WHO Antenatal Care Guideline Implementation Guide
0.3.0 - CI Build
WHO Antenatal Care Guideline Implementation Guide
0.3.0 - CI Build
WHO Antenatal Care Guideline Implementation Guide, published by World Health Organization (WHO). This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-anc/ and changes regularly. See the Directory of published versions
| Official URL: http://smart.who.int/anc/StructureDefinition/anc-base-encounter | Version: 0.3.0 | |||
| Draft as of 2026-10-16 | Computable Name: ANCBaseEncounter | |||
ANC Base Encounter
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  Encounter |
0..* | WHOEncounter | An interaction during which services are provided to the patient | |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
  Slices for extension |
Content/Rules for all slices | |||
   extension:statusReason |
0..1 | CodeableConcept | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason Binding Description: (example): Codes identifying the reason for the current state of an event. | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
 identifier |
1..* | Identifier | Identifier(s) by which this encounter is known | |
| use |
1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| system |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |
 value |
1..1 | string | The value that is unique Example General: 123456 | |
| status |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | |
| class |
1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter. | |
| type |
1..* | CodeableConcept | Specific type of encounter Binding: EncounterType (example): The type of encounter. | |
| priority |
0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter. | |
 subject |
0..1 | Reference(ANC Base Patient) | The patient or group present at the encounter | |
| episodeOfCare |
0..* | Reference(CPGCase) | Episode(s) of care that this encounter should be recorded against | |
| basedOn |
0..* | Reference(ANC ServiceRequest) | The ServiceRequest that initiated this encounter | |
| participant |
0..* | BackboneElement | List of participants involved in the encounter | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| type |
0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | |
| period |
0..1 | Period | Period of time during the encounter that the participant participated | |
| individual |
0..1 | Reference(ANC Practitioner | ANC PractitionerRole) | Persons involved in the encounter other than the patient | |
| period |
0..1 | Period | The start and end time of the encounter | |
| length |
0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |
| reasonCode |
0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | |
| diagnosis |
0..* | BackboneElement | The list of diagnosis relevant to this encounter | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| condition |
1..1 | Reference(ANC Condition | ANC 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) | |
| location |
0..* | BackboneElement | List of locations where the patient has been | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| location |
1..1 | Reference(ANC Location) | Location the encounter takes place | |
| serviceProvider |
0..1 | Reference(ANC Organization) | The organization (facility) responsible for this encounter | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std. |
| Encounter.class | Base | extensible | ActEncounterCode | 📦3.0.0 | THO v7.4 |
| Encounter.type | Base | example | Encounter type | 📦4.0.1 | FHIR Std. |
| Encounter.priority | Base | example | ActPriority | 📦3.0.0 | THO v7.4 |
| Encounter.participant.type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std. |
| Encounter.diagnosis.use | Base | preferred | DiagnosisRole | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Encounter | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from WHOEncounter
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Encounter |
0..* | WHOEncounter | An interaction during which services are provided to the patient | |
| subject |
0..1 | Reference(ANC Base Patient) | The patient or group present at the encounter | |
| basedOn |
0..* | Reference(ANC ServiceRequest) | The ServiceRequest that initiated this encounter | |
 participant |
0..* | BackboneElement | List of participants involved in the encounter | |
| individual |
0..1 | Reference(ANC Practitioner | ANC PractitionerRole) | Persons involved in the encounter other than the patient | |
| diagnosis |
||||
| condition |
1..1 | Reference(ANC Condition | ANC Procedure) | The diagnosis or procedure relevant to the encounter | |
| location |
0..* | BackboneElement | List of locations where the patient has been | |
| location |
1..1 | Reference(ANC Location) | Location the encounter takes place | |
| serviceProvider |
0..1 | Reference(ANC Organization) | The organization (facility) responsible for this encounter | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Encounter |
0..* | WHOEncounter | An interaction during which services are provided to the patient | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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.
| |||||
| 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:statusReason |
0..1 | CodeableConcept | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason Binding Description: (example): Codes identifying the reason for the current state of an event. | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
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 |
1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
0..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. | |||||
| system |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||
| value |
1..1 | string | The value that is unique Example General: 123456 | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| status |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | |||||
| statusHistory |
0..* | BackboneElement | List of past encounter statuses | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
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 |
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 |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
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 |
1..* | CodeableConcept | Specific type of encounter Binding: EncounterType (example): The type of encounter. | |||||
| serviceType |
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 |
0..1 | Reference(ANC Base Patient) | The patient or group present at the encounter | |||||
| episodeOfCare |
0..* | Reference(CPGCase) | Episode(s) of care that this encounter should be recorded against | |||||
| basedOn |
0..* | Reference(ANC ServiceRequest) | The ServiceRequest that initiated this encounter | |||||
| participant |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| type |
0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | |||||
| period |
0..1 | Period | Period of time during the encounter that the participant participated | |||||
| individual |
0..1 | Reference(ANC Practitioner | ANC PractitionerRole) | Persons involved in the encounter other than the patient | |||||
| appointment |
0..* | Reference(Appointment) | The appointment that scheduled this encounter | |||||
| period |
0..1 | Period | The start and end time of the encounter | |||||
| length |
0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |||||
| reasonCode |
0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | |||||
| reasonReference |
0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) | |||||
| diagnosis |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| condition |
1..1 | Reference(ANC Condition | ANC 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| preAdmissionIdentifier |
0..1 | Identifier | Pre-admission identifier | |||||
| origin |
0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission | |||||
| admitSource |
0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted. | |||||
| reAdmission |
0..1 | CodeableConcept | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter. | |||||
| dietPreference |
0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements. | |||||
| specialCourtesy |
0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies. | |||||
| specialArrangement |
0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements. | |||||
| destination |
0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged | |||||
| dischargeDisposition |
0..1 | CodeableConcept | Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition. | |||||
| location |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| location |
1..1 | Reference(ANC 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 |
0..1 | Reference(ANC Organization) | The organization (facility) responsible for this encounter | |||||
| partOf |
0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Encounter.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.identifier.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 | ActEncounterCode | 📦3.0.0 | THO v7.4 |
| Encounter.classHistory.class | Base | extensible | ActEncounterCode | 📦3.0.0 | THO v7.4 |
| 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 v7.4 |
| Encounter.participant.type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std. |
| Encounter.diagnosis.use | Base | preferred | DiagnosisRole | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.admitSource | Base | preferred | Admit source | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.reAdmission | Base | example | hl7VS-re-admissionIndicator | 📦3.0.0 | THO v7.4 |
| 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. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Encounter | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from WHOEncounter
Summary
Structures
This structure refers to these other structures:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Encounter |
0..* | WHOEncounter | An interaction during which services are provided to the patient | |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:statusReason |
0..1 | CodeableConcept | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason Binding Description: (example): Codes identifying the reason for the current state of an event. | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| identifier |
1..* | Identifier | Identifier(s) by which this encounter is known | |
| use |
1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| system |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |
| value |
1..1 | string | The value that is unique Example General: 123456 | |
| status |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | |
| class |
1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter. | |
| type |
1..* | CodeableConcept | Specific type of encounter Binding: EncounterType (example): The type of encounter. | |
| priority |
0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter. | |
| subject |
0..1 | Reference(ANC Base Patient) | The patient or group present at the encounter | |
| episodeOfCare |
0..* | Reference(CPGCase) | Episode(s) of care that this encounter should be recorded against | |
| basedOn |
0..* | Reference(ANC ServiceRequest) | The ServiceRequest that initiated this encounter | |
| participant |
0..* | BackboneElement | List of participants involved in the encounter | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| type |
0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | |
| period |
0..1 | Period | Period of time during the encounter that the participant participated | |
| individual |
0..1 | Reference(ANC Practitioner | ANC PractitionerRole) | Persons involved in the encounter other than the patient | |
| period |
0..1 | Period | The start and end time of the encounter | |
| length |
0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |
| reasonCode |
0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | |
| diagnosis |
0..* | BackboneElement | The list of diagnosis relevant to this encounter | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| condition |
1..1 | Reference(ANC Condition | ANC 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) | |
| location |
0..* | BackboneElement | List of locations where the patient has been | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| location |
1..1 | Reference(ANC Location) | Location the encounter takes place | |
| serviceProvider |
0..1 | Reference(ANC Organization) | The organization (facility) responsible for this encounter | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std. |
| Encounter.class | Base | extensible | ActEncounterCode | 📦3.0.0 | THO v7.4 |
| Encounter.type | Base | example | Encounter type | 📦4.0.1 | FHIR Std. |
| Encounter.priority | Base | example | ActPriority | 📦3.0.0 | THO v7.4 |
| Encounter.participant.type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std. |
| Encounter.diagnosis.use | Base | preferred | DiagnosisRole | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Encounter | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| 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 WHOEncounter
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Encounter |
0..* | WHOEncounter | An interaction during which services are provided to the patient | |
| subject |
0..1 | Reference(ANC Base Patient) | The patient or group present at the encounter | |
| basedOn |
0..* | Reference(ANC ServiceRequest) | The ServiceRequest that initiated this encounter | |
| participant |
0..* | BackboneElement | List of participants involved in the encounter | |
| individual |
0..1 | Reference(ANC Practitioner | ANC PractitionerRole) | Persons involved in the encounter other than the patient | |
| diagnosis |
||||
| condition |
1..1 | Reference(ANC Condition | ANC Procedure) | The diagnosis or procedure relevant to the encounter | |
| location |
0..* | BackboneElement | List of locations where the patient has been | |
| location |
1..1 | Reference(ANC Location) | Location the encounter takes place | |
| serviceProvider |
0..1 | Reference(ANC Organization) | The organization (facility) responsible for this encounter | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Encounter |
0..* | WHOEncounter | An interaction during which services are provided to the patient | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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.
| |||||
| 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:statusReason |
0..1 | CodeableConcept | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason Binding Description: (example): Codes identifying the reason for the current state of an event. | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
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 |
1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
0..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. | |||||
| system |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||
| value |
1..1 | string | The value that is unique Example General: 123456 | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| status |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | |||||
| statusHistory |
0..* | BackboneElement | List of past encounter statuses | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
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 |
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 |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
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 |
1..* | CodeableConcept | Specific type of encounter Binding: EncounterType (example): The type of encounter. | |||||
| serviceType |
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 |
0..1 | Reference(ANC Base Patient) | The patient or group present at the encounter | |||||
| episodeOfCare |
0..* | Reference(CPGCase) | Episode(s) of care that this encounter should be recorded against | |||||
| basedOn |
0..* | Reference(ANC ServiceRequest) | The ServiceRequest that initiated this encounter | |||||
| participant |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| type |
0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | |||||
| period |
0..1 | Period | Period of time during the encounter that the participant participated | |||||
| individual |
0..1 | Reference(ANC Practitioner | ANC PractitionerRole) | Persons involved in the encounter other than the patient | |||||
| appointment |
0..* | Reference(Appointment) | The appointment that scheduled this encounter | |||||
| period |
0..1 | Period | The start and end time of the encounter | |||||
| length |
0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |||||
| reasonCode |
0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | |||||
| reasonReference |
0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) | |||||
| diagnosis |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| condition |
1..1 | Reference(ANC Condition | ANC 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| preAdmissionIdentifier |
0..1 | Identifier | Pre-admission identifier | |||||
| origin |
0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission | |||||
| admitSource |
0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted. | |||||
| reAdmission |
0..1 | CodeableConcept | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter. | |||||
| dietPreference |
0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements. | |||||
| specialCourtesy |
0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies. | |||||
| specialArrangement |
0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements. | |||||
| destination |
0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged | |||||
| dischargeDisposition |
0..1 | CodeableConcept | Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition. | |||||
| location |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| location |
1..1 | Reference(ANC 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 |
0..1 | Reference(ANC Organization) | The organization (facility) responsible for this encounter | |||||
| partOf |
0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Encounter.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.identifier.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 | ActEncounterCode | 📦3.0.0 | THO v7.4 |
| Encounter.classHistory.class | Base | extensible | ActEncounterCode | 📦3.0.0 | THO v7.4 |
| 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 v7.4 |
| Encounter.participant.type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std. |
| Encounter.diagnosis.use | Base | preferred | DiagnosisRole | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.admitSource | Base | preferred | Admit source | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.reAdmission | Base | example | hl7VS-re-admissionIndicator | 📦3.0.0 | THO v7.4 |
| 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. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Encounter | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from WHOEncounter
Summary
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron