
Commentaires | Identifier.system is always case sensitive.
Contrôle | 1..1
Type | uri
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemple | General: http://www.acme.com/identifiers/patient OID de l'ANS de gestion des organisations (1.2.250.1.71.4.2.2) suivi du FINESS suivi de la branche z qui gère les id de venue/mouvements si l'établissement n'a pas d'OID (sinon utilisation de l'OID de l'établissement): urn:oid:1.2.250.1.71.4.2.2.1330780321 autre solution, utilisation d'une URL: http://encounter-identifier-system.org
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. Encounter.identifier.value
Définition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Court | The value that is unique
Commentaires | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Contrôle | 1..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exemple | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. Encounter.identifier.period
Définition | Time period during which identifier is/was valid for use.
Court | Time period when id is/was valid for use
Contrôle | 0..1
Type | Period
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. Encounter.identifier.assigner
Définition | Organization that issued/manages the identifier.
Court | Organization that issued id (may be just text)
Commentaires | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Contrôle | 0..1
Type | Reference(FR Core Organization Profile)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. Encounter.status
Définition | planned | arrived | triaged | in-progress | onleave | finished | cancelled +.
Court | planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Commentaires | Note that internal business rules will determine the appropriate transitions that may occur between statuses (and also classes).
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de EncounterStatus (required to `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` ) Current state of the encounter.
Type | code
Est modificateur | true parce que This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. Encounter.statusHistory
Définition | The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.
Court | List of past encounter statuses
Commentaires | The current status is always found in the current version of the resource, not the status history.
Contrôle | 0..*
Type | BackboneElement
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
60. Encounter.statusHistory.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
62. Encounter.statusHistory.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
64. Encounter.statusHistory.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
66. Encounter.statusHistory.status
Définition | planned | arrived | triaged | in-progress | onleave | finished | cancelled +.
Court | planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de EncounterStatus (required to `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` ) Current state of the encounter.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. Encounter.statusHistory.period
Définition | The time that the episode was in the specified status.
Court | The time that the episode was in the specified status
Contrôle | 1..1
Type | Period
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. Encounter.class
Définition | Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.
Court | Classification of patient encounter
Contrôle | 1..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de ActEncounterCode (3.0.0) (extensible to `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0` ) Classification of the encounter.
Type | Coding
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. Encounter.class.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
74. Encounter.class.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `Encounter.class.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
76. Encounter.class.system
Définition | The identification of the code system that defines the meaning of the symbol in the code.
Court | Identity of the terminology system
Commentaires | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Contrôle | 1..1
Type | uri
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Need to be unambiguous about the source of the definition of the symbol.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
78. Encounter.class.version
Définition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Court | Version of the system - if relevant
Commentaires | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Note | Ceci est un ID de version métier, pas un ID de version de ressource (voir discussion)
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. Encounter.class.code
Définition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Court | Symbol in syntax defined by the system
Contrôle | 1..1
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Need to refer to a particular code in the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. Encounter.class.display
Définition | A representation of the meaning of the code in the system, following the rules of the system.
Court | Representation defined by the system
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. Encounter.class.userSelected
Définition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Court | If this coding was chosen directly by the user
Commentaires | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Contrôle | 0..1
Type | boolean
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. Encounter.classHistory
Définition | The class history permits the tracking of the encounters transitions without needing to go through the resource history. This would be used for a case where an admission starts of as an emergency encounter, then transitions into an inpatient scenario. Doing this and not restarting a new encounter ensures that any lab/diagnostic results can more easily follow the patient and not require re-processing and not get lost or cancelled during a kind of discharge from emergency to inpatient.
Court | List of past encounter classes
Contrôle | 0..*
Type | BackboneElement
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
88. Encounter.classHistory.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
90. Encounter.classHistory.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
92. Encounter.classHistory.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
94. Encounter.classHistory.class
Définition | inpatient | outpatient | ambulatory | emergency +.
Court | inpatient | outpatient | ambulatory | emergency +
Contrôle | 1..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de ActEncounterCode (3.0.0) (extensible to `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0` ) Classification of the encounter.
Type | Coding
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
96. Encounter.classHistory.period
Définition | The time that the episode was in the specified class.
Court | The time that the episode was in the specified class
Contrôle | 1..1
Type | Period
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
98. Encounter.type
Définition | Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).
Court | Specific type of encounter
Commentaires | Since there are many ways to further classify encounters, this element is 0..*.
Contrôle | 0..1
Binding | Pour des exemples de codes, voir FR Core ValueSet Encounter type (example to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-type` )
Type | CodeableConcept
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. Encounter.serviceType
Définition | Broad categorization of the service that is to be provided (e.g. cardiology).
Court | Specific type of service
Contrôle | 0..1
Binding | Pour des exemples de codes, voir ServiceType (example to `http://hl7.org/fhir/ValueSet/service-type|4.0.1` ) Broad categorization of the service that is to be provided.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. Encounter.priority
Définition | Indicates the urgency of the encounter.
Court | Indicates the urgency of the encounter
Contrôle | 0..1
Binding | Pour des exemples de codes, voir ActPriority (3.0.0) (example to `http://terminology.hl7.org/ValueSet/v3-ActPriority|3.0.0` ) Indicates the urgency of the encounter.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. Encounter.subject
Définition | The patient or group present at the encounter.
Court | The patient or group present at the encounter
Commentaires | While the encounter is always about the patient, the patient might not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked).
Contrôle | 0..1
Type | Reference(FR Core Patient Profile, Group)
Est modificateur | false
Résumé | true
Noms alternatifs | patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
106. Encounter.episodeOfCare
Définition | Where a specific encounter should be classified as a part of a specific episode(s) of care this field should be used. This association can facilitate grouping of related encounters together for a specific purpose, such as government reporting, issue tracking, association via a common problem. The association is recorded on the encounter as these are typically created after the episode of care and grouped on entry rather than editing the episode of care to append another encounter to it (the episode of care could span years).
Court | Episode(s) of care that this encounter should be recorded against
Contrôle | 0..*
Type | Reference(EpisodeOfCare)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
108. Encounter.basedOn
Définition | The request this encounter satisfies (e.g. incoming referral or procedure request).
Court | The ServiceRequest that initiated this encounter
Contrôle | 0..*
Type | Reference(ServiceRequest)
Est modificateur | false
Résumé | false
Noms alternatifs | incomingReferral
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. Encounter.participant
Définition | The list of people responsible for providing the service.
Court | List of participants involved in the encounter | Liste des personnes impliquées dans la rencontre
Contrôle | 0..*
Type | BackboneElement
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. Encounter.participant.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
114. Encounter.participant.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
116. Encounter.participant.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
118. Encounter.participant.type
Définition | Role of participant in encounter.
Court | Role of participant in encounter
Commentaires | The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.
Contrôle | 0..*
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de ParticipantType (extensible to `http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1` ) Role of participant in encounter.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
120. Encounter.participant.period
Définition | The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.
Court | Period of time during the encounter that the participant participated
Contrôle | 0..1
Type | Period
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
122. Encounter.participant.individual
Définition | Persons involved in the encounter other than the patient.
Court | Persons involved in the encounter other than the patient
Contrôle | 0..1
Type | Reference(RelatedPerson, FR Core Practitioner Profile, PractitionerRole)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
124. Encounter.appointment
Définition | The appointment that scheduled this encounter.
Court | The appointment that scheduled this encounter
Contrôle | 0..*
Type | Reference(FR Core Appointment Profile)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. Encounter.period
Définition | The start and end time of the encounter.
Court | The start and end time of the encounter
Commentaires | If not (yet) known, the end of the Period may be omitted.
Contrôle | 1..1
Type | Period
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
128. Encounter.length
Définition | Quantity of time the encounter lasted. This excludes the time during leaves of absence.
Court | Quantity of time the encounter lasted (less time absent)
Commentaires | May differ from the time the Encounter.period lasted because of leave of absence.
Contrôle | 0..1
Type | Duration
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
130. Encounter.reasonCode
Définition | Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.
Court | Coded reason the encounter takes place
Commentaires | For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).
Contrôle | 0..*
Binding | Les codes DEVRAIENT (SHOULD) être pris de EncounterReasonCodes (preferred to `http://hl7.org/fhir/ValueSet/encounter-reason|4.0.1` ) Reason why the encounter takes place.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Noms alternatifs | Indication, Admission diagnosis
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
132. Encounter.reasonReference
Définition | Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.
Court | Reason the encounter takes place (reference)
Commentaires | For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).
Contrôle | 0..*
Type | Reference(Condition, Procedure, Observation, ImmunizationRecommendation)
Est modificateur | false
Résumé | true
Noms alternatifs | Indication, Admission diagnosis
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
134. Encounter.diagnosis
Définition | The list of diagnosis relevant to this encounter.
Court | The list of diagnosis relevant to this encounter
Contrôle | 0..*
Type | BackboneElement
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
136. Encounter.diagnosis.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
138. Encounter.diagnosis.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
140. Encounter.diagnosis.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
142. Encounter.diagnosis.condition
Définition | Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.
Court | The diagnosis or procedure relevant to the encounter
Commentaires | For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).
Contrôle | 1..1
Type | Reference(Condition, Procedure)
Est modificateur | false
Résumé | true
Noms alternatifs | Admission diagnosis, discharge diagnosis, indication
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
144. Encounter.diagnosis.use
Définition | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …).
Court | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de DiagnosisRole (preferred to `http://hl7.org/fhir/ValueSet/diagnosis-role|4.0.1` ) The type of diagnosis this condition represents.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
146. Encounter.diagnosis.rank
Définition | Ranking of the diagnosis (for each role type).
Court | Ranking of the diagnosis (for each role type)
Contrôle | 0..1
Type | positiveInt
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
148. Encounter.account
Définition | The set of accounts that may be used for billing for this Encounter.
Court | The set of accounts that may be used for billing for this Encounter
Commentaires | The billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules.
Contrôle | 0..1
Type | Reference(Account)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
150. Encounter.hospitalization
Définition | Details about the admission to a healthcare service.
Court | Details about the admission to a healthcare service
Commentaires | An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included. The duration recorded in the period of this encounter covers the entire scope of this hospitalization record.
Contrôle | 0..1
Type | BackboneElement
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
152. Encounter.hospitalization.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
154. Encounter.hospitalization.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
156. Encounter.hospitalization.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
158. Encounter.hospitalization.preAdmissionIdentifier
Définition | Pre-admission identifier.
Court | Pre-admission identifier | Identifiant de pré-admission
Contrôle | 0..1
Type | Identifier
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
160. Encounter.hospitalization.preAdmissionIdentifier.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
162. Encounter.hospitalization.preAdmissionIdentifier.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `Encounter.hospitalization.preAdmissionIdentifier.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
164. Encounter.hospitalization.preAdmissionIdentifier.use
Définition | The purpose of this identifier.
Court | usual | official | temp | secondary | old (If known)
Commentaires | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Est modificateur | true parce que This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
166. Encounter.hospitalization.preAdmissionIdentifier.type
Définition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Court | Description of identifier
Commentaires | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Contrôle | 1..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de FR Core ValueSet Encounter identifier type (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-identifier-type` )
Type | CodeableConcept
Est modificateur | false
Résumé | true
Exigences | Allows users to make use of identifiers when the identifier system is not known.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
168. Encounter.hospitalization.preAdmissionIdentifier.system
Définition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Le namespace est défini à partir de la racine d'identification (gérée par l'ANS) de l'organisation où a lieu la rencontre , concaténée avec par exemple le FINESS de l'établissent (ou FINEJ ou SIRET ou SIREN), cf annexe française des types de données HL7 en France
Court | The namespace for the identifier value
Commentaires | Identifier.system is always case sensitive.
Contrôle | 1..1
Type | uri
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Valeur fixe | `1.2.250.1.71.4.2.2+.n°FINESS`
Exemple | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
170. Encounter.hospitalization.preAdmissionIdentifier.value
Définition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Court | The value that is unique
Commentaires | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Contrôle | 1..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exemple | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
172. Encounter.hospitalization.preAdmissionIdentifier.period
Définition | Time period during which identifier is/was valid for use.
Court | Time period when id is/was valid for use
Contrôle | 0..1
Type | Period
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
174. Encounter.hospitalization.preAdmissionIdentifier.assigner
Définition | Organization that issued/manages the identifier.
Court | Organization that issued id (may be just text)
Commentaires | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Contrôle | 0..1
Type | Reference(FR Core Organization Profile)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
176. Encounter.hospitalization.origin
Définition | The location/organization from which the patient came before admission.
Court | The location/organization from which the patient came before admission
Contrôle | 0..1
Type | Reference(FR Core Location Profile, FR Core Organization Profile)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
178. Encounter.hospitalization.admitSource
Définition | From where patient was admitted (physician referral, transfer).
Court | From where patient was admitted (physician referral, transfer)
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de AdmitSource (preferred to `http://hl7.org/fhir/ValueSet/encounter-admit-source|4.0.1` ) From where the patient was admitted.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
180. Encounter.hospitalization.reAdmission
Définition | Whether this hospitalization is a readmission and why if known.
Court | the resaon of re-admission of this hospitalization encounter | Raison de la ré-admission du patient.
Contrôle | 0..1
Binding | Pour des exemples de codes, voir hl7VS-re-admissionIndicator (example to `http://terminology.hl7.org/ValueSet/v2-0092` ) The reason for re-admission of this hospitalization encounter.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
182. Encounter.hospitalization.dietPreference
Définition | Diet preferences reported by the patient.
Court | Diet preferences reported by the patient
Commentaires | For example, a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive).
Contrôle | 0..*
Binding | Pour des exemples de codes, voir Diet (example to `http://hl7.org/fhir/ValueSet/encounter-diet|4.0.1` ) Medical, cultural or ethical food preferences to help with catering requirements.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Exigences | Used to track patient's diet restrictions and/or preference. For a complete description of the nutrition needs of a patient during their stay, one should use the nutritionOrder resource which links to Encounter.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
184. Encounter.hospitalization.specialCourtesy
Définition | Special courtesies (VIP, board member).
Court | Special courtesies (VIP, board member)
Contrôle | 0..*
Binding | Les codes DEVRAIENT (SHOULD) être pris de SpecialCourtesy (preferred to `http://hl7.org/fhir/ValueSet/encounter-special-courtesy|4.0.1` ) Special courtesies.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
186. Encounter.hospitalization.specialArrangement
Définition | Any special requests that have been made for this hospitalization encounter, such as the provision of specific equipment or other things.
Court | Wheelchair, translator, stretcher, etc.
Contrôle | 0..*
Binding | Les codes DEVRAIENT (SHOULD) être pris de SpecialArrangements (preferred to `http://hl7.org/fhir/ValueSet/encounter-special-arrangements|4.0.1` ) Special arrangements.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
188. Encounter.hospitalization.destination
Définition | Location/organization to which the patient is discharged.
Court | Location/organization to which the patient is discharged
Contrôle | 0..1
Type | Reference(FR Core Location Profile, FR Core Organization Profile)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
190. Encounter.hospitalization.dischargeDisposition
Définition | Category or kind of location after discharge.
Court | Category or kind of location after discharge
Contrôle | 0..1
Binding | Pour des exemples de codes, voir FR Core ValueSet Encounter discharge disposition (example to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-discharge-disposition` )
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
192. Encounter.location
Définition | List of locations where the patient has been during this encounter.
Court | List of locations where the patient has been
Commentaires | Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual".
Contrôle | 0..*
Type | BackboneElement
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
194. Encounter.location.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
196. Encounter.location.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
198. Encounter.location.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
200. Encounter.location.location
Définition | The location where the encounter takes place.
Court | Location the encounter takes place
Contrôle | 1..1
Type | Reference(FR Core Location Profile)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
202. Encounter.location.status
Définition | The status of the participants' presence at the specified location during the period specified. If the participant is no longer at the location, then the period will have an end date/time.
Court | planned | active | reserved | completed
Commentaires | When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de EncounterLocationStatus (required to `http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1` ) The status of the location.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
204. Encounter.location.physicalType
Définition | This will be used to specify the required levels (bed/ward/room/etc.) desired to be recorded to simplify either messaging or query.
Court | The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Commentaires | This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query. There may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario.
Contrôle | 0..1
Binding | Pour des exemples de codes, voir FR Core ValueSet Location type (example to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-location-type` )
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
206. Encounter.location.period
Définition | Time period during which the patient was present at the location.
Court | Time period during which the patient was present at the location
Contrôle | 0..1
Type | Period
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
208. Encounter.serviceProvider
Définition | The organization that is primarily responsible for this Encounter's services. This MAY be the same as the organization on the Patient record, however it could be different, such as if the actor performing the services was from an external organization (which may be billed seperately) for an external consultation. Refer to the example bundle showing an abbreviated set of Encounters for a colonoscopy.
Court | The organization (facility) responsible for this encounter
Contrôle | 0..1
Type | Reference(FR Core Organization Profile)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
210. Encounter.partOf
Définition | Another Encounter of which this encounter is a part of (administratively or in time).
Court | Another Encounter this encounter is part of
Commentaires | This is also used for associating a child's encounter back to the mother's encounter. Refer to the Notes section in the Patient resource for further details.
Contrôle | 0..1
Type | Reference(FR Core Encounter Profile)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)