CH EKM Encounter: Hospitalisation

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

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

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored

Slices for identifier

0..*

Identifier(s) by which this encounter is known
Slice: Unordered, Open by value:$this

identifier:VisitNumber

0..*

Visit number (Fallnummer)

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

use

?!Σ

0..1

usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

0..1

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.
Fixed Value: (Complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

coding

1..*

Code defined by a terminology system
Fixed Value: (Complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: VN

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

1..1

The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

value

1..1

The value that is unique
Example General: 123456

0..1

Time period when id is/was valid for use

assigner

0..1

Reference(Organization)

Organization that issued id (may be just text)

?!Σ

1..1

statusHistory

0..*

List of past encounter statuses

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

1..1

The time that the episode was in the specified status

1..1

AMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR
Binding: ActEncounterCode (extensible): Classification of the encounter.
Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: IMP

1..1

Representation defined by the system
Fixed Value: inpatient encounter

0..1

If this coding was chosen directly by the user

classHistory

0..*

List of past encounter classes

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

1..1

The time that the episode was in the specified class

0..*

Specific type of encounter
Binding: EncounterType (example): The type of encounter.

serviceType

0..1

Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

priority

0..1

Reference(CH EKM Patient)

BFS Medizinische Statistik - Eintrittsart / Mode d’admission / Genere di ricovero
Binding: BFS Medizinische Statistik - 18 1.2.V03 - Eintrittsart / Mode d’admission / Genere di ricovero (extensible)

subject

1..1

The patient or group present at the encounter

episodeOfCare

0..*

Reference(EpisodeOfCare)

Episode(s) of care that this encounter should be recorded against

basedOn

0..*

Reference(ServiceRequest)

The ServiceRequest that initiated this encounter

participant

0..*

List of participants involved in the encounter

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..*

Role of participant in encounter
Binding: ChCoreEncounterParticipationType (extensible)

0..1

Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core RelatedPerson)

Period of time during the encounter that the participant participated

individual

0..1

Persons involved in the encounter other than the patient

appointment

0..*

Reference(Appointment)

The appointment that scheduled this encounter

0..1

The start and end time of the encounter

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

start

SΣC

0..1

Admission date

end

ΣC

0..1

End time with inclusive boundary, if not ongoing

length

0..1

Duration

Quantity of time the encounter lasted (less time absent)

reasonCode

SΣ

0..*

Reference(CH Ekm Condition)

Hospitalisation reason when it is not the reported disease: 74964007 'Other' or 261665006 'Unknown'
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.

reasonReference

SΣ

0..*

Hospitalisation reason if it is the reported disease: the diagnosis Condition of this report

diagnosis

0..*

The list of diagnosis relevant to this encounter

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

condition

1..1

Reference(Condition | Procedure)

The diagnosis or procedure relevant to the encounter

use

0..1

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

Present only when the hospitalisation question was answered 'unknown': carries extension[unknown] = data-absent-reason#asked-unknown and nothing else

0..1

Unique id for inter-element referencing

Slices for extension

0..*

Extension
Slice: Unordered, Open by value:url

extension:BfsAdmitRole

0..1

BFS Medizinische Statistik - Einweisende Instanz
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-admitrole
Binding: BFS Medizinische Statistik - 19 1.2.V04 - Einweisende Instanz / Décision d’envoi / Istanza ricoverante (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.

extension:accident

0..1

(Complex)

Flag if hospitalization was due to an accident
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-accident

extension:readmission

0..1

extension:BfsMsEncounterType

Flag to indicate if it is a suspected readmission
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-encounter-susp-readmission

0..1

extension:BfsDischargeDecision

BFS Medizinische Statistik - Liegeklasse (Encounter Type)
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-encountertype
Binding: BFS Medizinische Statistik - 21 1.3.V02 - Klasse / Classe / Classe (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.

0..1

extension:BfsDischargeDestination

BFS Medizinische Statistik - Entscheid für Austritt
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedecision
Binding: BFS Medizinische Statistik - 27 1.5.V02 - Entscheid für Austritt / Décision de sortie / Décisione dell’uscita (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.

0..1

BFS Medizinische Statistik - Aufenthalt nach Austritt
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedestination
Binding: BFS Medizinische Statistik - 28 1.5.V03 - Aufenthalt nach Austritt / Séjour après la sortie / Destinazione dopo l’uscita (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.

extension:unknown

0..1

Hospitalisation reported as unknown (asked-unknown)
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

preAdmissionIdentifier

0..1

Pre-admission identifier

origin

0..1

The location/organization from which the patient came before admission

admitSource

0..1

BFS Medizinische Statistik - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione
Binding: BFS Medizinische Statistik - 17 1.2.V02 - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione (extensible)

reAdmission

0..1

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: v2.0092 (2.9)

(example): The reason for re-admission of this hospitalization encounter.

dietPreference

0..*

Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.

specialCourtesy

0..*

Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.

specialArrangement

0..*

Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.

destination

0..1

Location/organization to which the patient is discharged

dischargeDisposition

0..1

BFS Medizinische Statistik - Behandlung nach Austritt
Binding: BFS Medizinische Statistik - 29 1.5.V04 - Behandlung nach Austritt / Prise en charge après la sortie / Trattamento dopo l’uscita (preferred): BFS Medizinische Statistik - Behandlung nach Austritt

location

0..*

List of locations where the patient has been

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Reference(CH Core Location)

Extensions that cannot be ignored even if unrecognized

location

1..1

Location the encounter takes place

0..1

planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

physicalType

0..1

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.

0..1

Reference(CH Core Organization)

Time period during which the patient was present at the location

serviceProvider

0..1

The organization (facility) responsible for this encounter

partOf

0..1

Reference(CH Core 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:VisitNumber.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier:VisitNumber.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 v7.3
Encounter.classHistory.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.3
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	extensible	BFS Medizinische Statistik - 18 1.2.V03 - Eintrittsart / Mode d’admission / Genere di ricovero	📦3.4.0	CH Term v3.4
Encounter.participant.type	Base	extensible	ChCoreEncounterParticipationType	📦3.4.0	CH Term v3.4
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	extensible	BFS Medizinische Statistik - 17 1.2.V02 - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione	📦3.4.0	CH Term v3.4
Encounter.hospitalization.reAdmission	Base	example	v2 RE-ADMISSION INDICATOR	📍2.9	tx.fhir.org
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	preferred	BFS Medizinische Statistik - 29 1.5.V04 - Behandlung nach Austritt / Prise en charge après la sortie / Trattamento dopo l’uscita	📦3.4.0	CH Term v3.4
Encounter.location.status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location.physicalType	Base	example	Location type	📍4.0.1	FHIR Std.

Constraints

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 CHCoreEncounter

Summary

Must-Support: 6 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

http://hl7.org/fhir/StructureDefinition/data-absent-reason

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Encounter		0..*	CHCoreEncounter	CH Core Encounter
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:$this
identifier:VisitNumber	Σ	0..*	Identifier	Visit number (Fallnummer) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
type		1..1	CodeableConcept	Description of identifier Fixed Value: (Complex)
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/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
display		0..1	string	Representation defined by the system
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	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
use	?!Σ	0..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
status	?!Σ	1..1	code	planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class	Σ	1..1	Coding	AMB \| IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR Binding: ActEncounterCode (extensible): Classification of the encounter. 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://terminology.hl7.org/CodeSystem/v3-ActCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: IMP
display		1..1	string	Representation defined by the system Fixed Value: inpatient encounter
userSelected		0..1	boolean	If this coding was chosen directly by the user
subject	Σ	1..1	Reference(CH EKM Patient)	The patient or group present at the encounter
period	S	0..1	Period	The start and end time of the encounter
start	SΣC	0..1	dateTime	Admission date
reasonCode	SΣ	0..*	CodeableConcept	Hospitalisation reason when it is not the reported disease: 74964007 'Other' or 261665006 'Unknown' Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	SΣ	0..*	Reference(CH Ekm Condition)	Hospitalisation reason if it is the reported disease: the diagnosis Condition of this report
hospitalization	S	0..1	BackboneElement	Present only when the hospitalisation question was answered 'unknown': carries extension[unknown] = data-absent-reason#asked-unknown and nothing else
Slices for extension				Content/Rules for all slices
extension:BfsAdmitRole		0..1	Coding	BFS Medizinische Statistik - Einweisende Instanz URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-admitrole Binding: BFS Medizinische Statistik - 19 1.2.V04 - Einweisende Instanz / Décision d’envoi / Istanza ricoverante (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
extension:accident		0..1	(Complex)	Flag if hospitalization was due to an accident URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-accident
extension:readmission		0..1	boolean	Flag to indicate if it is a suspected readmission URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-encounter-susp-readmission
extension:BfsMsEncounterType		0..1	Coding	BFS Medizinische Statistik - Liegeklasse (Encounter Type) URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-encountertype Binding: BFS Medizinische Statistik - 21 1.3.V02 - Klasse / Classe / Classe (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
extension:BfsDischargeDecision		0..1	Coding	BFS Medizinische Statistik - Entscheid für Austritt URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedecision Binding: BFS Medizinische Statistik - 27 1.5.V02 - Entscheid für Austritt / Décision de sortie / Décisione dell’uscita (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
extension:BfsDischargeDestination		0..1	Coding	BFS Medizinische Statistik - Aufenthalt nach Austritt URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedestination Binding: BFS Medizinische Statistik - 28 1.5.V03 - Aufenthalt nach Austritt / Séjour après la sortie / Destinazione dopo l’uscita (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
extension:unknown	S	0..1	code	Hospitalisation reported as unknown (asked-unknown) URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.identifier:VisitNumber.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 v7.3
Encounter.reasonCode	Base	preferred	Encounter Reason Codes	📍4.0.1	FHIR Std.

Constraints

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 CHCoreEncounter

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Encounter		0..*	CHCoreEncounter	CH Core Encounter
class		1..1	Coding	AMB \| IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
code		1..1	code	Symbol in syntax defined by the system Fixed Value: IMP
display		1..1	string	Representation defined by the system Fixed Value: inpatient encounter
subject		1..1	Reference(CH EKM Patient)	The patient or group present at the encounter
period	S	0..1	Period	The start and end time of the encounter
start	S	0..1	dateTime	Admission date
reasonCode	S	0..*	CodeableConcept	Hospitalisation reason when it is not the reported disease: 74964007 'Other' or 261665006 'Unknown'
reasonReference	S	0..*	Reference(CH Ekm Condition)	Hospitalisation reason if it is the reported disease: the diagnosis Condition of this report
hospitalization	S	0..1	BackboneElement	Present only when the hospitalisation question was answered 'unknown': carries extension[unknown] = data-absent-reason#asked-unknown and nothing else
Slices for extension				Content/Rules for all slices
extension:unknown	S	0..1	code	Hospitalisation reported as unknown (asked-unknown) URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
Documentation for this format

Snapshot View

Description & Constraints Filter: Filters

Encounter

0..*

CHCoreEncounter

CH Core Encounter

0..1

Logical id of this artifact

Meta

Metadata about the resource

implicitRules

?!Σ

0..1

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

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

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored

Slices for identifier

0..*

Identifier(s) by which this encounter is known
Slice: Unordered, Open by value:$this

identifier:VisitNumber

0..*

Visit number (Fallnummer)

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

use

?!Σ

0..1

usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

0..1

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

coding

1..*

Code defined by a terminology system
Fixed Value: (Complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: VN

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

1..1

The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

value

1..1

The value that is unique
Example General: 123456

0..1

Time period when id is/was valid for use

assigner

0..1

Reference(Organization)

Organization that issued id (may be just text)

?!Σ

1..1

statusHistory

0..*

List of past encounter statuses

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

1..1

The time that the episode was in the specified status

1..1

AMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR
Binding: ActEncounterCode (extensible): Classification of the encounter.
Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: IMP

1..1

Representation defined by the system
Fixed Value: inpatient encounter

0..1

If this coding was chosen directly by the user

classHistory

0..*

List of past encounter classes

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

1..1

The time that the episode was in the specified class

0..*

Specific type of encounter
Binding: EncounterType (example): The type of encounter.

serviceType

0..1

Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

priority

0..1

Reference(CH EKM Patient)

subject

1..1

The patient or group present at the encounter

episodeOfCare

0..*

Reference(EpisodeOfCare)

Episode(s) of care that this encounter should be recorded against

basedOn

0..*

Reference(ServiceRequest)

The ServiceRequest that initiated this encounter

participant

0..*

List of participants involved in the encounter

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..*

Role of participant in encounter
Binding: ChCoreEncounterParticipationType (extensible)

0..1

Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core RelatedPerson)

Period of time during the encounter that the participant participated

individual

0..1

Persons involved in the encounter other than the patient

appointment

0..*

Reference(Appointment)

The appointment that scheduled this encounter

0..1

The start and end time of the encounter

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

start

SΣC

0..1

Admission date

end

ΣC

0..1

End time with inclusive boundary, if not ongoing

length

0..1

Duration

Quantity of time the encounter lasted (less time absent)

reasonCode

SΣ

0..*

Reference(CH Ekm Condition)

Hospitalisation reason when it is not the reported disease: 74964007 'Other' or 261665006 'Unknown'
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.

reasonReference

SΣ

0..*

Hospitalisation reason if it is the reported disease: the diagnosis Condition of this report

diagnosis

0..*

The list of diagnosis relevant to this encounter

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

condition

1..1

Reference(Condition | Procedure)

The diagnosis or procedure relevant to the encounter

use

0..1

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

Present only when the hospitalisation question was answered 'unknown': carries extension[unknown] = data-absent-reason#asked-unknown and nothing else

0..1

Unique id for inter-element referencing

Slices for extension

0..*

Extension
Slice: Unordered, Open by value:url

extension:BfsAdmitRole

0..1

extension:accident

0..1

(Complex)

Flag if hospitalization was due to an accident
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-accident

extension:readmission

0..1

extension:BfsMsEncounterType

Flag to indicate if it is a suspected readmission
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-encounter-susp-readmission

0..1

extension:BfsDischargeDecision

0..1

extension:BfsDischargeDestination

0..1

extension:unknown

0..1

Hospitalisation reported as unknown (asked-unknown)
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

preAdmissionIdentifier

0..1

Pre-admission identifier

origin

0..1

The location/organization from which the patient came before admission

0..1

0..1

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: v2.0092 (2.9)

(example): The reason for re-admission of this hospitalization encounter.

dietPreference

0..*

Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.

specialCourtesy

0..*

Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.

specialArrangement

0..*

Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.

destination

0..1

Location/organization to which the patient is discharged

0..1

0..*

List of locations where the patient has been

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Reference(CH Core Location)

Extensions that cannot be ignored even if unrecognized

location

1..1

Location the encounter takes place

0..1

planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

physicalType

0..1

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.

0..1