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: FR Core Encounter Profile

Official URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter | Version: 2.2.0-ballot
Active as of 2025-12-29 | Computable Name: FRCoreEncounterProfile

This profil constrains the Encounter resource to represent either the patient visit or admission or the various movements that compose the patient stay.

Ce profil de la ressource Encounter sert à la fois à définir la venue dans l’établissement et à représenter les mouvements du patient qui découpent cette venue.

Utilisations:

- Référer à ce Profil: FR Core Encounter Profile, FR Core Observation Bmi Profile, FR Core Observation Body Height Profile, FR Core Observation Body Temperature Profile... Show 6 more, FR Core Observation Body Weight Profile, FR Core Observation Blood Pressure Profile, FR Core Observation Head Circum Profile, FR Core Observation Heart Rate Profile, FR Core Observation Respiratory Rate Profile and FR Core Observation Oxygen Saturation Profile
- Exemples pour ce Profil: Encounter/FRCoreEncounterExample

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter(4.0.1) | An interaction during which services are provided to the patient
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
extension:estimatedDischargeDate |  | 0..1 | date | Estimated discharge date | Date de sortie estimée URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-estimated-discharge-date Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier | Σ | 1..* | Identifier | Identifier(s) by which this encounter is known | identifiant de la rencontre
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: FRCoreValueSetEncounterIdentifierType (2.2.0-ballot) (extensible)
system | Σ | 1..1 | uri | The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient 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 Exemple autre solution, utilisation d'une URL: http://encounter-identifier-system.org
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
assigner | Σ | 0..1 | Reference(FR Core Organization Profile(2.2.0-ballot)) | Organization that issued id (may be just text)
status | ?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.
system | Σ | 1..1 | uri | Identity of the terminology system
code | Σ | 1..1 | code | Symbol in syntax defined by the system
type | Σ | 0..1 | CodeableConcept | Specific type of encounter Binding: FRCoreValueSetEncounterType (2.2.0-ballot) (example)
subject | Σ | 0..1 | Reference(FR Core Patient Profile(2.2.0-ballot) | Group) | The patient or group present at the encounter
participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter | Liste des personnes impliquées dans la rencontre
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
individual | Σ | 0..1 | Reference(RelatedPerson | FR Core Practitioner Profile(2.2.0-ballot) | PractitionerRole) | Persons involved in the encounter other than the patient
appointment | Σ | 0..* | Reference(FR Core Appointment Profile(2.2.0-ballot)) | The appointment that scheduled this encounter
period |  | 1..1 | Period | The start and end time of the encounter
account |  | 0..1 | Reference(Account) | The set of accounts that may be used for billing for this Encounter
serviceProvider |  | 0..1 | Reference(FR Core Organization Profile(2.2.0-ballot)) | The organization (facility) responsible for this encounter
partOf |  | 0..1 | Reference(FR Core Encounter Profile(2.2.0-ballot)) | Another Encounter this encounter is part of
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Encounter.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | Std. FHIR
Encounter.identifier.​type | Base | extensible | FR Core ValueSet Encounter identifier type | 📍2.2.0-ballot | cet IG
Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | Std. FHIR
Encounter.class | Base | extensible | ActEncounterCode | 📍3.0.0 | THO v7.0
Encounter.type | Base | example | FR Core ValueSet Encounter type | 📍2.2.0-ballot | cet IG

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | Encounter | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | Encounter.implicitRules, Encounter.extension, Encounter.extension:estimatedDischargeDate, Encounter.modifierExtension, Encounter.identifier, Encounter.identifier.use, Encounter.identifier.type, Encounter.identifier.system, Encounter.identifier.value, Encounter.identifier.assigner, Encounter.status, Encounter.class, Encounter.class.system, Encounter.class.code, Encounter.type, Encounter.subject, Encounter.participant, Encounter.participant.modifierExtension, Encounter.participant.individual, Encounter.appointment, Encounter.period, Encounter.account, Encounter.serviceProvider, Encounter.partOf | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Encounter.extension, Encounter.extension:estimatedDischargeDate, Encounter.modifierExtension, Encounter.participant.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Encounter

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter(4.0.1) | An interaction during which services are provided to the patient
meta |  |  |  |
Slices pour profile |  | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Non ordonné, Ouvert par value:$this
profile:fr-canonical |  | 0..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Motif requis: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter|2.2.0-ballot
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:estimatedDischargeDate |  | 0..1 | date | Estimated discharge date | Date de sortie estimée URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-estimated-discharge-date
identifier |  | 1..* | Identifier | Identifier(s) by which this encounter is known | identifiant de la rencontre
type |  | 1..1 | CodeableConcept | Description of identifier Binding: FRCoreValueSetEncounterIdentifierType (2.2.0-ballot) (extensible)
system |  | 1..1 | uri | The namespace for the identifier value 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 Exemple autre solution, utilisation d'une URL: http://encounter-identifier-system.org
value |  | 1..1 | string | The value that is unique
assigner |  | 0..1 | Reference(FR Core Organization Profile(2.2.0-ballot)) | Organization that issued id (may be just text)
class |  |  |  |
system |  | 1..1 | uri | Identity of the terminology system
code |  | 1..1 | code | Symbol in syntax defined by the system
type |  | 0..1 | CodeableConcept | Specific type of encounter Binding: FRCoreValueSetEncounterType (2.2.0-ballot) (example)
subject |  | 0..1 | Reference(FR Core Patient Profile(2.2.0-ballot) | Group) | The patient or group present at the encounter
participant |  | 0..* | BackboneElement | List of participants involved in the encounter | Liste des personnes impliquées dans la rencontre
individual |  | 0..1 | Reference(RelatedPerson | FR Core Practitioner Profile(2.2.0-ballot) | PractitionerRole) | Persons involved in the encounter other than the patient
appointment |  | 0..* | Reference(FR Core Appointment Profile(2.2.0-ballot)) | The appointment that scheduled this encounter
period |  | 1..1 | Period | The start and end time of the encounter
account |  | 0..1 | Reference(Account) | The set of accounts that may be used for billing for this Encounter
hospitalization |  |  |  |
preAdmissionIdentifier |  | 0..1 | Identifier | Pre-admission identifier | Identifiant de pré-admission
type |  | 1..1 | CodeableConcept | Description of identifier Binding: FRCoreValueSetEncounterIdentifierType (2.2.0-ballot) (extensible)
system |  | 1..1 | uri | The namespace for the identifier value Valeur fixe: 1.2.250.1.71.4.2.2+.n°FINESS
value |  | 1..1 | string | The value that is unique
assigner |  | 0..1 | Reference(FR Core Organization Profile(2.2.0-ballot)) | Organization that issued id (may be just text)
origin |  | 0..1 | Reference(FR Core Location Profile(2.2.0-ballot) | FR Core Organization Profile(2.2.0-ballot)) | The location/organization from which the patient came before admission
reAdmission |  | 0..1 | CodeableConcept | the resaon of re-admission of this hospitalization encounter | Raison de la ré-admission du patient.
destination |  | 0..1 | Reference(FR Core Location Profile(2.2.0-ballot) | FR Core Organization Profile(2.2.0-ballot)) | Location/organization to which the patient is discharged
dischargeDisposition |  | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: FRCoreValueSetEncounterDischargeDisposition (2.2.0-ballot) (example)
location |  |  |  |
location |  | 1..1 | Reference(FR Core Location Profile(2.2.0-ballot)) | Location the encounter takes place
physicalType |  | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: FRCoreValueSetLocationPhysicalType (2.2.0-ballot) (example)
serviceProvider |  | 0..1 | Reference(FR Core Organization Profile(2.2.0-ballot)) | The organization (facility) responsible for this encounter
partOf |  | 0..1 | Reference(FR Core Encounter Profile(2.2.0-ballot)) | Another Encounter this encounter is part of
Documentation pour ce format

#### Bindings terminologiques (différentiel)

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Encounter.identifier.​type | Base | extensible | FR Core ValueSet Encounter identifier type | 📍2.2.0-ballot | cet IG
Encounter.type | Base | example | FR Core ValueSet Encounter type | 📍2.2.0-ballot | cet IG
Encounter.hospitalization.​preAdmissionIdentifier.​type | Base | extensible | FR Core ValueSet Encounter identifier type | 📍2.2.0-ballot | cet IG
Encounter.hospitalization.​dischargeDisposition | Base | example | FR Core ValueSet Encounter discharge disposition | 📍2.2.0-ballot | cet IG
Encounter.location.physicalType | Base | example | FR Core ValueSet Location physical type | 📍2.2.0-ballot | cet IG

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter(4.0.1) | An interaction during which services are provided to the patient
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
Slices pour profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Non ordonné, Ouvert par value:$this
profile:fr-canonical | Σ | 0..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Motif requis: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter|2.2.0-ballot
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
extension:estimatedDischargeDate |  | 0..1 | date | Estimated discharge date | Date de sortie estimée URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-estimated-discharge-date Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier | Σ | 1..* | Identifier | Identifier(s) by which this encounter is known | identifiant de la rencontre
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: FRCoreValueSetEncounterIdentifierType (2.2.0-ballot) (extensible)
system | Σ | 1..1 | uri | The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient 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 Exemple autre solution, utilisation d'une URL: http://encounter-identifier-system.org
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(FR Core Organization Profile(2.2.0-ballot)) | Organization that issued id (may be just text)
status | ?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory |  | 0..* | BackboneElement | List of past encounter statuses
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status |  | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period |  | 1..1 | Period | The time that the episode was in the specified status
class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
system | Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
classHistory |  | 0..* | BackboneElement | List of past encounter classes
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
class |  | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.
period |  | 1..1 | Period | The time that the episode was in the specified class
type | Σ | 0..1 | CodeableConcept | Specific type of encounter Binding: FRCoreValueSetEncounterType (2.2.0-ballot) (example)
serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (3.0.0) (example): Indicates the urgency of the encounter.
subject | Σ | 0..1 | Reference(FR Core Patient Profile(2.2.0-ballot) | Group) | The patient or group present at the encounter
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against
basedOn |  | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter
participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter | Liste des personnes impliquées dans la rencontre
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type | Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period |  | 0..1 | Period | Period of time during the encounter that the participant participated
individual | Σ | 0..1 | Reference(RelatedPerson | FR Core Practitioner Profile(2.2.0-ballot) | PractitionerRole) | Persons involved in the encounter other than the patient
appointment | Σ | 0..* | Reference(FR Core Appointment Profile(2.2.0-ballot)) | The appointment that scheduled this encounter
period |  | 1..1 | Period | The start and end time of the encounter
length |  | 0..1 | Duration | Quantity of time the encounter lasted (less time absent)
reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference | Σ | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference)
diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
condition | Σ | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter
use |  | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank |  | 0..1 | positiveInt | Ranking of the diagnosis (for each role type)
account |  | 0..1 | Reference(Account) | The set of accounts that may be used for billing for this Encounter
hospitalization |  | 0..1 | BackboneElement | Details about the admission to a healthcare service
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
preAdmissionIdentifier |  | 0..1 | Identifier | Pre-admission identifier | Identifiant de pré-admission
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: FRCoreValueSetEncounterIdentifierType (2.2.0-ballot) (extensible)
system | Σ | 1..1 | uri | The namespace for the identifier value Valeur fixe: 1.2.250.1.71.4.2.2+.n°FINESS
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(FR Core Organization Profile(2.2.0-ballot)) | Organization that issued id (may be just text)
origin |  | 0..1 | Reference(FR Core Location Profile(2.2.0-ballot) | FR Core Organization Profile(2.2.0-ballot)) | The location/organization from which the patient came before admission
admitSource |  | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission |  | 0..1 | CodeableConcept | the resaon of re-admission of this hospitalization encounter | Raison de la ré-admission du patient. Binding: Hl7VSReAdmissionIndicator (2.0.0) (example): The reason for re-admission of this hospitalization encounter.
dietPreference |  | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy |  | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement |  | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination |  | 0..1 | Reference(FR Core Location Profile(2.2.0-ballot) | FR Core Organization Profile(2.2.0-ballot)) | Location/organization to which the patient is discharged
dischargeDisposition |  | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: FRCoreValueSetEncounterDischargeDisposition (2.2.0-ballot) (example)
location |  | 0..* | BackboneElement | List of locations where the patient has been
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
location |  | 1..1 | Reference(FR Core Location Profile(2.2.0-ballot)) | Location the encounter takes place
status |  | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType |  | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: FRCoreValueSetLocationPhysicalType (2.2.0-ballot) (example)
period |  | 0..1 | Period | Time period during which the patient was present at the location
serviceProvider |  | 0..1 | Reference(FR Core Organization Profile(2.2.0-ballot)) | The organization (facility) responsible for this encounter
partOf |  | 0..1 | Reference(FR Core Encounter Profile(2.2.0-ballot)) | Another Encounter this encounter is part of
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Encounter.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | Std. FHIR
Encounter.meta.tag | Base | example | Common Tags | 📍4.0.1 | Std. FHIR
Encounter.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
Encounter.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | Std. FHIR
Encounter.identifier.​type | Base | extensible | FR Core ValueSet Encounter identifier type | 📍2.2.0-ballot | cet IG
Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | Std. FHIR
Encounter.statusHistory.​status | Base | required | EncounterStatus | 📍4.0.1 | Std. FHIR
Encounter.class | Base | extensible | ActEncounterCode | 📍3.0.0 | THO v7.0
Encounter.classHistory.​class | Base | extensible | ActEncounterCode | 📍3.0.0 | THO v7.0
Encounter.type | Base | example | FR Core ValueSet Encounter type | 📍2.2.0-ballot | cet IG
Encounter.serviceType | Base | example | Service type | 📍4.0.1 | Std. FHIR
Encounter.priority | Base | example | ActPriority | 📍3.0.0 | THO v7.0
Encounter.participant.​type | Base | extensible | Participant type | 📍4.0.1 | Std. FHIR
Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📍4.0.1 | Std. FHIR
Encounter.diagnosis.​use | Base | preferred | DiagnosisRole | 📍4.0.1 | Std. FHIR
Encounter.hospitalization.​preAdmissionIdentifier.​use | Base | required | IdentifierUse | 📍4.0.1 | Std. FHIR
Encounter.hospitalization.​preAdmissionIdentifier.​type | Base | extensible | FR Core ValueSet Encounter identifier type | 📍2.2.0-ballot | cet IG
Encounter.hospitalization.​admitSource | Base | preferred | Admit source | 📍4.0.1 | Std. FHIR
Encounter.hospitalization.​reAdmission | Base | example | hl7VS-re-admissionIndicator | 📍2.0.0 | THO v7.0
Encounter.hospitalization.​dietPreference | Base | example | Diet | 📍4.0.1 | Std. FHIR
Encounter.hospitalization.​specialCourtesy | Base | preferred | Special courtesy | 📍4.0.1 | Std. FHIR
Encounter.hospitalization.​specialArrangement | Base | preferred | Special arrangements | 📍4.0.1 | Std. FHIR
Encounter.hospitalization.​dischargeDisposition | Base | example | FR Core ValueSet Encounter discharge disposition | 📍2.2.0-ballot | cet IG
Encounter.location.status | Base | required | EncounterLocationStatus | 📍4.0.1 | Std. FHIR
Encounter.location.physicalType | Base | example | FR Core ValueSet Location physical type | 📍2.2.0-ballot | cet IG

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | Encounter | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | Encounter.meta, Encounter.meta.extension, Encounter.meta.versionId, Encounter.meta.lastUpdated, Encounter.meta.source, Encounter.meta.profile, Encounter.meta.profile:fr-canonical, Encounter.meta.security, Encounter.meta.tag, Encounter.implicitRules, Encounter.language, Encounter.text, Encounter.extension, Encounter.extension:estimatedDischargeDate, Encounter.modifierExtension, Encounter.identifier, Encounter.identifier.extension, Encounter.identifier.use, Encounter.identifier.type, Encounter.identifier.system, Encounter.identifier.value, Encounter.identifier.period, Encounter.identifier.assigner, Encounter.status, Encounter.statusHistory, Encounter.statusHistory.extension, Encounter.statusHistory.modifierExtension, Encounter.statusHistory.status, Encounter.statusHistory.period, Encounter.class, Encounter.class.extension, Encounter.class.system, Encounter.class.version, Encounter.class.code, Encounter.class.display, Encounter.class.userSelected, Encounter.classHistory, Encounter.classHistory.extension, Encounter.classHistory.modifierExtension, Encounter.classHistory.class, Encounter.classHistory.period, Encounter.type, Encounter.serviceType, Encounter.priority, Encounter.subject, Encounter.episodeOfCare, Encounter.basedOn, Encounter.participant, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.participant.type, Encounter.participant.period, Encounter.participant.individual, Encounter.appointment, Encounter.period, Encounter.length, Encounter.reasonCode, Encounter.reasonReference, Encounter.diagnosis, Encounter.diagnosis.extension, Encounter.diagnosis.modifierExtension, Encounter.diagnosis.condition, Encounter.diagnosis.use, Encounter.diagnosis.rank, Encounter.account, Encounter.hospitalization, Encounter.hospitalization.extension, Encounter.hospitalization.modifierExtension, Encounter.hospitalization.preAdmissionIdentifier, Encounter.hospitalization.preAdmissionIdentifier.extension, Encounter.hospitalization.preAdmissionIdentifier.use, Encounter.hospitalization.preAdmissionIdentifier.type, Encounter.hospitalization.preAdmissionIdentifier.system, Encounter.hospitalization.preAdmissionIdentifier.value, Encounter.hospitalization.preAdmissionIdentifier.period, Encounter.hospitalization.preAdmissionIdentifier.assigner, Encounter.hospitalization.origin, Encounter.hospitalization.admitSource, Encounter.hospitalization.reAdmission, Encounter.hospitalization.dietPreference, Encounter.hospitalization.specialCourtesy, Encounter.hospitalization.specialArrangement, Encounter.hospitalization.destination, Encounter.hospitalization.dischargeDisposition, Encounter.location, Encounter.location.extension, Encounter.location.modifierExtension, Encounter.location.location, Encounter.location.status, Encounter.location.physicalType, Encounter.location.period, Encounter.serviceProvider, Encounter.partOf | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Encounter.meta.extension, Encounter.extension, Encounter.extension:estimatedDischargeDate, Encounter.modifierExtension, Encounter.identifier.extension, Encounter.statusHistory.extension, Encounter.statusHistory.modifierExtension, Encounter.class.extension, Encounter.classHistory.extension, Encounter.classHistory.modifierExtension, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.diagnosis.extension, Encounter.diagnosis.modifierExtension, Encounter.hospitalization.extension, Encounter.hospitalization.modifierExtension, Encounter.hospitalization.preAdmissionIdentifier.extension, Encounter.location.extension, Encounter.location.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Encounter

Résumé

Obligatoire : 7 éléments(3 éléments obligatoire(s) imbriqué(s))
Fixe : 1 élément

Structures

Cette structure fait référence à ces autres structures:

- FR Core Organization Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-organization|2.2.0-ballot)
- FR Core Patient Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient|2.2.0-ballot)
- Group (http://hl7.org/fhir/StructureDefinition/Group|4.0.1)
- RelatedPerson (http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1)
- FR Core Practitioner Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner|2.2.0-ballot)
- PractitionerRole (http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1)
- FR Core Appointment Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-appointment|2.2.0-ballot)
- FR Core Location Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-location|2.2.0-ballot)
- FR Core Encounter Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter|2.2.0-ballot)

Extensions

Cette structure fait référence à ces extensions:

- https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-estimated-discharge-date|2.2.0-ballot

Slices

Cette structure définit les slices suivantes:

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

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter(4.0.1) | An interaction during which services are provided to the patient
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
extension:estimatedDischargeDate |  | 0..1 | date | Estimated discharge date | Date de sortie estimée URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-estimated-discharge-date Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier | Σ | 1..* | Identifier | Identifier(s) by which this encounter is known | identifiant de la rencontre
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: FRCoreValueSetEncounterIdentifierType (2.2.0-ballot) (extensible)
system | Σ | 1..1 | uri | The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient 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 Exemple autre solution, utilisation d'une URL: http://encounter-identifier-system.org
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
assigner | Σ | 0..1 | Reference(FR Core Organization Profile(2.2.0-ballot)) | Organization that issued id (may be just text)
status | ?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.
system | Σ | 1..1 | uri | Identity of the terminology system
code | Σ | 1..1 | code | Symbol in syntax defined by the system
type | Σ | 0..1 | CodeableConcept | Specific type of encounter Binding: FRCoreValueSetEncounterType (2.2.0-ballot) (example)
subject | Σ | 0..1 | Reference(FR Core Patient Profile(2.2.0-ballot) | Group) | The patient or group present at the encounter
participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter | Liste des personnes impliquées dans la rencontre
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
individual | Σ | 0..1 | Reference(RelatedPerson | FR Core Practitioner Profile(2.2.0-ballot) | PractitionerRole) | Persons involved in the encounter other than the patient
appointment | Σ | 0..* | Reference(FR Core Appointment Profile(2.2.0-ballot)) | The appointment that scheduled this encounter
period |  | 1..1 | Period | The start and end time of the encounter
account |  | 0..1 | Reference(Account) | The set of accounts that may be used for billing for this Encounter
serviceProvider |  | 0..1 | Reference(FR Core Organization Profile(2.2.0-ballot)) | The organization (facility) responsible for this encounter
partOf |  | 0..1 | Reference(FR Core Encounter Profile(2.2.0-ballot)) | Another Encounter this encounter is part of
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Encounter.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | Std. FHIR
Encounter.identifier.​type | Base | extensible | FR Core ValueSet Encounter identifier type | 📍2.2.0-ballot | cet IG
Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | Std. FHIR
Encounter.class | Base | extensible | ActEncounterCode | 📍3.0.0 | THO v7.0
Encounter.type | Base | example | FR Core ValueSet Encounter type | 📍2.2.0-ballot | cet IG

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | Encounter | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | Encounter.implicitRules, Encounter.extension, Encounter.extension:estimatedDischargeDate, Encounter.modifierExtension, Encounter.identifier, Encounter.identifier.use, Encounter.identifier.type, Encounter.identifier.system, Encounter.identifier.value, Encounter.identifier.assigner, Encounter.status, Encounter.class, Encounter.class.system, Encounter.class.code, Encounter.type, Encounter.subject, Encounter.participant, Encounter.participant.modifierExtension, Encounter.participant.individual, Encounter.appointment, Encounter.period, Encounter.account, Encounter.serviceProvider, Encounter.partOf | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Encounter.extension, Encounter.extension:estimatedDischargeDate, Encounter.modifierExtension, Encounter.participant.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from Encounter

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter(4.0.1) | An interaction during which services are provided to the patient
meta |  |  |  |
Slices pour profile |  | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Non ordonné, Ouvert par value:$this
profile:fr-canonical |  | 0..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Motif requis: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter|2.2.0-ballot
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:estimatedDischargeDate |  | 0..1 | date | Estimated discharge date | Date de sortie estimée URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-estimated-discharge-date
identifier |  | 1..* | Identifier | Identifier(s) by which this encounter is known | identifiant de la rencontre
type |  | 1..1 | CodeableConcept | Description of identifier Binding: FRCoreValueSetEncounterIdentifierType (2.2.0-ballot) (extensible)
system |  | 1..1 | uri | The namespace for the identifier value 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 Exemple autre solution, utilisation d'une URL: http://encounter-identifier-system.org
value |  | 1..1 | string | The value that is unique
assigner |  | 0..1 | Reference(FR Core Organization Profile(2.2.0-ballot)) | Organization that issued id (may be just text)
class |  |  |  |
system |  | 1..1 | uri | Identity of the terminology system
code |  | 1..1 | code | Symbol in syntax defined by the system
type |  | 0..1 | CodeableConcept | Specific type of encounter Binding: FRCoreValueSetEncounterType (2.2.0-ballot) (example)
subject |  | 0..1 | Reference(FR Core Patient Profile(2.2.0-ballot) | Group) | The patient or group present at the encounter
participant |  | 0..* | BackboneElement | List of participants involved in the encounter | Liste des personnes impliquées dans la rencontre
individual |  | 0..1 | Reference(RelatedPerson | FR Core Practitioner Profile(2.2.0-ballot) | PractitionerRole) | Persons involved in the encounter other than the patient
appointment |  | 0..* | Reference(FR Core Appointment Profile(2.2.0-ballot)) | The appointment that scheduled this encounter
period |  | 1..1 | Period | The start and end time of the encounter
account |  | 0..1 | Reference(Account) | The set of accounts that may be used for billing for this Encounter
hospitalization |  |  |  |
preAdmissionIdentifier |  | 0..1 | Identifier | Pre-admission identifier | Identifiant de pré-admission
type |  | 1..1 | CodeableConcept | Description of identifier Binding: FRCoreValueSetEncounterIdentifierType (2.2.0-ballot) (extensible)
system |  | 1..1 | uri | The namespace for the identifier value Valeur fixe: 1.2.250.1.71.4.2.2+.n°FINESS
value |  | 1..1 | string | The value that is unique
assigner |  | 0..1 | Reference(FR Core Organization Profile(2.2.0-ballot)) | Organization that issued id (may be just text)
origin |  | 0..1 | Reference(FR Core Location Profile(2.2.0-ballot) | FR Core Organization Profile(2.2.0-ballot)) | The location/organization from which the patient came before admission
reAdmission |  | 0..1 | CodeableConcept | the resaon of re-admission of this hospitalization encounter | Raison de la ré-admission du patient.
destination |  | 0..1 | Reference(FR Core Location Profile(2.2.0-ballot) | FR Core Organization Profile(2.2.0-ballot)) | Location/organization to which the patient is discharged
dischargeDisposition |  | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: FRCoreValueSetEncounterDischargeDisposition (2.2.0-ballot) (example)
location |  |  |  |
location |  | 1..1 | Reference(FR Core Location Profile(2.2.0-ballot)) | Location the encounter takes place
physicalType |  | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: FRCoreValueSetLocationPhysicalType (2.2.0-ballot) (example)
serviceProvider |  | 0..1 | Reference(FR Core Organization Profile(2.2.0-ballot)) | The organization (facility) responsible for this encounter
partOf |  | 0..1 | Reference(FR Core Encounter Profile(2.2.0-ballot)) | Another Encounter this encounter is part of
Documentation pour ce format

#### Bindings terminologiques (différentiel)

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Encounter.identifier.​type | Base | extensible | FR Core ValueSet Encounter identifier type | 📍2.2.0-ballot | cet IG
Encounter.type | Base | example | FR Core ValueSet Encounter type | 📍2.2.0-ballot | cet IG
Encounter.hospitalization.​preAdmissionIdentifier.​type | Base | extensible | FR Core ValueSet Encounter identifier type | 📍2.2.0-ballot | cet IG
Encounter.hospitalization.​dischargeDisposition | Base | example | FR Core ValueSet Encounter discharge disposition | 📍2.2.0-ballot | cet IG
Encounter.location.physicalType | Base | example | FR Core ValueSet Location physical type | 📍2.2.0-ballot | cet IG

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter(4.0.1) | An interaction during which services are provided to the patient
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
Slices pour profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Non ordonné, Ouvert par value:$this
profile:fr-canonical | Σ | 0..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Motif requis: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter|2.2.0-ballot
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
extension:estimatedDischargeDate |  | 0..1 | date | Estimated discharge date | Date de sortie estimée URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-estimated-discharge-date Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier | Σ | 1..* | Identifier | Identifier(s) by which this encounter is known | identifiant de la rencontre
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: FRCoreValueSetEncounterIdentifierType (2.2.0-ballot) (extensible)
system | Σ | 1..1 | uri | The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient 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 Exemple autre solution, utilisation d'une URL: http://encounter-identifier-system.org
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(FR Core Organization Profile(2.2.0-ballot)) | Organization that issued id (may be just text)
status | ?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory |  | 0..* | BackboneElement | List of past encounter statuses
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status |  | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period |  | 1..1 | Period | The time that the episode was in the specified status
class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
system | Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
classHistory |  | 0..* | BackboneElement | List of past encounter classes
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
class |  | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.
period |  | 1..1 | Period | The time that the episode was in the specified class
type | Σ | 0..1 | CodeableConcept | Specific type of encounter Binding: FRCoreValueSetEncounterType (2.2.0-ballot) (example)
serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (3.0.0) (example): Indicates the urgency of the encounter.
subject | Σ | 0..1 | Reference(FR Core Patient Profile(2.2.0-ballot) | Group) | The patient or group present at the encounter
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against
basedOn |  | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter
participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter | Liste des personnes impliquées dans la rencontre
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type | Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period |  | 0..1 | Period | Period of time during the encounter that the participant participated
individual | Σ | 0..1 | Reference(RelatedPerson | FR Core Practitioner Profile(2.2.0-ballot) | PractitionerRole) | Persons involved in the encounter other than the patient
appointment | Σ | 0..* | Reference(FR Core Appointment Profile(2.2.0-ballot)) | The appointment that scheduled this encounter
period |  | 1..1 | Period | The start and end time of the encounter
length |  | 0..1 | Duration | Quantity of time the encounter lasted (less time absent)
reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference | Σ | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference)
diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
condition | Σ | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter
use |  | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank |  | 0..1 | positiveInt | Ranking of the diagnosis (for each role type)
account |  | 0..1 | Reference(Account) | The set of accounts that may be used for billing for this Encounter
hospitalization |  | 0..1 | BackboneElement | Details about the admission to a healthcare service
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
preAdmissionIdentifier |  | 0..1 | Identifier | Pre-admission identifier | Identifiant de pré-admission
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: FRCoreValueSetEncounterIdentifierType (2.2.0-ballot) (extensible)
system | Σ | 1..1 | uri | The namespace for the identifier value Valeur fixe: 1.2.250.1.71.4.2.2+.n°FINESS
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(FR Core Organization Profile(2.2.0-ballot)) | Organization that issued id (may be just text)
origin |  | 0..1 | Reference(FR Core Location Profile(2.2.0-ballot) | FR Core Organization Profile(2.2.0-ballot)) | The location/organization from which the patient came before admission
admitSource |  | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission |  | 0..1 | CodeableConcept | the resaon of re-admission of this hospitalization encounter | Raison de la ré-admission du patient. Binding: Hl7VSReAdmissionIndicator (2.0.0) (example): The reason for re-admission of this hospitalization encounter.
dietPreference |  | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy |  | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement |  | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination |  | 0..1 | Reference(FR Core Location Profile(2.2.0-ballot) | FR Core Organization Profile(2.2.0-ballot)) | Location/organization to which the patient is discharged
dischargeDisposition |  | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: FRCoreValueSetEncounterDischargeDisposition (2.2.0-ballot) (example)
location |  | 0..* | BackboneElement | List of locations where the patient has been
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
location |  | 1..1 | Reference(FR Core Location Profile(2.2.0-ballot)) | Location the encounter takes place
status |  | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType |  | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: FRCoreValueSetLocationPhysicalType (2.2.0-ballot) (example)
period |  | 0..1 | Period | Time period during which the patient was present at the location
serviceProvider |  | 0..1 | Reference(FR Core Organization Profile(2.2.0-ballot)) | The organization (facility) responsible for this encounter
partOf |  | 0..1 | Reference(FR Core Encounter Profile(2.2.0-ballot)) | Another Encounter this encounter is part of
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Encounter.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | Std. FHIR
Encounter.meta.tag | Base | example | Common Tags | 📍4.0.1 | Std. FHIR
Encounter.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
Encounter.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | Std. FHIR
Encounter.identifier.​type | Base | extensible | FR Core ValueSet Encounter identifier type | 📍2.2.0-ballot | cet IG
Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | Std. FHIR
Encounter.statusHistory.​status | Base | required | EncounterStatus | 📍4.0.1 | Std. FHIR
Encounter.class | Base | extensible | ActEncounterCode | 📍3.0.0 | THO v7.0
Encounter.classHistory.​class | Base | extensible | ActEncounterCode | 📍3.0.0 | THO v7.0
Encounter.type | Base | example | FR Core ValueSet Encounter type | 📍2.2.0-ballot | cet IG
Encounter.serviceType | Base | example | Service type | 📍4.0.1 | Std. FHIR
Encounter.priority | Base | example | ActPriority | 📍3.0.0 | THO v7.0
Encounter.participant.​type | Base | extensible | Participant type | 📍4.0.1 | Std. FHIR
Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📍4.0.1 | Std. FHIR
Encounter.diagnosis.​use | Base | preferred | DiagnosisRole | 📍4.0.1 | Std. FHIR
Encounter.hospitalization.​preAdmissionIdentifier.​use | Base | required | IdentifierUse | 📍4.0.1 | Std. FHIR
Encounter.hospitalization.​preAdmissionIdentifier.​type | Base | extensible | FR Core ValueSet Encounter identifier type | 📍2.2.0-ballot | cet IG
Encounter.hospitalization.​admitSource | Base | preferred | Admit source | 📍4.0.1 | Std. FHIR
Encounter.hospitalization.​reAdmission | Base | example | hl7VS-re-admissionIndicator | 📍2.0.0 | THO v7.0
Encounter.hospitalization.​dietPreference | Base | example | Diet | 📍4.0.1 | Std. FHIR
Encounter.hospitalization.​specialCourtesy | Base | preferred | Special courtesy | 📍4.0.1 | Std. FHIR
Encounter.hospitalization.​specialArrangement | Base | preferred | Special arrangements | 📍4.0.1 | Std. FHIR
Encounter.hospitalization.​dischargeDisposition | Base | example | FR Core ValueSet Encounter discharge disposition | 📍2.2.0-ballot | cet IG
Encounter.location.status | Base | required | EncounterLocationStatus | 📍4.0.1 | Std. FHIR
Encounter.location.physicalType | Base | example | FR Core ValueSet Location physical type | 📍2.2.0-ballot | cet IG

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | Encounter | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | Encounter.meta, Encounter.meta.extension, Encounter.meta.versionId, Encounter.meta.lastUpdated, Encounter.meta.source, Encounter.meta.profile, Encounter.meta.profile:fr-canonical, Encounter.meta.security, Encounter.meta.tag, Encounter.implicitRules, Encounter.language, Encounter.text, Encounter.extension, Encounter.extension:estimatedDischargeDate, Encounter.modifierExtension, Encounter.identifier, Encounter.identifier.extension, Encounter.identifier.use, Encounter.identifier.type, Encounter.identifier.system, Encounter.identifier.value, Encounter.identifier.period, Encounter.identifier.assigner, Encounter.status, Encounter.statusHistory, Encounter.statusHistory.extension, Encounter.statusHistory.modifierExtension, Encounter.statusHistory.status, Encounter.statusHistory.period, Encounter.class, Encounter.class.extension, Encounter.class.system, Encounter.class.version, Encounter.class.code, Encounter.class.display, Encounter.class.userSelected, Encounter.classHistory, Encounter.classHistory.extension, Encounter.classHistory.modifierExtension, Encounter.classHistory.class, Encounter.classHistory.period, Encounter.type, Encounter.serviceType, Encounter.priority, Encounter.subject, Encounter.episodeOfCare, Encounter.basedOn, Encounter.participant, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.participant.type, Encounter.participant.period, Encounter.participant.individual, Encounter.appointment, Encounter.period, Encounter.length, Encounter.reasonCode, Encounter.reasonReference, Encounter.diagnosis, Encounter.diagnosis.extension, Encounter.diagnosis.modifierExtension, Encounter.diagnosis.condition, Encounter.diagnosis.use, Encounter.diagnosis.rank, Encounter.account, Encounter.hospitalization, Encounter.hospitalization.extension, Encounter.hospitalization.modifierExtension, Encounter.hospitalization.preAdmissionIdentifier, Encounter.hospitalization.preAdmissionIdentifier.extension, Encounter.hospitalization.preAdmissionIdentifier.use, Encounter.hospitalization.preAdmissionIdentifier.type, Encounter.hospitalization.preAdmissionIdentifier.system, Encounter.hospitalization.preAdmissionIdentifier.value, Encounter.hospitalization.preAdmissionIdentifier.period, Encounter.hospitalization.preAdmissionIdentifier.assigner, Encounter.hospitalization.origin, Encounter.hospitalization.admitSource, Encounter.hospitalization.reAdmission, Encounter.hospitalization.dietPreference, Encounter.hospitalization.specialCourtesy, Encounter.hospitalization.specialArrangement, Encounter.hospitalization.destination, Encounter.hospitalization.dischargeDisposition, Encounter.location, Encounter.location.extension, Encounter.location.modifierExtension, Encounter.location.location, Encounter.location.status, Encounter.location.physicalType, Encounter.location.period, Encounter.serviceProvider, Encounter.partOf | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Encounter.meta.extension, Encounter.extension, Encounter.extension:estimatedDischargeDate, Encounter.modifierExtension, Encounter.identifier.extension, Encounter.statusHistory.extension, Encounter.statusHistory.modifierExtension, Encounter.class.extension, Encounter.classHistory.extension, Encounter.classHistory.modifierExtension, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.diagnosis.extension, Encounter.diagnosis.modifierExtension, Encounter.hospitalization.extension, Encounter.hospitalization.modifierExtension, Encounter.hospitalization.preAdmissionIdentifier.extension, Encounter.location.extension, Encounter.location.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Encounter

Résumé

Obligatoire : 7 éléments(3 éléments obligatoire(s) imbriqué(s))
Fixe : 1 élément

Structures

Cette structure fait référence à ces autres structures:

- FR Core Organization Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-organization|2.2.0-ballot)
- FR Core Patient Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient|2.2.0-ballot)
- Group (http://hl7.org/fhir/StructureDefinition/Group|4.0.1)
- RelatedPerson (http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1)
- FR Core Practitioner Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner|2.2.0-ballot)
- PractitionerRole (http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1)
- FR Core Appointment Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-appointment|2.2.0-ballot)
- FR Core Location Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-location|2.2.0-ballot)
- FR Core Encounter Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter|2.2.0-ballot)

Extensions

Cette structure fait référence à ces extensions:

- https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-estimated-discharge-date|2.2.0-ballot

Slices

Cette structure définit les slices suivantes:

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

Other representations of profile: CSV, Excel, Schematron