HL7 Europe Hospital Discharge Report
0.0.1-ci - ci-build 150

HL7 Europe Hospital Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.0.1-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/hdr/ and changes regularly. See the Directory of published versions

Logical Model: EncounterEhn - Detailed Descriptions

Draft as of 2024-12-20

Definitions for the InPatientEncounter logical model.

Guidance on how to interpret the contents of this table can be found here

0. InPatientEncounter
Definition

Hospital Discharge Report - Encounter - A.2.3 eHN

ShortA.2.3 - Encounter (eHN)
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. InPatientEncounter.type
Definition

The type of the encounter whether inpatient or short stay encounter.

ShortA.2.3.1 - Encounter type
Control1..1
TypeCodeableConcept
4. InPatientEncounter.note
Definition

A narrative description of the encounter course.

ShortA.2.3.2 - Encounter note
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. InPatientEncounter.admission
Definition

Admission

ShortA.2.3.3 - Admission
Control1..1
TypeBackboneElement
8. InPatientEncounter.admission.urgency
Definition

Admission type, either emergency or planned

ShortA.2.3.3.1 - Admission urgency
Control0..1
TypeCodeableConcept
10. InPatientEncounter.admission.date
Definition

Admission date and time.

ShortA.2.3.3.2 - Admission date
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. InPatientEncounter.admission.admitter
Definition

Admitting Healthcare Professional

ShortAdmitting professional
Control0..1
TypeBackboneElement
14. InPatientEncounter.admission.admitter.identifier
Definition

The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number.

ShortA.2.3.3.3 - Admitting professional ID
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
16. InPatientEncounter.admission.admitter.name
Definition

Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

ShortA.2.3.3.4 - Admitting professional name
Control0..1
TypeHumanName
18. InPatientEncounter.admission.admitter.organizationID
Definition

The healthcare provider organisation identifier.

ShortA.2.3.3.5 - Admitting organisation ID
Control0..1
TypeIdentifier
20. InPatientEncounter.admission.admitter.organization
Definition

The healthcare provider organisation information.

ShortA.2.3.3.6 - Admitting organisation
Control0..1
TypeBackboneElement
22. InPatientEncounter.admission.source
Definition

From where the patient was admitted (e.g. physician referral, transfer).

ShortA.2.3.3.7 - Admit Source
Control0..1
TypeCodeableConcept
24. InPatientEncounter.admission.referringHP
Definition

Referring Healthcare Professional

ShortReferring professional
Control0..1
TypeBackboneElement
26. InPatientEncounter.admission.referringHP.identifier
Definition

The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number.

ShortA.2.3.3.8 - Referring professional ID
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
28. InPatientEncounter.admission.referringHP.name
Definition

Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

ShortA.2.3.3.9 - Referring professional name
Control0..1
TypeHumanName
30. InPatientEncounter.admission.referringHP.organizationID
Definition

The healthcare provider organisation identifier.

ShortA.2.3.3.10 - Referring organisation ID
Control0..1
TypeIdentifier
32. InPatientEncounter.admission.referringHP.organization
Definition

The healthcare provider organisation information.

ShortA.2.3.3.11 - Referring organisation
Control0..1
TypeBackboneElement
34. InPatientEncounter.admissionReason
Definition

Admission reason

ShortA.2.3.4 - Admission reason
Control1..1
TypeBackboneElement
36. InPatientEncounter.admissionReason.code
Definition

Reason or reasons for admission, e.g. Problem, procedure or finding.

ShortA.2.3.4.1 - Admission reason
Control0..*
TypeCodeableConcept
38. InPatientEncounter.admissionReason.comment
Definition

Explanation of the reason for the encounter.

ShortA.2.3.4.2 - Admission reason comment
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
40. InPatientEncounter.admissionReason.legalStatus
Definition

Legal status/situation at admission. The legal status indicates the basis on which the patient is staying in a healthcare organisation. This can be either voluntary or involuntary, however the legal status is always determined by a court. A patient can also receive healthcare based on a forensic status. (voluntary, involuntary, admission by legal authority).

ShortA.2.3.4.3 - Admission legal status
Control0..1
TypeCodeableConcept
42. InPatientEncounter.discharge
Definition

Discharge

ShortA.2.3.5 - Discharge
Control1..1
TypeBackboneElement
44. InPatientEncounter.discharge.date
Definition

Discharge date and time

ShortA.2.3.5.1 - Discharge date
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
46. InPatientEncounter.discharge.destinationType
Definition

Type of location to which the patient will go after the encounter. E.g. home, hospital, nursing home, left against medical advice etc.

ShortA.2.3.5.2 - Discharge destination type
Control0..1
TypeCodeableConcept
48. InPatientEncounter.discharge.destinationLocation
Definition

The location/organisation to which the patient will go after the encounter. Name, address and telecommunication contact.

ShortA.2.3.5.3 - Destination location
Control0..1
TypeCodeableConcept
50. InPatientEncounter.location
Definition

Location - All locations/departments where the patient stayed (was boarded) within the hospital.

ShortA.2.3.6 - Location - All locations/departments where the patient stayed (was boarded) within the hospital.
Control0..*
TypeBackboneElement
52. InPatientEncounter.location.period
Definition

Time period during which the patient was present at the location

ShortA.2.3.6.1 - Period
Control1..1
TypePeriod
54. InPatientEncounter.location.organization
Definition

Organization or organization part (hospital department) where the patient was present.

ShortOrganization
Control1..1
TypeBackboneElement
56. InPatientEncounter.location.organization.identifier
Definition

The organisation’s part identifier.

ShortA.2.3.6.2 - Organisation Part ID
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
58. InPatientEncounter.location.organization.name
Definition

Full name of the organisation part, e.g. Name of the department

ShortA.2.3.6.3 - Organisation Part Name
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
60. InPatientEncounter.location.organization.details
Definition

Address, contact names and contact details, specialty of the organisation part.

ShortA.2.3.6.4 - Organisation Part Details
Control0..1
TypeBackboneElement

Guidance on how to interpret the contents of this table can be found here

0. InPatientEncounter
Definition

Hospital Discharge Report - Encounter - A.2.3 eHN

ShortA.2.3 - Encounter (eHN)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. InPatientEncounter.type
Definition

The type of the encounter whether inpatient or short stay encounter.

ShortA.2.3.1 - Encounter type
Control1..1
TypeCodeableConcept
4. InPatientEncounter.note
Definition

A narrative description of the encounter course.

ShortA.2.3.2 - Encounter note
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. InPatientEncounter.admission
Definition

Admission

ShortA.2.3.3 - Admission
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. InPatientEncounter.admission.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
10. InPatientEncounter.admission.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on InPatientEncounter.admission.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 12. InPatientEncounter.admission.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    14. InPatientEncounter.admission.urgency
    Definition

    Admission type, either emergency or planned

    ShortA.2.3.3.1 - Admission urgency
    Control0..1
    TypeCodeableConcept
    16. InPatientEncounter.admission.date
    Definition

    Admission date and time.

    ShortA.2.3.3.2 - Admission date
    Control1..1
    TypedateTime
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    18. InPatientEncounter.admission.admitter
    Definition

    Admitting Healthcare Professional

    ShortAdmitting professional
    Control0..1
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. InPatientEncounter.admission.admitter.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    22. InPatientEncounter.admission.admitter.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on InPatientEncounter.admission.admitter.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 24. InPatientEncounter.admission.admitter.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      26. InPatientEncounter.admission.admitter.identifier
      Definition

      The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number.

      ShortA.2.3.3.3 - Admitting professional ID
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1
      TypeIdentifier
      28. InPatientEncounter.admission.admitter.name
      Definition

      Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

      ShortA.2.3.3.4 - Admitting professional name
      Control0..1
      TypeHumanName
      30. InPatientEncounter.admission.admitter.organizationID
      Definition

      The healthcare provider organisation identifier.

      ShortA.2.3.3.5 - Admitting organisation ID
      Control0..1
      TypeIdentifier
      32. InPatientEncounter.admission.admitter.organization
      Definition

      The healthcare provider organisation information.

      ShortA.2.3.3.6 - Admitting organisation
      Control0..1
      TypeBackboneElement
      34. InPatientEncounter.admission.source
      Definition

      From where the patient was admitted (e.g. physician referral, transfer).

      ShortA.2.3.3.7 - Admit Source
      Control0..1
      TypeCodeableConcept
      36. InPatientEncounter.admission.referringHP
      Definition

      Referring Healthcare Professional

      ShortReferring professional
      Control0..1
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      38. InPatientEncounter.admission.referringHP.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      40. InPatientEncounter.admission.referringHP.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on InPatientEncounter.admission.referringHP.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 42. InPatientEncounter.admission.referringHP.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        44. InPatientEncounter.admission.referringHP.identifier
        Definition

        The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number.

        ShortA.2.3.3.8 - Referring professional ID
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..1
        TypeIdentifier
        46. InPatientEncounter.admission.referringHP.name
        Definition

        Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

        ShortA.2.3.3.9 - Referring professional name
        Control0..1
        TypeHumanName
        48. InPatientEncounter.admission.referringHP.organizationID
        Definition

        The healthcare provider organisation identifier.

        ShortA.2.3.3.10 - Referring organisation ID
        Control0..1
        TypeIdentifier
        50. InPatientEncounter.admission.referringHP.organization
        Definition

        The healthcare provider organisation information.

        ShortA.2.3.3.11 - Referring organisation
        Control0..1
        TypeBackboneElement
        52. InPatientEncounter.admissionReason
        Definition

        Admission reason

        ShortA.2.3.4 - Admission reason
        Control1..1
        TypeBackboneElement
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        54. InPatientEncounter.admissionReason.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        56. InPatientEncounter.admissionReason.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on InPatientEncounter.admissionReason.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 58. InPatientEncounter.admissionReason.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          60. InPatientEncounter.admissionReason.code
          Definition

          Reason or reasons for admission, e.g. Problem, procedure or finding.

          ShortA.2.3.4.1 - Admission reason
          Control0..*
          TypeCodeableConcept
          62. InPatientEncounter.admissionReason.comment
          Definition

          Explanation of the reason for the encounter.

          ShortA.2.3.4.2 - Admission reason comment
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          64. InPatientEncounter.admissionReason.legalStatus
          Definition

          Legal status/situation at admission. The legal status indicates the basis on which the patient is staying in a healthcare organisation. This can be either voluntary or involuntary, however the legal status is always determined by a court. A patient can also receive healthcare based on a forensic status. (voluntary, involuntary, admission by legal authority).

          ShortA.2.3.4.3 - Admission legal status
          Control0..1
          TypeCodeableConcept
          66. InPatientEncounter.discharge
          Definition

          Discharge

          ShortA.2.3.5 - Discharge
          Control1..1
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          68. InPatientEncounter.discharge.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          70. InPatientEncounter.discharge.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on InPatientEncounter.discharge.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 72. InPatientEncounter.discharge.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            74. InPatientEncounter.discharge.date
            Definition

            Discharge date and time

            ShortA.2.3.5.1 - Discharge date
            Control1..1
            TypedateTime
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            76. InPatientEncounter.discharge.destinationType
            Definition

            Type of location to which the patient will go after the encounter. E.g. home, hospital, nursing home, left against medical advice etc.

            ShortA.2.3.5.2 - Discharge destination type
            Control0..1
            TypeCodeableConcept
            78. InPatientEncounter.discharge.destinationLocation
            Definition

            The location/organisation to which the patient will go after the encounter. Name, address and telecommunication contact.

            ShortA.2.3.5.3 - Destination location
            Control0..1
            TypeCodeableConcept
            80. InPatientEncounter.location
            Definition

            Location - All locations/departments where the patient stayed (was boarded) within the hospital.

            ShortA.2.3.6 - Location - All locations/departments where the patient stayed (was boarded) within the hospital.
            Control0..*
            TypeBackboneElement
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            82. InPatientEncounter.location.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            84. InPatientEncounter.location.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on InPatientEncounter.location.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 86. InPatientEncounter.location.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              88. InPatientEncounter.location.period
              Definition

              Time period during which the patient was present at the location

              ShortA.2.3.6.1 - Period
              Control1..1
              TypePeriod
              90. InPatientEncounter.location.organization
              Definition

              Organization or organization part (hospital department) where the patient was present.

              ShortOrganization
              Control1..1
              TypeBackboneElement
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              92. InPatientEncounter.location.organization.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              94. InPatientEncounter.location.organization.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on InPatientEncounter.location.organization.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 96. InPatientEncounter.location.organization.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                98. InPatientEncounter.location.organization.identifier
                Definition

                The organisation’s part identifier.

                ShortA.2.3.6.2 - Organisation Part ID
                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control0..1
                TypeIdentifier
                100. InPatientEncounter.location.organization.name
                Definition

                Full name of the organisation part, e.g. Name of the department

                ShortA.2.3.6.3 - Organisation Part Name
                Control1..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                102. InPatientEncounter.location.organization.details
                Definition

                Address, contact names and contact details, specialty of the organisation part.

                ShortA.2.3.6.4 - Organisation Part Details
                Control0..1
                TypeBackboneElement

                Guidance on how to interpret the contents of this table can be found here

                0. InPatientEncounter
                Definition

                Hospital Discharge Report - Encounter - A.2.3 eHN

                ShortA.2.3 - Encounter (eHN)
                Control0..*
                Is Modifierfalse
                Logical ModelInstances of this logical model are not marked to be the target of a Reference
                2. InPatientEncounter.type
                Definition

                The type of the encounter whether inpatient or short stay encounter.

                ShortA.2.3.1 - Encounter type
                Control1..1
                TypeCodeableConcept
                4. InPatientEncounter.note
                Definition

                A narrative description of the encounter course.

                ShortA.2.3.2 - Encounter note
                Control0..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                6. InPatientEncounter.admission
                Definition

                Admission

                ShortA.2.3.3 - Admission
                Control1..1
                TypeBackboneElement
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                8. InPatientEncounter.admission.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                10. InPatientEncounter.admission.extension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortAdditional content defined by implementations
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on InPatientEncounter.admission.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 12. InPatientEncounter.admission.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  14. InPatientEncounter.admission.urgency
                  Definition

                  Admission type, either emergency or planned

                  ShortA.2.3.3.1 - Admission urgency
                  Control0..1
                  TypeCodeableConcept
                  16. InPatientEncounter.admission.date
                  Definition

                  Admission date and time.

                  ShortA.2.3.3.2 - Admission date
                  Control1..1
                  TypedateTime
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  18. InPatientEncounter.admission.admitter
                  Definition

                  Admitting Healthcare Professional

                  ShortAdmitting professional
                  Control0..1
                  TypeBackboneElement
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  20. InPatientEncounter.admission.admitter.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  22. InPatientEncounter.admission.admitter.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on InPatientEncounter.admission.admitter.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 24. InPatientEncounter.admission.admitter.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    26. InPatientEncounter.admission.admitter.identifier
                    Definition

                    The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number.

                    ShortA.2.3.3.3 - Admitting professional ID
                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Control0..1
                    TypeIdentifier
                    28. InPatientEncounter.admission.admitter.name
                    Definition

                    Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

                    ShortA.2.3.3.4 - Admitting professional name
                    Control0..1
                    TypeHumanName
                    30. InPatientEncounter.admission.admitter.organizationID
                    Definition

                    The healthcare provider organisation identifier.

                    ShortA.2.3.3.5 - Admitting organisation ID
                    Control0..1
                    TypeIdentifier
                    32. InPatientEncounter.admission.admitter.organization
                    Definition

                    The healthcare provider organisation information.

                    ShortA.2.3.3.6 - Admitting organisation
                    Control0..1
                    TypeBackboneElement
                    34. InPatientEncounter.admission.source
                    Definition

                    From where the patient was admitted (e.g. physician referral, transfer).

                    ShortA.2.3.3.7 - Admit Source
                    Control0..1
                    TypeCodeableConcept
                    36. InPatientEncounter.admission.referringHP
                    Definition

                    Referring Healthcare Professional

                    ShortReferring professional
                    Control0..1
                    TypeBackboneElement
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    38. InPatientEncounter.admission.referringHP.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    40. InPatientEncounter.admission.referringHP.extension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortAdditional content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on InPatientEncounter.admission.referringHP.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 42. InPatientEncounter.admission.referringHP.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      44. InPatientEncounter.admission.referringHP.identifier
                      Definition

                      The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number.

                      ShortA.2.3.3.8 - Referring professional ID
                      NoteThis is a business identifier, not a resource identifier (see discussion)
                      Control0..1
                      TypeIdentifier
                      46. InPatientEncounter.admission.referringHP.name
                      Definition

                      Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

                      ShortA.2.3.3.9 - Referring professional name
                      Control0..1
                      TypeHumanName
                      48. InPatientEncounter.admission.referringHP.organizationID
                      Definition

                      The healthcare provider organisation identifier.

                      ShortA.2.3.3.10 - Referring organisation ID
                      Control0..1
                      TypeIdentifier
                      50. InPatientEncounter.admission.referringHP.organization
                      Definition

                      The healthcare provider organisation information.

                      ShortA.2.3.3.11 - Referring organisation
                      Control0..1
                      TypeBackboneElement
                      52. InPatientEncounter.admissionReason
                      Definition

                      Admission reason

                      ShortA.2.3.4 - Admission reason
                      Control1..1
                      TypeBackboneElement
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      54. InPatientEncounter.admissionReason.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      56. InPatientEncounter.admissionReason.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on InPatientEncounter.admissionReason.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 58. InPatientEncounter.admissionReason.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        60. InPatientEncounter.admissionReason.code
                        Definition

                        Reason or reasons for admission, e.g. Problem, procedure or finding.

                        ShortA.2.3.4.1 - Admission reason
                        Control0..*
                        TypeCodeableConcept
                        62. InPatientEncounter.admissionReason.comment
                        Definition

                        Explanation of the reason for the encounter.

                        ShortA.2.3.4.2 - Admission reason comment
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        64. InPatientEncounter.admissionReason.legalStatus
                        Definition

                        Legal status/situation at admission. The legal status indicates the basis on which the patient is staying in a healthcare organisation. This can be either voluntary or involuntary, however the legal status is always determined by a court. A patient can also receive healthcare based on a forensic status. (voluntary, involuntary, admission by legal authority).

                        ShortA.2.3.4.3 - Admission legal status
                        Control0..1
                        TypeCodeableConcept
                        66. InPatientEncounter.discharge
                        Definition

                        Discharge

                        ShortA.2.3.5 - Discharge
                        Control1..1
                        TypeBackboneElement
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        68. InPatientEncounter.discharge.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        70. InPatientEncounter.discharge.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on InPatientEncounter.discharge.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 72. InPatientEncounter.discharge.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          74. InPatientEncounter.discharge.date
                          Definition

                          Discharge date and time

                          ShortA.2.3.5.1 - Discharge date
                          Control1..1
                          TypedateTime
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          76. InPatientEncounter.discharge.destinationType
                          Definition

                          Type of location to which the patient will go after the encounter. E.g. home, hospital, nursing home, left against medical advice etc.

                          ShortA.2.3.5.2 - Discharge destination type
                          Control0..1
                          TypeCodeableConcept
                          78. InPatientEncounter.discharge.destinationLocation
                          Definition

                          The location/organisation to which the patient will go after the encounter. Name, address and telecommunication contact.

                          ShortA.2.3.5.3 - Destination location
                          Control0..1
                          TypeCodeableConcept
                          80. InPatientEncounter.location
                          Definition

                          Location - All locations/departments where the patient stayed (was boarded) within the hospital.

                          ShortA.2.3.6 - Location - All locations/departments where the patient stayed (was boarded) within the hospital.
                          Control0..*
                          TypeBackboneElement
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          82. InPatientEncounter.location.id
                          Definition

                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          84. InPatientEncounter.location.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on InPatientEncounter.location.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 86. InPatientEncounter.location.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            88. InPatientEncounter.location.period
                            Definition

                            Time period during which the patient was present at the location

                            ShortA.2.3.6.1 - Period
                            Control1..1
                            TypePeriod
                            90. InPatientEncounter.location.organization
                            Definition

                            Organization or organization part (hospital department) where the patient was present.

                            ShortOrganization
                            Control1..1
                            TypeBackboneElement
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            92. InPatientEncounter.location.organization.id
                            Definition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            94. InPatientEncounter.location.organization.extension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                            ShortAdditional content defined by implementations
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            SlicingThis element introduces a set of slices on InPatientEncounter.location.organization.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 96. InPatientEncounter.location.organization.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              98. InPatientEncounter.location.organization.identifier
                              Definition

                              The organisation’s part identifier.

                              ShortA.2.3.6.2 - Organisation Part ID
                              NoteThis is a business identifier, not a resource identifier (see discussion)
                              Control0..1
                              TypeIdentifier
                              100. InPatientEncounter.location.organization.name
                              Definition

                              Full name of the organisation part, e.g. Name of the department

                              ShortA.2.3.6.3 - Organisation Part Name
                              Control1..1
                              Typestring
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              102. InPatientEncounter.location.organization.details
                              Definition

                              Address, contact names and contact details, specialty of the organisation part.

                              ShortA.2.3.6.4 - Organisation Part Details
                              Control0..1
                              TypeBackboneElement