DRAFT PH Road Safety Implementation Guide, published by UP Manila - National Institutes of Health - National Telehealth Center. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/UPM-NTHC/PH-RoadSafetyIG/ and changes regularly. See the Directory of published versions

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Resource Profile: RS Encounter

Encounter for EMS run report / facility submission context. Captures incident number, type, timing, participants, disposition & transfer.

Usages:

• Use this Profile: RS Bundle — EMS Submission, RS Bundle — ONEISS Submission and RS Bundle — Post‑Crash Investigation
• Refer to this Profile: RS AllergyIntolerance, RS Composition — ONEISS Submission, RS Condition, RS DocumentReference (Evidence)... Show 3 more, RS Observation, RS Procedure and RS ServiceRequest
• Examples for this Profile: Encounter/rs-bundle-example-encounter and Encounter/rs-example-encounter

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter	C	0..*	PHCoreEncounter	An interaction during which services are provided to the patient Constraints: RSEncounterDischarge
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:vehicleUsed		0..*	CodeableConcept	Identifier and type of transport vehicle. URL: https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-encounter-vehicle-used
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Encounter identifiers Slice: Unordered, Open by value:type
identifier:incidentNumber	Σ	0..1	Identifier	Identifier(s) by which this encounter is known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	1..1	Coding	Code defined by a terminology system
display	Σ	0..1	string	Representation defined by the system Required Pattern: Incident number
identifier:hospitalCaseNo	Σ	0..1	Identifier	Identifier(s) by which this encounter is known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 722248002
display		1..1	string	Representation defined by the system Fixed Value: Patient hospital visit number (observable entity)
userSelected		0..1	boolean	If this coding was chosen directly by the user
status	?!SΣ	1..1	code	Encounter status Binding: EncounterStatus (required): Current state of the encounter.
class	SΣ	1..1	Coding	Encounter class/type Binding: SILPH - Type of Patient (VS) (extensible)
subject	SΣ	1..1	Reference(RS Patient)	Patient subject
Slices for participant	SΣ	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible)
participant:receivedBy	SΣ	0..1	BackboneElement	List of participants involved in the encounter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
display		1..1	string	Representation defined by the system Fixed Value: referrer
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
individual	SΣ	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:teamLeader	Σ	0..*	BackboneElement	List of participants involved in the encounter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 90123-1
display		1..1	string	Representation defined by the system Fixed Value: Response team leader name
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
individual	SΣ	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:treatmentOfficer	Σ	0..*	BackboneElement	List of participants involved in the encounter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 397897005
display		1..1	string	Representation defined by the system Fixed Value: Paramedic (occupation)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
individual	SΣ	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:transportOfficer	Σ	0..*	BackboneElement	List of participants involved in the encounter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 159738005
display		1..1	string	Representation defined by the system Fixed Value: Ambulanceman (occupation)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
individual	SΣ	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:assistant	Σ	0..*	BackboneElement	List of participants involved in the encounter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22515006
display		1..1	string	Representation defined by the system Fixed Value: Medical assistant (occupation)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
individual	SΣ	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
period		0..1	Period	The start and end time of the encounter
start	SΣC	1..1	dateTime	Encounter start
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
origin	S	0..1	Reference(RS Organization)	The location/organization from which the patient came before admission
destination	S	0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
dischargeDisposition	S	0..1	CodeableConcept	Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition.
Slices for location		0..*	BackboneElement	List of locations where the patient has been Slice: Ordered, Open by value:location
location:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(Location)	Location the encounter takes place
location:accidentSite		0..1	BackboneElement	List of locations where the patient has been
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(RS Incident Location)	Location the encounter takes place
location:facility		0..*	BackboneElement	List of locations where the patient has been
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(RS Service Location)	Location the encounter takes place
serviceProvider	S	0..1	Reference(RS Organization)	Service provider
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.identifier:incidentNumber.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier:incidentNumber.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.identifier:hospitalCaseNo.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier:hospitalCaseNo.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	SILPH - Type of Patient (VS)	📦0.2.0	This IG
Encounter.participant.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.participant:receivedBy.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.participant:teamLeader.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.participant:treatmentOfficer.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.participant:transportOfficer.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.participant:assistant.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.hospitalization.​dischargeDisposition	Base	example	Discharge disposition	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
RSEncounterDischarge	error	Encounter	Inpatient encounters use in-patient discharge dispositions; ER/OPD/BHS/RHU encounters use the ambulatory disposition list.	((class.system = 'http://snomed.info/sct' and class.code = '416800000') implies (hospitalization.dischargeDisposition.empty() or hospitalization.dischargeDisposition.memberOf('http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-InpatientDisposition'))) and (((class.system = 'http://snomed.info/sct' and class.code = '373864002') or (class.system = 'http://www.roadsafetyph.doh.gov.ph/CodeSystem/cs-silph' and (class.code = 'BHS' or class.code = 'RHU'))) implies (hospitalization.dischargeDisposition.empty() or hospitalization.dischargeDisposition.memberOf('http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-OutpatientERDisposition')))
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from PHCoreEncounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter	C	0..*	PHCoreEncounter	An interaction during which services are provided to the patient Constraints: RSEncounterDischarge
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:vehicleUsed		0..*	CodeableConcept	Identifier and type of transport vehicle. URL: https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-encounter-vehicle-used
Slices for identifier	S	1..*	Identifier	Encounter identifiers Slice: Unordered, Open by value:type
identifier:incidentNumber		0..1	Identifier	Identifier(s) by which this encounter is known
type	S	1..1	CodeableConcept	Description of identifier
coding		1..1	Coding	Code defined by a terminology system
display		0..1	string	Representation defined by the system Required Pattern: Incident number
identifier:hospitalCaseNo		0..1	Identifier	Identifier(s) by which this encounter is known
type	S	1..1	CodeableConcept	Description of identifier
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 722248002
display		1..1	string	Representation defined by the system Fixed Value: Patient hospital visit number (observable entity)
status	S	1..1	code	Encounter status
class	S	1..1	Coding	Encounter class/type Binding: SILPH - Type of Patient (VS) (extensible)
subject	S	1..1	Reference(RS Patient)	Patient subject
Slices for participant	S	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type
participant:All Slices				Content/Rules for all slices
type		0..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible)
participant:receivedBy	S	0..1	BackboneElement	List of participants involved in the encounter
type		1..*	CodeableConcept	Role of participant in encounter Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
display		1..1	string	Representation defined by the system Fixed Value: referrer
individual	S	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:teamLeader		0..*	BackboneElement	List of participants involved in the encounter
type		1..*	CodeableConcept	Role of participant in encounter Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 90123-1
display		1..1	string	Representation defined by the system Fixed Value: Response team leader name
individual	S	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:treatmentOfficer		0..*	BackboneElement	List of participants involved in the encounter
type		1..*	CodeableConcept	Role of participant in encounter Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 397897005
display		1..1	string	Representation defined by the system Fixed Value: Paramedic (occupation)
individual	S	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:transportOfficer		0..*	BackboneElement	List of participants involved in the encounter
type		1..*	CodeableConcept	Role of participant in encounter Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 159738005
display		1..1	string	Representation defined by the system Fixed Value: Ambulanceman (occupation)
individual	S	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:assistant		0..*	BackboneElement	List of participants involved in the encounter
type		1..*	CodeableConcept	Role of participant in encounter Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22515006
display		1..1	string	Representation defined by the system Fixed Value: Medical assistant (occupation)
individual	S	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
period
start	S	1..1	dateTime	Encounter start
hospitalization
origin	S	0..1	Reference(RS Organization)	The location/organization from which the patient came before admission
destination	S	0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
dischargeDisposition	S	0..1	CodeableConcept	Category or kind of location after discharge
Slices for location		0..*	BackboneElement	List of locations where the patient has been Slice: Ordered, Open by value:location
location:accidentSite		0..1	BackboneElement	List of locations where the patient has been
location	S	1..1	Reference(RS Incident Location)	Location the encounter takes place
location:facility		0..*	BackboneElement	List of locations where the patient has been
location	S	1..1	Reference(RS Service Location)	Location the encounter takes place
serviceProvider	S	0..1	Reference(RS Organization)	Service provider
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Encounter.class	Base	extensible	SILPH - Type of Patient (VS)	📦0.2.0	This IG
Encounter.participant.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
RSEncounterDischarge	error	Encounter	Inpatient encounters use in-patient discharge dispositions; ER/OPD/BHS/RHU encounters use the ambulatory disposition list.	((class.system = 'http://snomed.info/sct' and class.code = '416800000') implies (hospitalization.dischargeDisposition.empty() or hospitalization.dischargeDisposition.memberOf('http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-InpatientDisposition'))) and (((class.system = 'http://snomed.info/sct' and class.code = '373864002') or (class.system = 'http://www.roadsafetyph.doh.gov.ph/CodeSystem/cs-silph' and (class.code = 'BHS' or class.code = 'RHU'))) implies (hospitalization.dischargeDisposition.empty() or hospitalization.dischargeDisposition.memberOf('http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-OutpatientERDisposition')))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter	C	0..*	PHCoreEncounter	An interaction during which services are provided to the patient Constraints: RSEncounterDischarge
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:vehicleUsed		0..*	CodeableConcept	Identifier and type of transport vehicle. URL: https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-encounter-vehicle-used
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Encounter identifiers Slice: Unordered, Open by value:type
identifier:incidentNumber	Σ	0..1	Identifier	Identifier(s) by which this encounter is known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system Required Pattern: Incident number
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:hospitalCaseNo	Σ	0..1	Identifier	Identifier(s) by which this encounter is known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 722248002
display		1..1	string	Representation defined by the system Fixed Value: Patient hospital visit number (observable entity)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	Encounter status Binding: EncounterStatus (required): Current state of the encounter.
statusHistory		0..*	BackboneElement	List of past encounter statuses
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period		1..1	Period	The time that the episode was in the specified status
class	SΣ	1..1	Coding	Encounter class/type Binding: SILPH - Type of Patient (VS) (extensible)
classHistory		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class
type	Σ	0..*	CodeableConcept	Specific type of encounter Binding: EncounterType (example): The type of encounter.
serviceType	Σ	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject	SΣ	1..1	Reference(RS Patient)	Patient subject
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
Slices for participant	SΣ	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type
participant:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible)
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(PH Core Practitioner | PractitionerRole | PH Core RelatedPerson)	Persons involved in the encounter other than the patient
participant:receivedBy	SΣ	0..1	BackboneElement	List of participants involved in the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
display		1..1	string	Representation defined by the system Fixed Value: referrer
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:teamLeader	Σ	0..*	BackboneElement	List of participants involved in the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 90123-1
display		1..1	string	Representation defined by the system Fixed Value: Response team leader name
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:treatmentOfficer	Σ	0..*	BackboneElement	List of participants involved in the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 397897005
display		1..1	string	Representation defined by the system Fixed Value: Paramedic (occupation)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:transportOfficer	Σ	0..*	BackboneElement	List of participants involved in the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 159738005
display		1..1	string	Representation defined by the system Fixed Value: Ambulanceman (occupation)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:assistant	Σ	0..*	BackboneElement	List of participants involved in the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22515006
display		1..1	string	Representation defined by the system Fixed Value: Medical assistant (occupation)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period		0..1	Period	The start and end time of the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Encounter start
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin	S	0..1	Reference(RS Organization)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission		0..1	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination	S	0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
dischargeDisposition	S	0..1	CodeableConcept	Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition.
Slices for location		0..*	BackboneElement	List of locations where the patient has been Slice: Ordered, Open by value:location
location:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(Location)	Location the encounter takes place
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
location:accidentSite		0..1	BackboneElement	List of locations where the patient has been
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(RS Incident Location)	Location the encounter takes place
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
location:facility		0..*	BackboneElement	List of locations where the patient has been
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(RS Service Location)	Location the encounter takes place
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider	S	0..1	Reference(RS Organization)	Service provider
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Encounter.identifier:incidentNumber.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier:incidentNumber.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.identifier:hospitalCaseNo.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier:hospitalCaseNo.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.statusHistory.​status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	SILPH - Type of Patient (VS)	📦0.2.0	This IG
Encounter.classHistory.​class	Base	extensible	ActEncounterCode	📦3.0.0	THO v6.5
Encounter.type	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Encounter.priority	Base	example	ActPriority	📦3.0.0	THO v6.5
Encounter.participant.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.participant:receivedBy.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.participant:teamLeader.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.participant:treatmentOfficer.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.participant:transportOfficer.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.participant:assistant.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.reasonCode	Base	preferred	Encounter Reason Codes	📍4.0.1	FHIR Std.
Encounter.diagnosis.​use	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
Encounter.hospitalization.​admitSource	Base	preferred	Admit source	📍4.0.1	FHIR Std.
Encounter.hospitalization.​reAdmission	Base	example	hl7VS-re-admissionIndicator	📦2.0.0	THO v6.5
Encounter.hospitalization.​dietPreference	Base	example	Diet	📍4.0.1	FHIR Std.
Encounter.hospitalization.​specialCourtesy	Base	preferred	Special courtesy	📍4.0.1	FHIR Std.
Encounter.hospitalization.​specialArrangement	Base	preferred	Special arrangements	📍4.0.1	FHIR Std.
Encounter.hospitalization.​dischargeDisposition	Base	example	Discharge disposition	📍4.0.1	FHIR Std.
Encounter.location.status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location.physicalType	Base	example	Location type	📍4.0.1	FHIR Std.
Encounter.location:accidentSite.​status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location:accidentSite.​physicalType	Base	example	Location type	📍4.0.1	FHIR Std.
Encounter.location:facility.​status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location:facility.​physicalType	Base	example	Location type	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
RSEncounterDischarge	error	Encounter	Inpatient encounters use in-patient discharge dispositions; ER/OPD/BHS/RHU encounters use the ambulatory disposition list.	((class.system = 'http://snomed.info/sct' and class.code = '416800000') implies (hospitalization.dischargeDisposition.empty() or hospitalization.dischargeDisposition.memberOf('http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-InpatientDisposition'))) and (((class.system = 'http://snomed.info/sct' and class.code = '373864002') or (class.system = 'http://www.roadsafetyph.doh.gov.ph/CodeSystem/cs-silph' and (class.code = 'BHS' or class.code = 'RHU'))) implies (hospitalization.dischargeDisposition.empty() or hospitalization.dischargeDisposition.memberOf('http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-OutpatientERDisposition')))
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from PHCoreEncounter

Summary

Mandatory: 2 elements(10 nested mandatory elements)
Must-Support: 20 elements

Structures

This structure refers to these other structures:

• RS Patient (https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-patient)
• PH Core Practitioner (urn://example.com/ph-core/fhir/StructureDefinition/ph-core-practitioner)
• RS Organization (https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-organization)
• RS Incident Location (https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-incident-location-incident)
• RS Service Location (https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-location-service)

Extensions

This structure refers to these extensions:

• https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-encounter-vehicle-used

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Encounter.identifier
• The element 1 is sliced based on the value of Encounter.participant
• The element 1 is sliced based on the value of Encounter.location (ordered)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter	C	0..*	PHCoreEncounter	An interaction during which services are provided to the patient Constraints: RSEncounterDischarge
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:vehicleUsed		0..*	CodeableConcept	Identifier and type of transport vehicle. URL: https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-encounter-vehicle-used
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Encounter identifiers Slice: Unordered, Open by value:type
identifier:incidentNumber	Σ	0..1	Identifier	Identifier(s) by which this encounter is known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	1..1	Coding	Code defined by a terminology system
display	Σ	0..1	string	Representation defined by the system Required Pattern: Incident number
identifier:hospitalCaseNo	Σ	0..1	Identifier	Identifier(s) by which this encounter is known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 722248002
display		1..1	string	Representation defined by the system Fixed Value: Patient hospital visit number (observable entity)
userSelected		0..1	boolean	If this coding was chosen directly by the user
status	?!SΣ	1..1	code	Encounter status Binding: EncounterStatus (required): Current state of the encounter.
class	SΣ	1..1	Coding	Encounter class/type Binding: SILPH - Type of Patient (VS) (extensible)
subject	SΣ	1..1	Reference(RS Patient)	Patient subject
Slices for participant	SΣ	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible)
participant:receivedBy	SΣ	0..1	BackboneElement	List of participants involved in the encounter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
display		1..1	string	Representation defined by the system Fixed Value: referrer
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
individual	SΣ	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:teamLeader	Σ	0..*	BackboneElement	List of participants involved in the encounter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 90123-1
display		1..1	string	Representation defined by the system Fixed Value: Response team leader name
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
individual	SΣ	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:treatmentOfficer	Σ	0..*	BackboneElement	List of participants involved in the encounter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 397897005
display		1..1	string	Representation defined by the system Fixed Value: Paramedic (occupation)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
individual	SΣ	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:transportOfficer	Σ	0..*	BackboneElement	List of participants involved in the encounter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 159738005
display		1..1	string	Representation defined by the system Fixed Value: Ambulanceman (occupation)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
individual	SΣ	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:assistant	Σ	0..*	BackboneElement	List of participants involved in the encounter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22515006
display		1..1	string	Representation defined by the system Fixed Value: Medical assistant (occupation)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
individual	SΣ	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
period		0..1	Period	The start and end time of the encounter
start	SΣC	1..1	dateTime	Encounter start
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
origin	S	0..1	Reference(RS Organization)	The location/organization from which the patient came before admission
destination	S	0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
dischargeDisposition	S	0..1	CodeableConcept	Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition.
Slices for location		0..*	BackboneElement	List of locations where the patient has been Slice: Ordered, Open by value:location
location:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(Location)	Location the encounter takes place
location:accidentSite		0..1	BackboneElement	List of locations where the patient has been
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(RS Incident Location)	Location the encounter takes place
location:facility		0..*	BackboneElement	List of locations where the patient has been
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(RS Service Location)	Location the encounter takes place
serviceProvider	S	0..1	Reference(RS Organization)	Service provider
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.identifier:incidentNumber.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier:incidentNumber.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.identifier:hospitalCaseNo.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier:hospitalCaseNo.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	SILPH - Type of Patient (VS)	📦0.2.0	This IG
Encounter.participant.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.participant:receivedBy.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.participant:teamLeader.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.participant:treatmentOfficer.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.participant:transportOfficer.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.participant:assistant.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.hospitalization.​dischargeDisposition	Base	example	Discharge disposition	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
RSEncounterDischarge	error	Encounter	Inpatient encounters use in-patient discharge dispositions; ER/OPD/BHS/RHU encounters use the ambulatory disposition list.	((class.system = 'http://snomed.info/sct' and class.code = '416800000') implies (hospitalization.dischargeDisposition.empty() or hospitalization.dischargeDisposition.memberOf('http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-InpatientDisposition'))) and (((class.system = 'http://snomed.info/sct' and class.code = '373864002') or (class.system = 'http://www.roadsafetyph.doh.gov.ph/CodeSystem/cs-silph' and (class.code = 'BHS' or class.code = 'RHU'))) implies (hospitalization.dischargeDisposition.empty() or hospitalization.dischargeDisposition.memberOf('http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-OutpatientERDisposition')))
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from PHCoreEncounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter	C	0..*	PHCoreEncounter	An interaction during which services are provided to the patient Constraints: RSEncounterDischarge
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:vehicleUsed		0..*	CodeableConcept	Identifier and type of transport vehicle. URL: https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-encounter-vehicle-used
Slices for identifier	S	1..*	Identifier	Encounter identifiers Slice: Unordered, Open by value:type
identifier:incidentNumber		0..1	Identifier	Identifier(s) by which this encounter is known
type	S	1..1	CodeableConcept	Description of identifier
coding		1..1	Coding	Code defined by a terminology system
display		0..1	string	Representation defined by the system Required Pattern: Incident number
identifier:hospitalCaseNo		0..1	Identifier	Identifier(s) by which this encounter is known
type	S	1..1	CodeableConcept	Description of identifier
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 722248002
display		1..1	string	Representation defined by the system Fixed Value: Patient hospital visit number (observable entity)
status	S	1..1	code	Encounter status
class	S	1..1	Coding	Encounter class/type Binding: SILPH - Type of Patient (VS) (extensible)
subject	S	1..1	Reference(RS Patient)	Patient subject
Slices for participant	S	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type
participant:All Slices				Content/Rules for all slices
type		0..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible)
participant:receivedBy	S	0..1	BackboneElement	List of participants involved in the encounter
type		1..*	CodeableConcept	Role of participant in encounter Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
display		1..1	string	Representation defined by the system Fixed Value: referrer
individual	S	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:teamLeader		0..*	BackboneElement	List of participants involved in the encounter
type		1..*	CodeableConcept	Role of participant in encounter Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 90123-1
display		1..1	string	Representation defined by the system Fixed Value: Response team leader name
individual	S	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:treatmentOfficer		0..*	BackboneElement	List of participants involved in the encounter
type		1..*	CodeableConcept	Role of participant in encounter Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 397897005
display		1..1	string	Representation defined by the system Fixed Value: Paramedic (occupation)
individual	S	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:transportOfficer		0..*	BackboneElement	List of participants involved in the encounter
type		1..*	CodeableConcept	Role of participant in encounter Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 159738005
display		1..1	string	Representation defined by the system Fixed Value: Ambulanceman (occupation)
individual	S	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:assistant		0..*	BackboneElement	List of participants involved in the encounter
type		1..*	CodeableConcept	Role of participant in encounter Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22515006
display		1..1	string	Representation defined by the system Fixed Value: Medical assistant (occupation)
individual	S	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
period
start	S	1..1	dateTime	Encounter start
hospitalization
origin	S	0..1	Reference(RS Organization)	The location/organization from which the patient came before admission
destination	S	0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
dischargeDisposition	S	0..1	CodeableConcept	Category or kind of location after discharge
Slices for location		0..*	BackboneElement	List of locations where the patient has been Slice: Ordered, Open by value:location
location:accidentSite		0..1	BackboneElement	List of locations where the patient has been
location	S	1..1	Reference(RS Incident Location)	Location the encounter takes place
location:facility		0..*	BackboneElement	List of locations where the patient has been
location	S	1..1	Reference(RS Service Location)	Location the encounter takes place
serviceProvider	S	0..1	Reference(RS Organization)	Service provider
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Encounter.class	Base	extensible	SILPH - Type of Patient (VS)	📦0.2.0	This IG
Encounter.participant.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
RSEncounterDischarge	error	Encounter	Inpatient encounters use in-patient discharge dispositions; ER/OPD/BHS/RHU encounters use the ambulatory disposition list.	((class.system = 'http://snomed.info/sct' and class.code = '416800000') implies (hospitalization.dischargeDisposition.empty() or hospitalization.dischargeDisposition.memberOf('http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-InpatientDisposition'))) and (((class.system = 'http://snomed.info/sct' and class.code = '373864002') or (class.system = 'http://www.roadsafetyph.doh.gov.ph/CodeSystem/cs-silph' and (class.code = 'BHS' or class.code = 'RHU'))) implies (hospitalization.dischargeDisposition.empty() or hospitalization.dischargeDisposition.memberOf('http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-OutpatientERDisposition')))

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter	C	0..*	PHCoreEncounter	An interaction during which services are provided to the patient Constraints: RSEncounterDischarge
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:vehicleUsed		0..*	CodeableConcept	Identifier and type of transport vehicle. URL: https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-encounter-vehicle-used
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Encounter identifiers Slice: Unordered, Open by value:type
identifier:incidentNumber	Σ	0..1	Identifier	Identifier(s) by which this encounter is known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system Required Pattern: Incident number
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:hospitalCaseNo	Σ	0..1	Identifier	Identifier(s) by which this encounter is known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 722248002
display		1..1	string	Representation defined by the system Fixed Value: Patient hospital visit number (observable entity)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	Encounter status Binding: EncounterStatus (required): Current state of the encounter.
statusHistory		0..*	BackboneElement	List of past encounter statuses
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period		1..1	Period	The time that the episode was in the specified status
class	SΣ	1..1	Coding	Encounter class/type Binding: SILPH - Type of Patient (VS) (extensible)
classHistory		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class
type	Σ	0..*	CodeableConcept	Specific type of encounter Binding: EncounterType (example): The type of encounter.
serviceType	Σ	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject	SΣ	1..1	Reference(RS Patient)	Patient subject
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
Slices for participant	SΣ	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type
participant:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible)
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(PH Core Practitioner | PractitionerRole | PH Core RelatedPerson)	Persons involved in the encounter other than the patient
participant:receivedBy	SΣ	0..1	BackboneElement	List of participants involved in the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
display		1..1	string	Representation defined by the system Fixed Value: referrer
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:teamLeader	Σ	0..*	BackboneElement	List of participants involved in the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 90123-1
display		1..1	string	Representation defined by the system Fixed Value: Response team leader name
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:treatmentOfficer	Σ	0..*	BackboneElement	List of participants involved in the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 397897005
display		1..1	string	Representation defined by the system Fixed Value: Paramedic (occupation)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:transportOfficer	Σ	0..*	BackboneElement	List of participants involved in the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 159738005
display		1..1	string	Representation defined by the system Fixed Value: Ambulanceman (occupation)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
participant:assistant	Σ	0..*	BackboneElement	List of participants involved in the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: SILPH - Encounter Participant Role (VS) (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20241001
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22515006
display		1..1	string	Representation defined by the system Fixed Value: Medical assistant (occupation)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(PH Core Practitioner)	Persons involved in the encounter other than the patient
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period		0..1	Period	The start and end time of the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Encounter start
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin	S	0..1	Reference(RS Organization)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission		0..1	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination	S	0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
dischargeDisposition	S	0..1	CodeableConcept	Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition.
Slices for location		0..*	BackboneElement	List of locations where the patient has been Slice: Ordered, Open by value:location
location:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(Location)	Location the encounter takes place
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
location:accidentSite		0..1	BackboneElement	List of locations where the patient has been
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(RS Incident Location)	Location the encounter takes place
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
location:facility		0..*	BackboneElement	List of locations where the patient has been
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(RS Service Location)	Location the encounter takes place
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider	S	0..1	Reference(RS Organization)	Service provider
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Encounter.identifier:incidentNumber.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier:incidentNumber.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.identifier:hospitalCaseNo.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier:hospitalCaseNo.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.statusHistory.​status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	SILPH - Type of Patient (VS)	📦0.2.0	This IG
Encounter.classHistory.​class	Base	extensible	ActEncounterCode	📦3.0.0	THO v6.5
Encounter.type	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Encounter.priority	Base	example	ActPriority	📦3.0.0	THO v6.5
Encounter.participant.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.participant:receivedBy.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.participant:teamLeader.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.participant:treatmentOfficer.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.participant:transportOfficer.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.participant:assistant.​type	Base	extensible	SILPH - Encounter Participant Role (VS)	📦0.2.0	This IG
Encounter.reasonCode	Base	preferred	Encounter Reason Codes	📍4.0.1	FHIR Std.
Encounter.diagnosis.​use	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
Encounter.hospitalization.​admitSource	Base	preferred	Admit source	📍4.0.1	FHIR Std.
Encounter.hospitalization.​reAdmission	Base	example	hl7VS-re-admissionIndicator	📦2.0.0	THO v6.5
Encounter.hospitalization.​dietPreference	Base	example	Diet	📍4.0.1	FHIR Std.
Encounter.hospitalization.​specialCourtesy	Base	preferred	Special courtesy	📍4.0.1	FHIR Std.
Encounter.hospitalization.​specialArrangement	Base	preferred	Special arrangements	📍4.0.1	FHIR Std.
Encounter.hospitalization.​dischargeDisposition	Base	example	Discharge disposition	📍4.0.1	FHIR Std.
Encounter.location.status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location.physicalType	Base	example	Location type	📍4.0.1	FHIR Std.
Encounter.location:accidentSite.​status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location:accidentSite.​physicalType	Base	example	Location type	📍4.0.1	FHIR Std.
Encounter.location:facility.​status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location:facility.​physicalType	Base	example	Location type	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
RSEncounterDischarge	error	Encounter	Inpatient encounters use in-patient discharge dispositions; ER/OPD/BHS/RHU encounters use the ambulatory disposition list.	((class.system = 'http://snomed.info/sct' and class.code = '416800000') implies (hospitalization.dischargeDisposition.empty() or hospitalization.dischargeDisposition.memberOf('http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-InpatientDisposition'))) and (((class.system = 'http://snomed.info/sct' and class.code = '373864002') or (class.system = 'http://www.roadsafetyph.doh.gov.ph/CodeSystem/cs-silph' and (class.code = 'BHS' or class.code = 'RHU'))) implies (hospitalization.dischargeDisposition.empty() or hospitalization.dischargeDisposition.memberOf('http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-OutpatientERDisposition')))
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from PHCoreEncounter

Summary

Mandatory: 2 elements(10 nested mandatory elements)
Must-Support: 20 elements

Structures

This structure refers to these other structures:

• RS Patient (https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-patient)
• PH Core Practitioner (urn://example.com/ph-core/fhir/StructureDefinition/ph-core-practitioner)
• RS Organization (https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-organization)
• RS Incident Location (https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-incident-location-incident)
• RS Service Location (https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-location-service)

Extensions

This structure refers to these extensions:

• https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-encounter-vehicle-used

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Encounter.identifier
• The element 1 is sliced based on the value of Encounter.participant
• The element 1 is sliced based on the value of Encounter.location (ordered)