Virtually Healthcare HL7 FHIR Implementation Guide
0.1.0-current - ci-build United Kingdom flag

Virtually Healthcare HL7 FHIR Implementation Guide, published by Virtually Healthcare. This guide is not an authorized publication; it is the continuous build for version 0.1.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Virtually-Healthcare/Virtually-Healthcare-FHIR-Implementation-Guide/ and changes regularly. See the Directory of published versions

Resource Profile: Encounter

Official URL: https://fhir.virtually.healthcare/StructureDefinition/Encounter Version: 0.1.0-current
Draft as of 2024-11-06 Computable Name: Encounter

Extension of UKCore-Encounter

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

This structure is derived from UKCoreEncounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* UKCoreEncounter An interaction during which services are provided to the patient

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* UKCoreEncounter An interaction during which services are provided to the patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... dischargeMethod N 0..1 CodeableConcept An extension to support the method of discharge from a hospital.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod
Binding: UK Core Discharge Method (extensible): The method by which a patient was discharged from hospital


.... emergencyCareDischargeStatus N 0..1 CodeableConcept An extension to support the status of an individual on discharge from an Emergency Care Department.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus
Binding: UK Core Emergency Care Discharge Status (preferred): The status of a patient on discharge from an Emergency Care Department


.... legalStatus N 0..* (Complex) Information relating to a patient's legal status on admission or discharge.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus
.... OutcomeOfAttendance N 0..1 CodeableConcept An extension to support the outcome of an Outpatient attendance.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance
Binding: UK Core Outcome Of Attendance (extensible): The outcome of an outpatient attendance


... modifierExtension ?!N 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier SΣ 0..* Identifier Identifier(s) by which this encounter is known
... status ?!SΣ 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

... class SΣ 1..1 Coding Classification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.

... subject SΣC 0..1 Reference(Patient | Group) The patient or group present at the encounter
ref-1: SHALL have a contained resource if a local reference is provided
... participant SΣ 0..* BackboneElement List of participants involved in the encounter
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... reasonCode SΣ 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference SΣC 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
ref-1: SHALL have a contained resource if a local reference is provided

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* UKCoreEncounter An interaction during which services are provided to the patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... dischargeMethod N 0..1 CodeableConcept An extension to support the method of discharge from a hospital.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod
Binding: UK Core Discharge Method (extensible): The method by which a patient was discharged from hospital


.... emergencyCareDischargeStatus N 0..1 CodeableConcept An extension to support the status of an individual on discharge from an Emergency Care Department.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus
Binding: UK Core Emergency Care Discharge Status (preferred): The status of a patient on discharge from an Emergency Care Department


.... legalStatus N 0..* (Complex) Information relating to a patient's legal status on admission or discharge.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus
.... OutcomeOfAttendance N 0..1 CodeableConcept An extension to support the outcome of an Outpatient attendance.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance
Binding: UK Core Outcome Of Attendance (extensible): The outcome of an outpatient attendance


... modifierExtension ?!N 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier SΣ 0..* Identifier Identifier(s) by which this encounter is known
... status ?!SΣ 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... 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 C 1..1 Period The time that the episode was in the specified status
per-1: If present, start SHALL have a lower value than end
... class SΣ 1..1 Coding Classification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.

... classHistory 0..* BackboneElement List of past encounter classes
.... id 0..1 string Unique id for inter-element referencing
.... extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... 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 C 1..1 Period The time that the episode was in the specified class
per-1: If present, start SHALL have a lower value than end
... type Σ 0..* CodeableConcept Specific type of encounter
Binding: UK Core Encounter Type (preferred): A code from the SNOMED Clinical Terminology UK coding system that describes an encounter between a care professional and the patient (or patient's record).


... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: UK Core Care Setting Type (preferred): Any code from the SNOMED CT UK Refset with fully specified name 'Services simple reference set (foundation metadata concept)' with Refset Id 1127531000000102.

... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... subject SΣC 0..1 Reference(Patient | Group) The patient or group present at the encounter
ref-1: SHALL have a contained resource if a local reference is provided
... episodeOfCare ΣC 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
ref-1: SHALL have a contained resource if a local reference is provided
... basedOn C 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
ref-1: SHALL have a contained resource if a local reference is provided
... participant SΣ 0..* BackboneElement List of participants involved in the encounter
.... id 0..1 string Unique id for inter-element referencing
.... extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 0..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.


.... period C 0..1 Period Period of time during the encounter that the participant participated
per-1: If present, start SHALL have a lower value than end
.... individual ΣC 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson) Persons involved in the encounter other than the patient
ref-1: SHALL have a contained resource if a local reference is provided
... appointment ΣC 0..* Reference(Appointment) The appointment that scheduled this encounter
ref-1: SHALL have a contained resource if a local reference is provided
... period C 0..1 Period The start and end time of the encounter
per-1: If present, start SHALL have a lower value than end
... length C 0..1 Duration Quantity of time the encounter lasted (less time absent)
qty-3: If a code for the unit is present, the system SHALL also be present
drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
... reasonCode SΣ 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference SΣC 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
ref-1: SHALL have a contained resource if a local reference is provided
... diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
.... id 0..1 string Unique id for inter-element referencing
.... extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition ΣC 1..1 Reference(Condition | Procedure) The diagnosis or procedure relevant to the encounter
ref-1: SHALL have a contained resource if a local reference is provided
.... 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 C 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
ref-1: SHALL have a contained resource if a local reference is provided
... hospitalization 0..1 BackboneElement Details about the admission to a healthcare service
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... admissionMethod N 0..1 CodeableConcept An extension to support the method by which an individual was admitted into hospital.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdmissionMethod
Binding: UK Core Admission Method (extensible): The method by which a patient was admitted to hospital


.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin C 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
ref-1: SHALL have a contained resource if a local reference is provided
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: UK Core Source Of Admission (preferred): The source of admission to a Hospital Provider Spell or a Nursing Episode when the Patient is in a Hospital Site or a Care Home.

.... 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 C 0..1 Reference(Location | Organization) Location/organization to which the patient is discharged
ref-1: SHALL have a contained resource if a local reference is provided
.... dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: UK Core Discharge Destination (preferred): The destination of a Patient on completion of a Hospital Provider Spell, or a note that the Patient died or was a still birth.

... location 0..* BackboneElement List of locations where the patient has been
.... id 0..1 string Unique id for inter-element referencing
.... extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location C 1..1 Reference(Location) Location the encounter takes place
ref-1: SHALL have a contained resource if a local reference is provided
.... 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: UK Core Encounter Location Type (preferred): A set of codes that define the physical type of location where an encounter takes place.

.... period C 0..1 Period Time period during which the patient was present at the location
per-1: If present, start SHALL have a lower value than end
... serviceProvider C 0..1 Reference(Organization) The organization (facility) responsible for this encounter
ref-1: SHALL have a contained resource if a local reference is provided
... partOf C 0..1 Reference(Encounter) Another Encounter this encounter is part of
ref-1: SHALL have a contained resource if a local reference is provided

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typepreferredUKCoreEncounterType
https://fhir.hl7.org.uk/ValueSet/UKCore-EncounterType
Encounter.serviceTypepreferredUKCoreCareSettingType
https://fhir.hl7.org.uk/ValueSet/UKCore-CareSettingType
Encounter.priorityexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Encounter.diagnosis.usepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard
Encounter.hospitalization.admitSourcepreferredUKCoreSourceOfAdmission
https://fhir.hl7.org.uk/ValueSet/UKCore-SourceOfAdmission
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionpreferredUKCoreDischargeDestination
https://fhir.hl7.org.uk/ValueSet/UKCore-DischargeDestination
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
from the FHIR Standard
Encounter.location.physicalTypepreferredUKCoreEncounterLocationType
https://fhir.hl7.org.uk/ValueSet/UKCore-EncounterLocationType

This structure is derived from UKCoreEncounter

Summary

Differential View

This structure is derived from UKCoreEncounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* UKCoreEncounter An interaction during which services are provided to the patient

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* UKCoreEncounter An interaction during which services are provided to the patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... dischargeMethod N 0..1 CodeableConcept An extension to support the method of discharge from a hospital.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod
Binding: UK Core Discharge Method (extensible): The method by which a patient was discharged from hospital


.... emergencyCareDischargeStatus N 0..1 CodeableConcept An extension to support the status of an individual on discharge from an Emergency Care Department.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus
Binding: UK Core Emergency Care Discharge Status (preferred): The status of a patient on discharge from an Emergency Care Department


.... legalStatus N 0..* (Complex) Information relating to a patient's legal status on admission or discharge.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus
.... OutcomeOfAttendance N 0..1 CodeableConcept An extension to support the outcome of an Outpatient attendance.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance
Binding: UK Core Outcome Of Attendance (extensible): The outcome of an outpatient attendance


... modifierExtension ?!N 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier SΣ 0..* Identifier Identifier(s) by which this encounter is known
... status ?!SΣ 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

... class SΣ 1..1 Coding Classification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.

... subject SΣC 0..1 Reference(Patient | Group) The patient or group present at the encounter
ref-1: SHALL have a contained resource if a local reference is provided
... participant SΣ 0..* BackboneElement List of participants involved in the encounter
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... reasonCode SΣ 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference SΣC 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
ref-1: SHALL have a contained resource if a local reference is provided

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* UKCoreEncounter An interaction during which services are provided to the patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... dischargeMethod N 0..1 CodeableConcept An extension to support the method of discharge from a hospital.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod
Binding: UK Core Discharge Method (extensible): The method by which a patient was discharged from hospital


.... emergencyCareDischargeStatus N 0..1 CodeableConcept An extension to support the status of an individual on discharge from an Emergency Care Department.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus
Binding: UK Core Emergency Care Discharge Status (preferred): The status of a patient on discharge from an Emergency Care Department


.... legalStatus N 0..* (Complex) Information relating to a patient's legal status on admission or discharge.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus
.... OutcomeOfAttendance N 0..1 CodeableConcept An extension to support the outcome of an Outpatient attendance.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance
Binding: UK Core Outcome Of Attendance (extensible): The outcome of an outpatient attendance


... modifierExtension ?!N 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier SΣ 0..* Identifier Identifier(s) by which this encounter is known
... status ?!SΣ 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... 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 C 1..1 Period The time that the episode was in the specified status
per-1: If present, start SHALL have a lower value than end
... class SΣ 1..1 Coding Classification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.

... classHistory 0..* BackboneElement List of past encounter classes
.... id 0..1 string Unique id for inter-element referencing
.... extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... 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 C 1..1 Period The time that the episode was in the specified class
per-1: If present, start SHALL have a lower value than end
... type Σ 0..* CodeableConcept Specific type of encounter
Binding: UK Core Encounter Type (preferred): A code from the SNOMED Clinical Terminology UK coding system that describes an encounter between a care professional and the patient (or patient's record).


... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: UK Core Care Setting Type (preferred): Any code from the SNOMED CT UK Refset with fully specified name 'Services simple reference set (foundation metadata concept)' with Refset Id 1127531000000102.

... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... subject SΣC 0..1 Reference(Patient | Group) The patient or group present at the encounter
ref-1: SHALL have a contained resource if a local reference is provided
... episodeOfCare ΣC 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
ref-1: SHALL have a contained resource if a local reference is provided
... basedOn C 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
ref-1: SHALL have a contained resource if a local reference is provided
... participant SΣ 0..* BackboneElement List of participants involved in the encounter
.... id 0..1 string Unique id for inter-element referencing
.... extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 0..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.


.... period C 0..1 Period Period of time during the encounter that the participant participated
per-1: If present, start SHALL have a lower value than end
.... individual ΣC 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson) Persons involved in the encounter other than the patient
ref-1: SHALL have a contained resource if a local reference is provided
... appointment ΣC 0..* Reference(Appointment) The appointment that scheduled this encounter
ref-1: SHALL have a contained resource if a local reference is provided
... period C 0..1 Period The start and end time of the encounter
per-1: If present, start SHALL have a lower value than end
... length C 0..1 Duration Quantity of time the encounter lasted (less time absent)
qty-3: If a code for the unit is present, the system SHALL also be present
drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
... reasonCode SΣ 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference SΣC 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
ref-1: SHALL have a contained resource if a local reference is provided
... diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
.... id 0..1 string Unique id for inter-element referencing
.... extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition ΣC 1..1 Reference(Condition | Procedure) The diagnosis or procedure relevant to the encounter
ref-1: SHALL have a contained resource if a local reference is provided
.... 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 C 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
ref-1: SHALL have a contained resource if a local reference is provided
... hospitalization 0..1 BackboneElement Details about the admission to a healthcare service
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... admissionMethod N 0..1 CodeableConcept An extension to support the method by which an individual was admitted into hospital.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdmissionMethod
Binding: UK Core Admission Method (extensible): The method by which a patient was admitted to hospital


.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin C 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
ref-1: SHALL have a contained resource if a local reference is provided
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: UK Core Source Of Admission (preferred): The source of admission to a Hospital Provider Spell or a Nursing Episode when the Patient is in a Hospital Site or a Care Home.

.... 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 C 0..1 Reference(Location | Organization) Location/organization to which the patient is discharged
ref-1: SHALL have a contained resource if a local reference is provided
.... dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: UK Core Discharge Destination (preferred): The destination of a Patient on completion of a Hospital Provider Spell, or a note that the Patient died or was a still birth.

... location 0..* BackboneElement List of locations where the patient has been
.... id 0..1 string Unique id for inter-element referencing
.... extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location C 1..1 Reference(Location) Location the encounter takes place
ref-1: SHALL have a contained resource if a local reference is provided
.... 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: UK Core Encounter Location Type (preferred): A set of codes that define the physical type of location where an encounter takes place.

.... period C 0..1 Period Time period during which the patient was present at the location
per-1: If present, start SHALL have a lower value than end
... serviceProvider C 0..1 Reference(Organization) The organization (facility) responsible for this encounter
ref-1: SHALL have a contained resource if a local reference is provided
... partOf C 0..1 Reference(Encounter) Another Encounter this encounter is part of
ref-1: SHALL have a contained resource if a local reference is provided

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typepreferredUKCoreEncounterType
https://fhir.hl7.org.uk/ValueSet/UKCore-EncounterType
Encounter.serviceTypepreferredUKCoreCareSettingType
https://fhir.hl7.org.uk/ValueSet/UKCore-CareSettingType
Encounter.priorityexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Encounter.diagnosis.usepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard
Encounter.hospitalization.admitSourcepreferredUKCoreSourceOfAdmission
https://fhir.hl7.org.uk/ValueSet/UKCore-SourceOfAdmission
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionpreferredUKCoreDischargeDestination
https://fhir.hl7.org.uk/ValueSet/UKCore-DischargeDestination
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
from the FHIR Standard
Encounter.location.physicalTypepreferredUKCoreEncounterLocationType
https://fhir.hl7.org.uk/ValueSet/UKCore-EncounterLocationType

This structure is derived from UKCoreEncounter

Summary

 

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