FR Document Core (FHIR), published by Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ansforge/interop-IG-fhir-document-core/ and changes regularly. See the Directory of published versions

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Resource Profile: FR Encounter Care Document

Ce profil représente l'association du document à une prise en charge.

Usages:

• Use this Profile: FR Bundle Document
• Refer to this Profile: FR Composition Document and MedicationRequest - FR Medication Request Document

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	FRCoreEncounterProfile(2.1.0)	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
extension:estimatedDischargeDate		0..1	date	Estimated discharge date | Date de sortie estimée URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-estimated-discharge-date Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	1..*	Identifier	Identifier(s) by which this encounter is known | identifiant de la rencontre
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: FRCoreValueSetEncounterIdentifierType (2.1.0) (extensible)
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient Example OID de l'ANS de gestion des organisations (1.2.250.1.71.4.2.2) suivi du FINESS suivi de la branche z qui gère les id de venue/mouvements si l'établissement n'a pas d'OID (sinon utilisation de l'OID de l'établissement): 1.2.250.1.71.4.2.2.1330780321 Example autre solution, utilisation d'une URL: http://hopitalTest.fr/fhir/namingsystem/encounters
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	Classification of patient encounter Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
type	Σ	0..1	CodeableConcept	Type de prise en charge Binding: FRCoreValueSetEncounterType (2.1.0) (example)
Slices for participant	Σ	0..*	BackboneElement	List of participants involved in the encounter | Liste des personnes impliquées dans la rencontre Slice: Unordered, Open by value:type
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
participant:responsibleParty	Σ	0..1	BackboneElement	Responsable de la prise en charge
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..*	CodeableConcept	Type de participation Binding: ParticipantType (extensible): Role of participant in encounter.
individual	Σ	1..1	Reference(FR PractitionerRole Document(0.1.0))	Entité responsable de la prise en charge
participant:encounterParticipant	Σ	0..*	BackboneElement	Personne impliquée dans la prise en charge
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..*	CodeableConcept	Type de participation Binding: JDV_J140_EncounterParticipationType_CISIS (20210326120000) (required)
individual	Σ	1..1	Reference(FR PractitionerRole Document(0.1.0))	Professionnel impliqué
period		1..1	Period	Date de début et de fin de la prise en charge
account		0..1	Reference(Account)	The set of accounts that may be used for billing for this Encounter
location		1..1	BackboneElement	Lieu de la prise en charge
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
location		1..1	Reference(FR Location Document(0.1.0))	Location the encounter takes place
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier.​type	Base	extensible	FR Core ValueSet Encounter identifier type	📍2.1.0	Guide d'implémentation Fr Core v2.1
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📍3.0.0	THO v7.3
Encounter.type	Base	example	FR Core ValueSet Encounter type	📍2.1.0	Guide d'implémentation Fr Core v2.1
Encounter.participant:responsibleParty.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Encounter.participant:encounterParticipant.​type	Base	required	JDV_J140_EncounterParticipationType_CISIS	📍20210326120000	Terminologies de Santé v1.11

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	Encounter.implicitRules, Encounter.extension:estimatedDischargeDate, Encounter.modifierExtension, Encounter.identifier, Encounter.identifier.use, Encounter.identifier.type, Encounter.identifier.system, Encounter.identifier.value, Encounter.status, Encounter.class, Encounter.class.system, Encounter.class.code, Encounter.type, Encounter.participant, Encounter.participant.modifierExtension, Encounter.participant:responsibleParty, Encounter.participant:responsibleParty.modifierExtension, Encounter.participant:responsibleParty.type, Encounter.participant:responsibleParty.individual, Encounter.participant:encounterParticipant, Encounter.participant:encounterParticipant.modifierExtension, Encounter.participant:encounterParticipant.type, Encounter.participant:encounterParticipant.individual, Encounter.period, Encounter.account, Encounter.location, Encounter.location.modifierExtension, Encounter.location.location	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Encounter.extension:estimatedDischargeDate, Encounter.modifierExtension, Encounter.participant.modifierExtension, Encounter.participant:responsibleParty.modifierExtension, Encounter.participant:encounterParticipant.modifierExtension, Encounter.location.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter			FRCoreEncounterProfile(2.1.0)
type		0..1	CodeableConcept	Type de prise en charge
Slices for participant		0..*	BackboneElement	List of participants involved in the encounter | Liste des personnes impliquées dans la rencontre Slice: Unordered, Open by value:type
participant:responsibleParty		0..1	BackboneElement	Responsable de la prise en charge
type		0..*	CodeableConcept	Type de participation
individual		1..1	Reference(FR PractitionerRole Document(0.1.0))	Entité responsable de la prise en charge
participant:encounterParticipant		0..*	BackboneElement	Personne impliquée dans la prise en charge
type		0..*	CodeableConcept	Type de participation Binding: JDV_J140_EncounterParticipationType_CISIS (20210326120000) (required)
individual		1..1	Reference(FR PractitionerRole Document(0.1.0))	Professionnel impliqué
period		1..1	Period	Date de début et de fin de la prise en charge
hospitalization
dischargeDisposition		0..1	CodeableConcept	Type sortie
location		1..1	BackboneElement	Lieu de la prise en charge
location		1..1	Reference(FR Location Document(0.1.0))	Location the encounter takes place
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Encounter.participant:encounterParticipant.​type	Base	required	JDV_J140_EncounterParticipationType_CISIS	📍20210326120000	Terminologies de Santé v1.11

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	FRCoreEncounterProfile(2.1.0)	An interaction during which services are provided to the patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
Slices for profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fr-canonical	Σ	0..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter|2.1.0
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:estimatedDischargeDate		0..1	date	Estimated discharge date | Date de sortie estimée URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-estimated-discharge-date Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	1..*	Identifier	Identifier(s) by which this encounter is known | identifiant de la rencontre
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: FRCoreValueSetEncounterIdentifierType (2.1.0) (extensible)
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient Example OID de l'ANS de gestion des organisations (1.2.250.1.71.4.2.2) suivi du FINESS suivi de la branche z qui gère les id de venue/mouvements si l'établissement n'a pas d'OID (sinon utilisation de l'OID de l'établissement): 1.2.250.1.71.4.2.2.1330780321 Example autre solution, utilisation d'une URL: http://hopitalTest.fr/fhir/namingsystem/encounters
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(FR Core Organization Profile(2.1.0))	Organization that issued id (may be just text)
status	?!Σ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory		0..*	BackboneElement	List of past encounter statuses
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period		1..1	Period	The time that the episode was in the specified status
class	Σ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
classHistory		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class
type	Σ	0..1	CodeableConcept	Type de prise en charge Binding: FRCoreValueSetEncounterType (2.1.0) (example)
serviceType	Σ	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (3.0.0) (example): Indicates the urgency of the encounter.
subject	Σ	0..1	Reference(FR Core Patient Profile(2.1.0))	The patient or group present at the encounter
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
Slices for participant	Σ	0..*	BackboneElement	List of participants involved in the encounter | Liste des personnes impliquées dans la rencontre Slice: Unordered, Open by value:type
participant:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(RelatedPerson | FR Core Practitioner Profile(2.1.0) | PractitionerRole)	Persons involved in the encounter other than the patient
participant:responsibleParty	Σ	0..1	BackboneElement	Responsable de la prise en charge
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..*	CodeableConcept	Type de participation Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	1..1	Reference(FR PractitionerRole Document(0.1.0))	Entité responsable de la prise en charge
participant:encounterParticipant	Σ	0..*	BackboneElement	Personne impliquée dans la prise en charge
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..*	CodeableConcept	Type de participation Binding: JDV_J140_EncounterParticipationType_CISIS (20210326120000) (required)
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	1..1	Reference(FR PractitionerRole Document(0.1.0))	Professionnel impliqué
appointment	Σ	0..*	Reference(FR Core Appointment Profile(2.1.0))	The appointment that scheduled this encounter
period		1..1	Period	Date de début et de fin de la prise en charge
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	Σ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..1	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier | Identifiant de pré-admission
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: FRCoreValueSetEncounterIdentifierType (2.1.0) (extensible)
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: 1.2.250.1.71.4.2.2+.n°FINESS
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(FR Core Organization Profile(2.1.0))	Organization that issued id (may be just text)
origin		0..1	Reference(FR Core Location Profile(2.1.0) | FR Core Organization Profile(2.1.0))	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission		0..1	CodeableConcept	the resaon of re-admission of this hospitalization encounter | Raison de la ré-admission du patient. Binding: Hl7VSReAdmissionIndicator (3.0.0) (example): The reason for re-admission of this hospitalization encounter.
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination		0..1	Reference(FR Core Location Profile(2.1.0) | FR Core Organization Profile(2.1.0))	Location/organization to which the patient is discharged
dischargeDisposition		0..1	CodeableConcept	Type sortie Binding: FRCoreValueSetEncounterDischargeDisposition (2.1.0) (example)
location		1..1	BackboneElement	Lieu de la prise en charge
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
location		1..1	Reference(FR Location Document(0.1.0))	Location the encounter takes place
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: FRCoreValueSetLocationPhysicalType (2.1.0) (example)
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider		0..1	Reference(FR Core Organization Profile(2.1.0))	The organization (facility) responsible for this encounter
partOf		0..1	Reference(FR Core Encounter Profile(2.1.0))	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Encounter.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
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	FR Core ValueSet Encounter identifier type	📍2.1.0	Guide d'implémentation Fr Core v2.1
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	FR Core ValueSet Encounter type	📍2.1.0	Guide d'implémentation Fr Core v2.1
Encounter.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Encounter.priority	Base	example	ActPriority	📍3.0.0	THO v7.3
Encounter.participant.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Encounter.participant:responsibleParty.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Encounter.participant:encounterParticipant.​type	Base	required	JDV_J140_EncounterParticipationType_CISIS	📍20210326120000	Terminologies de Santé v1.11
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.​preAdmissionIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.hospitalization.​preAdmissionIdentifier.​type	Base	extensible	FR Core ValueSet Encounter identifier type	📍2.1.0	Guide d'implémentation Fr Core v2.1
Encounter.hospitalization.​admitSource	Base	preferred	Admit source	📍4.0.1	FHIR Std.
Encounter.hospitalization.​reAdmission	Base	example	hl7VS-re-admissionIndicator	📍3.0.0	THO v7.3
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	FR Core ValueSet Encounter discharge disposition	📍2.1.0	Guide d'implémentation Fr Core v2.1
Encounter.location.status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location.physicalType	Base	example	FR Core ValueSet Location physical type	📍2.1.0	Guide d'implémentation Fr Core v2.1

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	Encounter.meta, Encounter.meta.extension, Encounter.meta.versionId, Encounter.meta.lastUpdated, Encounter.meta.source, Encounter.meta.profile, Encounter.meta.profile:fr-canonical, Encounter.meta.security, Encounter.meta.tag, Encounter.implicitRules, Encounter.language, Encounter.text, Encounter.extension, Encounter.extension:estimatedDischargeDate, Encounter.modifierExtension, Encounter.identifier, Encounter.identifier.extension, Encounter.identifier.use, Encounter.identifier.type, Encounter.identifier.system, Encounter.identifier.value, Encounter.identifier.period, Encounter.identifier.assigner, Encounter.status, Encounter.statusHistory, Encounter.statusHistory.extension, Encounter.statusHistory.modifierExtension, Encounter.statusHistory.status, Encounter.statusHistory.period, Encounter.class, Encounter.class.extension, Encounter.class.system, Encounter.class.version, Encounter.class.code, Encounter.class.display, Encounter.class.userSelected, Encounter.classHistory, Encounter.classHistory.extension, Encounter.classHistory.modifierExtension, Encounter.classHistory.class, Encounter.classHistory.period, Encounter.type, Encounter.serviceType, Encounter.priority, Encounter.subject, Encounter.episodeOfCare, Encounter.basedOn, Encounter.participant, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.participant.type, Encounter.participant.period, Encounter.participant.individual, Encounter.participant:responsibleParty, Encounter.participant:responsibleParty.extension, Encounter.participant:responsibleParty.modifierExtension, Encounter.participant:responsibleParty.type, Encounter.participant:responsibleParty.period, Encounter.participant:responsibleParty.individual, Encounter.participant:encounterParticipant, Encounter.participant:encounterParticipant.extension, Encounter.participant:encounterParticipant.modifierExtension, Encounter.participant:encounterParticipant.type, Encounter.participant:encounterParticipant.period, Encounter.participant:encounterParticipant.individual, Encounter.appointment, Encounter.period, Encounter.length, Encounter.reasonCode, Encounter.reasonReference, Encounter.diagnosis, Encounter.diagnosis.extension, Encounter.diagnosis.modifierExtension, Encounter.diagnosis.condition, Encounter.diagnosis.use, Encounter.diagnosis.rank, Encounter.account, Encounter.hospitalization, Encounter.hospitalization.extension, Encounter.hospitalization.modifierExtension, Encounter.hospitalization.preAdmissionIdentifier, Encounter.hospitalization.preAdmissionIdentifier.extension, Encounter.hospitalization.preAdmissionIdentifier.use, Encounter.hospitalization.preAdmissionIdentifier.type, Encounter.hospitalization.preAdmissionIdentifier.system, Encounter.hospitalization.preAdmissionIdentifier.value, Encounter.hospitalization.preAdmissionIdentifier.period, Encounter.hospitalization.preAdmissionIdentifier.assigner, Encounter.hospitalization.origin, Encounter.hospitalization.admitSource, Encounter.hospitalization.reAdmission, Encounter.hospitalization.dietPreference, Encounter.hospitalization.specialCourtesy, Encounter.hospitalization.specialArrangement, Encounter.hospitalization.destination, Encounter.hospitalization.dischargeDisposition, Encounter.location, Encounter.location.extension, Encounter.location.modifierExtension, Encounter.location.location, Encounter.location.status, Encounter.location.physicalType, Encounter.location.period, Encounter.serviceProvider, Encounter.partOf	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Encounter.meta.extension, Encounter.extension, Encounter.extension:estimatedDischargeDate, Encounter.modifierExtension, Encounter.identifier.extension, Encounter.statusHistory.extension, Encounter.statusHistory.modifierExtension, Encounter.class.extension, Encounter.classHistory.extension, Encounter.classHistory.modifierExtension, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.participant:responsibleParty.extension, Encounter.participant:responsibleParty.modifierExtension, Encounter.participant:encounterParticipant.extension, Encounter.participant:encounterParticipant.modifierExtension, Encounter.diagnosis.extension, Encounter.diagnosis.modifierExtension, Encounter.hospitalization.extension, Encounter.hospitalization.modifierExtension, Encounter.hospitalization.preAdmissionIdentifier.extension, Encounter.location.extension, Encounter.location.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Mandatory: 1 element(2 nested mandatory elements)

Structures

This structure refers to these other structures:

• FR PractitionerRole Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-practitionerRole-document|0.1.0)
• FR Location Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-location-document|0.1.0)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Encounter.participant

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	FRCoreEncounterProfile(2.1.0)	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
extension:estimatedDischargeDate		0..1	date	Estimated discharge date | Date de sortie estimée URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-estimated-discharge-date Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	1..*	Identifier	Identifier(s) by which this encounter is known | identifiant de la rencontre
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: FRCoreValueSetEncounterIdentifierType (2.1.0) (extensible)
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient Example OID de l'ANS de gestion des organisations (1.2.250.1.71.4.2.2) suivi du FINESS suivi de la branche z qui gère les id de venue/mouvements si l'établissement n'a pas d'OID (sinon utilisation de l'OID de l'établissement): 1.2.250.1.71.4.2.2.1330780321 Example autre solution, utilisation d'une URL: http://hopitalTest.fr/fhir/namingsystem/encounters
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	Classification of patient encounter Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
type	Σ	0..1	CodeableConcept	Type de prise en charge Binding: FRCoreValueSetEncounterType (2.1.0) (example)
Slices for participant	Σ	0..*	BackboneElement	List of participants involved in the encounter | Liste des personnes impliquées dans la rencontre Slice: Unordered, Open by value:type
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
participant:responsibleParty	Σ	0..1	BackboneElement	Responsable de la prise en charge
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..*	CodeableConcept	Type de participation Binding: ParticipantType (extensible): Role of participant in encounter.
individual	Σ	1..1	Reference(FR PractitionerRole Document(0.1.0))	Entité responsable de la prise en charge
participant:encounterParticipant	Σ	0..*	BackboneElement	Personne impliquée dans la prise en charge
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..*	CodeableConcept	Type de participation Binding: JDV_J140_EncounterParticipationType_CISIS (20210326120000) (required)
individual	Σ	1..1	Reference(FR PractitionerRole Document(0.1.0))	Professionnel impliqué
period		1..1	Period	Date de début et de fin de la prise en charge
account		0..1	Reference(Account)	The set of accounts that may be used for billing for this Encounter
location		1..1	BackboneElement	Lieu de la prise en charge
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
location		1..1	Reference(FR Location Document(0.1.0))	Location the encounter takes place
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier.​type	Base	extensible	FR Core ValueSet Encounter identifier type	📍2.1.0	Guide d'implémentation Fr Core v2.1
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📍3.0.0	THO v7.3
Encounter.type	Base	example	FR Core ValueSet Encounter type	📍2.1.0	Guide d'implémentation Fr Core v2.1
Encounter.participant:responsibleParty.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Encounter.participant:encounterParticipant.​type	Base	required	JDV_J140_EncounterParticipationType_CISIS	📍20210326120000	Terminologies de Santé v1.11

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	Encounter.implicitRules, Encounter.extension:estimatedDischargeDate, Encounter.modifierExtension, Encounter.identifier, Encounter.identifier.use, Encounter.identifier.type, Encounter.identifier.system, Encounter.identifier.value, Encounter.status, Encounter.class, Encounter.class.system, Encounter.class.code, Encounter.type, Encounter.participant, Encounter.participant.modifierExtension, Encounter.participant:responsibleParty, Encounter.participant:responsibleParty.modifierExtension, Encounter.participant:responsibleParty.type, Encounter.participant:responsibleParty.individual, Encounter.participant:encounterParticipant, Encounter.participant:encounterParticipant.modifierExtension, Encounter.participant:encounterParticipant.type, Encounter.participant:encounterParticipant.individual, Encounter.period, Encounter.account, Encounter.location, Encounter.location.modifierExtension, Encounter.location.location	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Encounter.extension:estimatedDischargeDate, Encounter.modifierExtension, Encounter.participant.modifierExtension, Encounter.participant:responsibleParty.modifierExtension, Encounter.participant:encounterParticipant.modifierExtension, Encounter.location.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter			FRCoreEncounterProfile(2.1.0)
type		0..1	CodeableConcept	Type de prise en charge
Slices for participant		0..*	BackboneElement	List of participants involved in the encounter | Liste des personnes impliquées dans la rencontre Slice: Unordered, Open by value:type
participant:responsibleParty		0..1	BackboneElement	Responsable de la prise en charge
type		0..*	CodeableConcept	Type de participation
individual		1..1	Reference(FR PractitionerRole Document(0.1.0))	Entité responsable de la prise en charge
participant:encounterParticipant		0..*	BackboneElement	Personne impliquée dans la prise en charge
type		0..*	CodeableConcept	Type de participation Binding: JDV_J140_EncounterParticipationType_CISIS (20210326120000) (required)
individual		1..1	Reference(FR PractitionerRole Document(0.1.0))	Professionnel impliqué
period		1..1	Period	Date de début et de fin de la prise en charge
hospitalization
dischargeDisposition		0..1	CodeableConcept	Type sortie
location		1..1	BackboneElement	Lieu de la prise en charge
location		1..1	Reference(FR Location Document(0.1.0))	Location the encounter takes place
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Encounter.participant:encounterParticipant.​type	Base	required	JDV_J140_EncounterParticipationType_CISIS	📍20210326120000	Terminologies de Santé v1.11

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	FRCoreEncounterProfile(2.1.0)	An interaction during which services are provided to the patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
Slices for profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fr-canonical	Σ	0..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter|2.1.0
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:estimatedDischargeDate		0..1	date	Estimated discharge date | Date de sortie estimée URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-estimated-discharge-date Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	1..*	Identifier	Identifier(s) by which this encounter is known | identifiant de la rencontre
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: FRCoreValueSetEncounterIdentifierType (2.1.0) (extensible)
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient Example OID de l'ANS de gestion des organisations (1.2.250.1.71.4.2.2) suivi du FINESS suivi de la branche z qui gère les id de venue/mouvements si l'établissement n'a pas d'OID (sinon utilisation de l'OID de l'établissement): 1.2.250.1.71.4.2.2.1330780321 Example autre solution, utilisation d'une URL: http://hopitalTest.fr/fhir/namingsystem/encounters
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(FR Core Organization Profile(2.1.0))	Organization that issued id (may be just text)
status	?!Σ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory		0..*	BackboneElement	List of past encounter statuses
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period		1..1	Period	The time that the episode was in the specified status
class	Σ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
classHistory		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class
type	Σ	0..1	CodeableConcept	Type de prise en charge Binding: FRCoreValueSetEncounterType (2.1.0) (example)
serviceType	Σ	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (3.0.0) (example): Indicates the urgency of the encounter.
subject	Σ	0..1	Reference(FR Core Patient Profile(2.1.0))	The patient or group present at the encounter
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
Slices for participant	Σ	0..*	BackboneElement	List of participants involved in the encounter | Liste des personnes impliquées dans la rencontre Slice: Unordered, Open by value:type
participant:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(RelatedPerson | FR Core Practitioner Profile(2.1.0) | PractitionerRole)	Persons involved in the encounter other than the patient
participant:responsibleParty	Σ	0..1	BackboneElement	Responsable de la prise en charge
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..*	CodeableConcept	Type de participation Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	1..1	Reference(FR PractitionerRole Document(0.1.0))	Entité responsable de la prise en charge
participant:encounterParticipant	Σ	0..*	BackboneElement	Personne impliquée dans la prise en charge
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..*	CodeableConcept	Type de participation Binding: JDV_J140_EncounterParticipationType_CISIS (20210326120000) (required)
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	1..1	Reference(FR PractitionerRole Document(0.1.0))	Professionnel impliqué
appointment	Σ	0..*	Reference(FR Core Appointment Profile(2.1.0))	The appointment that scheduled this encounter
period		1..1	Period	Date de début et de fin de la prise en charge
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	Σ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..1	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier | Identifiant de pré-admission
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: FRCoreValueSetEncounterIdentifierType (2.1.0) (extensible)
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: 1.2.250.1.71.4.2.2+.n°FINESS
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(FR Core Organization Profile(2.1.0))	Organization that issued id (may be just text)
origin		0..1	Reference(FR Core Location Profile(2.1.0) | FR Core Organization Profile(2.1.0))	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission		0..1	CodeableConcept	the resaon of re-admission of this hospitalization encounter | Raison de la ré-admission du patient. Binding: Hl7VSReAdmissionIndicator (3.0.0) (example): The reason for re-admission of this hospitalization encounter.
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination		0..1	Reference(FR Core Location Profile(2.1.0) | FR Core Organization Profile(2.1.0))	Location/organization to which the patient is discharged
dischargeDisposition		0..1	CodeableConcept	Type sortie Binding: FRCoreValueSetEncounterDischargeDisposition (2.1.0) (example)
location		1..1	BackboneElement	Lieu de la prise en charge
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
location		1..1	Reference(FR Location Document(0.1.0))	Location the encounter takes place
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: FRCoreValueSetLocationPhysicalType (2.1.0) (example)
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider		0..1	Reference(FR Core Organization Profile(2.1.0))	The organization (facility) responsible for this encounter
partOf		0..1	Reference(FR Core Encounter Profile(2.1.0))	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Encounter.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
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	FR Core ValueSet Encounter identifier type	📍2.1.0	Guide d'implémentation Fr Core v2.1
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	FR Core ValueSet Encounter type	📍2.1.0	Guide d'implémentation Fr Core v2.1
Encounter.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Encounter.priority	Base	example	ActPriority	📍3.0.0	THO v7.3
Encounter.participant.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Encounter.participant:responsibleParty.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Encounter.participant:encounterParticipant.​type	Base	required	JDV_J140_EncounterParticipationType_CISIS	📍20210326120000	Terminologies de Santé v1.11
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.​preAdmissionIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.hospitalization.​preAdmissionIdentifier.​type	Base	extensible	FR Core ValueSet Encounter identifier type	📍2.1.0	Guide d'implémentation Fr Core v2.1
Encounter.hospitalization.​admitSource	Base	preferred	Admit source	📍4.0.1	FHIR Std.
Encounter.hospitalization.​reAdmission	Base	example	hl7VS-re-admissionIndicator	📍3.0.0	THO v7.3
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	FR Core ValueSet Encounter discharge disposition	📍2.1.0	Guide d'implémentation Fr Core v2.1
Encounter.location.status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location.physicalType	Base	example	FR Core ValueSet Location physical type	📍2.1.0	Guide d'implémentation Fr Core v2.1

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	Encounter.meta, Encounter.meta.extension, Encounter.meta.versionId, Encounter.meta.lastUpdated, Encounter.meta.source, Encounter.meta.profile, Encounter.meta.profile:fr-canonical, Encounter.meta.security, Encounter.meta.tag, Encounter.implicitRules, Encounter.language, Encounter.text, Encounter.extension, Encounter.extension:estimatedDischargeDate, Encounter.modifierExtension, Encounter.identifier, Encounter.identifier.extension, Encounter.identifier.use, Encounter.identifier.type, Encounter.identifier.system, Encounter.identifier.value, Encounter.identifier.period, Encounter.identifier.assigner, Encounter.status, Encounter.statusHistory, Encounter.statusHistory.extension, Encounter.statusHistory.modifierExtension, Encounter.statusHistory.status, Encounter.statusHistory.period, Encounter.class, Encounter.class.extension, Encounter.class.system, Encounter.class.version, Encounter.class.code, Encounter.class.display, Encounter.class.userSelected, Encounter.classHistory, Encounter.classHistory.extension, Encounter.classHistory.modifierExtension, Encounter.classHistory.class, Encounter.classHistory.period, Encounter.type, Encounter.serviceType, Encounter.priority, Encounter.subject, Encounter.episodeOfCare, Encounter.basedOn, Encounter.participant, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.participant.type, Encounter.participant.period, Encounter.participant.individual, Encounter.participant:responsibleParty, Encounter.participant:responsibleParty.extension, Encounter.participant:responsibleParty.modifierExtension, Encounter.participant:responsibleParty.type, Encounter.participant:responsibleParty.period, Encounter.participant:responsibleParty.individual, Encounter.participant:encounterParticipant, Encounter.participant:encounterParticipant.extension, Encounter.participant:encounterParticipant.modifierExtension, Encounter.participant:encounterParticipant.type, Encounter.participant:encounterParticipant.period, Encounter.participant:encounterParticipant.individual, Encounter.appointment, Encounter.period, Encounter.length, Encounter.reasonCode, Encounter.reasonReference, Encounter.diagnosis, Encounter.diagnosis.extension, Encounter.diagnosis.modifierExtension, Encounter.diagnosis.condition, Encounter.diagnosis.use, Encounter.diagnosis.rank, Encounter.account, Encounter.hospitalization, Encounter.hospitalization.extension, Encounter.hospitalization.modifierExtension, Encounter.hospitalization.preAdmissionIdentifier, Encounter.hospitalization.preAdmissionIdentifier.extension, Encounter.hospitalization.preAdmissionIdentifier.use, Encounter.hospitalization.preAdmissionIdentifier.type, Encounter.hospitalization.preAdmissionIdentifier.system, Encounter.hospitalization.preAdmissionIdentifier.value, Encounter.hospitalization.preAdmissionIdentifier.period, Encounter.hospitalization.preAdmissionIdentifier.assigner, Encounter.hospitalization.origin, Encounter.hospitalization.admitSource, Encounter.hospitalization.reAdmission, Encounter.hospitalization.dietPreference, Encounter.hospitalization.specialCourtesy, Encounter.hospitalization.specialArrangement, Encounter.hospitalization.destination, Encounter.hospitalization.dischargeDisposition, Encounter.location, Encounter.location.extension, Encounter.location.modifierExtension, Encounter.location.location, Encounter.location.status, Encounter.location.physicalType, Encounter.location.period, Encounter.serviceProvider, Encounter.partOf	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Encounter.meta.extension, Encounter.extension, Encounter.extension:estimatedDischargeDate, Encounter.modifierExtension, Encounter.identifier.extension, Encounter.statusHistory.extension, Encounter.statusHistory.modifierExtension, Encounter.class.extension, Encounter.classHistory.extension, Encounter.classHistory.modifierExtension, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.participant:responsibleParty.extension, Encounter.participant:responsibleParty.modifierExtension, Encounter.participant:encounterParticipant.extension, Encounter.participant:encounterParticipant.modifierExtension, Encounter.diagnosis.extension, Encounter.diagnosis.modifierExtension, Encounter.hospitalization.extension, Encounter.hospitalization.modifierExtension, Encounter.hospitalization.preAdmissionIdentifier.extension, Encounter.location.extension, Encounter.location.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Mandatory: 1 element(2 nested mandatory elements)

Structures

This structure refers to these other structures:

• FR PractitionerRole Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-practitionerRole-document|0.1.0)
• FR Location Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-location-document|0.1.0)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Encounter.participant

Other representations of profile: CSV, Excel, Schematron