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

Resource Profile: Encounter (HDR)

Official URL: http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr Version: 0.0.1-ci
Standards status: Draft Maturity Level: 1 Computable Name: EncounterEuHdr

Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

This profile defines how to represent Inpatient Encounter in HL7 FHIR for the scope of this guide.

Usage:

Formal Views of Profile Content

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

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter Encounter
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... note 0..* Annotation Enconter note
URL: http://hl7.org/fhir/StructureDefinition/note
... identifier 0..* Identifier Identifier(s) by which this encounter is known.
... status 1..1 code Status of this Hospital stay
Binding: In-patient Encounter Type Value Set (required)
... type 0..* CodeableConcept Specific type of Hospital stay
Binding: In-patient Encounter Type Value Set (example)
... serviceType 0..1 CodeableConcept Specific type of service.
... priority 0..1 CodeableConcept Encounter priority
Binding: Admission Urgency Value Set (preferred)
... subject 1..1 Reference(Patient (HDR)) The patient present at the encounter
... basedOn 0..* Reference(ServiceRequest) The request for which this encounter has been made
... Slices for participant 0..* BackboneElement List of participants involved in the encounters
Slice: Unordered, Open by value:type
.... participant:All Slices Content/Rules for all slices
..... individual 0..1 Reference(Practitioner (HDR) | PractitionerRole: (HDR) | RelatedPerson) Persons involved in the encounter other than the patient
.... participant:admitter 0..* BackboneElement Admitting professional
..... type 1..* CodeableConcept Role of participant in encounter
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ADM
.... participant:discharger 0..* BackboneElement Discharging professional
..... type 1..* CodeableConcept Role of participant in encounter
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DIS
.... participant:referrer 0..* BackboneElement Referring professional
..... type 1..* CodeableConcept Role of participant in encounter
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: REF
... period 0..1 Period The start and end time of this encounter.
... reasonCode 0..* CodeableConcept Coded reason the encounter takes place
Binding: Condition Value Set (preferred)
... reasonReference 0..* Reference(Observation | Condition | Procedure) Reason the encounter takes place (reference)
... diagnosis 0..* BackboneElement The list of diagnosis relevant to this encounter, see comment
.... condition 1..1 Reference(Condition) The diagnosis or procedure relevant to the encounter
... hospitalization
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer).
.... destination 0..1 Reference(Organization (HDR) | Location (HDR)) Location/organization to which the patient is discharged
... location 0..* BackboneElement Locations where the patient stayed
.... location 1..1 Reference(Location (HDR)) Location the encounter takes place
.... period 0..1 Period Location period
... serviceProvider 0..1 Reference(Organization (HDR)) The organization (facility) responsible for this encounter

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.statusrequiredEncounterStatusHdrVS
http://hl7.eu/fhir/hdr/ValueSet/encounter-status-eu-hdr
from this IG
Encounter.classextensibleEncounterClassHdrVS
http://hl7.eu/fhir/hdr/ValueSet/hdr-encounterClass-eu-hdr
from this IG
Encounter.typeexampleEncounterTypeHdrVS
http://hl7.eu/fhir/hdr/ValueSet/hdr-encounter-type-eu-hdr
from this IG
Encounter.prioritypreferredAdmissionUrgencyHdrVS
http://hl7.eu/fhir/hdr/ValueSet/admission-urgency-eu-hdr
from this IG
Encounter.reasonCodepreferredConditionHdrVS
http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter 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 0..* Extension Extension
Slice: Unordered, Open by value:url
.... note 0..* Annotation Enconter note
URL: http://hl7.org/fhir/StructureDefinition/note
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code Status of this Hospital stay
Binding: In-patient Encounter Type Value Set (required)
... class Σ 1..1 Coding Classification of patient encounter
Binding: Encounter Class Value Set (extensible)
... type Σ 0..* CodeableConcept Specific type of Hospital stay
Binding: In-patient Encounter Type Value Set (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 Encounter priority
Binding: Admission Urgency Value Set (preferred)
... subject Σ 1..1 Reference(Patient (HDR)) The patient present at the encounter
... basedOn 0..* Reference(ServiceRequest) The request for which this encounter has been made
... Slices for participant Σ 0..* BackboneElement List of participants involved in the encounters
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
..... individual Σ 0..1 Reference(Practitioner (HDR) | PractitionerRole: (HDR) | RelatedPerson) Persons involved in the encounter other than the patient
.... participant:admitter Σ 0..* BackboneElement Admitting professional
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type Σ 1..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ADM
.... participant:discharger Σ 0..* BackboneElement Discharging professional
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type Σ 1..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DIS
.... participant:referrer Σ 0..* BackboneElement Referring professional
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type Σ 1..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: REF
... period 0..1 Period The start and end time of this encounter.
... reasonCode Σ 0..* CodeableConcept Coded reason the encounter takes place
Binding: Condition Value Set (preferred)
... reasonReference Σ 0..* Reference(Observation | Condition | Procedure) Reason the encounter takes place (reference)
... diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter, see comment
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(Condition) The diagnosis or procedure relevant to the encounter
... location 0..* BackboneElement Locations where the patient stayed
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location 1..1 Reference(Location (HDR)) Location the encounter takes place
.... period 0..1 Period Location period
... serviceProvider 0..1 Reference(Organization (HDR)) The organization (facility) responsible for this encounter

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.statusrequiredEncounterStatusHdrVS
http://hl7.eu/fhir/hdr/ValueSet/encounter-status-eu-hdr
from this IG
Encounter.classextensibleEncounterClassHdrVS
http://hl7.eu/fhir/hdr/ValueSet/hdr-encounterClass-eu-hdr
from this IG
Encounter.typeexampleEncounterTypeHdrVS
http://hl7.eu/fhir/hdr/ValueSet/hdr-encounter-type-eu-hdr
from this IG
Encounter.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Encounter.prioritypreferredAdmissionUrgencyHdrVS
http://hl7.eu/fhir/hdr/ValueSet/admission-urgency-eu-hdr
from this IG
Encounter.participant:admitter.typeextensiblePattern: ADM
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.participant:discharger.typeextensiblePattern: DIS
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.participant:referrer.typeextensiblePattern: REF
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reasonCodepreferredConditionHdrVS
http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... note 0..* Annotation Enconter note
URL: http://hl7.org/fhir/StructureDefinition/note
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) by which this encounter is known.
... status ?!Σ 1..1 code Status of this Hospital stay
Binding: In-patient Encounter Type Value Set (required)
... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1 Period The time that the episode was in the specified status
... class Σ 1..1 Coding Classification of patient encounter
Binding: Encounter Class Value Set (extensible)
... classHistory 0..* BackboneElement List of past encounter classes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... period 1..1 Period The time that the episode was in the specified class
... type Σ 0..* CodeableConcept Specific type of Hospital stay
Binding: In-patient Encounter Type Value Set (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 Encounter priority
Binding: Admission Urgency Value Set (preferred)
... subject Σ 1..1 Reference(Patient (HDR)) The patient 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 request for which this encounter has been made
... Slices for participant Σ 0..* BackboneElement List of participants involved in the encounters
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type Σ 0..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.


..... period 0..1 Period Period of time during the encounter that the participant participated
..... individual Σ 0..1 Reference(Practitioner (HDR) | PractitionerRole: (HDR) | RelatedPerson) Persons involved in the encounter other than the patient
.... participant:admitter Σ 0..* BackboneElement Admitting professional
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type Σ 1..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ADM
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period 0..1 Period Period of time during the encounter that the participant participated
..... individual Σ 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson) Persons involved in the encounter other than the patient
.... participant:discharger Σ 0..* BackboneElement Discharging professional
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type Σ 1..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DIS
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period 0..1 Period Period of time during the encounter that the participant participated
..... individual Σ 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson) Persons involved in the encounter other than the patient
.... participant:referrer Σ 0..* BackboneElement Referring professional
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type Σ 1..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: REF
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period 0..1 Period Period of time during the encounter that the participant participated
..... individual Σ 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson) Persons involved in the encounter other than the patient
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... period 0..1 Period The start and end time of this encounter.
... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
... reasonCode Σ 0..* CodeableConcept Coded reason the encounter takes place
Binding: Condition Value Set (preferred)
... reasonReference Σ 0..* Reference(Observation | Condition | Procedure) Reason the encounter takes place (reference)
... diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter, see comment
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(Condition) The diagnosis or procedure relevant to the encounter
.... use 0..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization 0..1 BackboneElement Details about the admission to a healthcare service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer).
Binding: AdmitSource (preferred): From where the patient was admitted.

.... reAdmission 0..1 CodeableConcept The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.

.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.


.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.


.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.


.... destination 0..1 Reference(Organization (HDR) | Location (HDR)) Location/organization to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

... location 0..* BackboneElement Locations where the patient stayed
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location 1..1 Reference(Location (HDR)) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... physicalType 0..1 CodeableConcept The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.

.... period 0..1 Period Location period
... serviceProvider 0..1 Reference(Organization (HDR)) The organization (facility) responsible for this encounter
... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Encounter.statusrequiredEncounterStatusHdrVS
http://hl7.eu/fhir/hdr/ValueSet/encounter-status-eu-hdr
from this IG
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classextensibleEncounterClassHdrVS
http://hl7.eu/fhir/hdr/ValueSet/hdr-encounterClass-eu-hdr
from this IG
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typeexampleEncounterTypeHdrVS
http://hl7.eu/fhir/hdr/ValueSet/hdr-encounter-type-eu-hdr
from this IG
Encounter.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Encounter.prioritypreferredAdmissionUrgencyHdrVS
http://hl7.eu/fhir/hdr/ValueSet/admission-urgency-eu-hdr
from this IG
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.participant:admitter.typeextensiblePattern: ADM
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.participant:discharger.typeextensiblePattern: DIS
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.participant:referrer.typeextensiblePattern: REF
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reasonCodepreferredConditionHdrVS
http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr
from this IG
Encounter.diagnosis.usepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard
Encounter.hospitalization.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
from the FHIR Standard
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
http://hl7.org/fhir/ValueSet/encounter-discharge-disposition
from the FHIR Standard
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
from the FHIR Standard
Encounter.location.physicalTypeexampleLocationType
http://hl7.org/fhir/ValueSet/location-physical-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Encounter

Differential View

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter Encounter
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... note 0..* Annotation Enconter note
URL: http://hl7.org/fhir/StructureDefinition/note
... identifier 0..* Identifier Identifier(s) by which this encounter is known.
... status 1..1 code Status of this Hospital stay
Binding: In-patient Encounter Type Value Set (required)
... type 0..* CodeableConcept Specific type of Hospital stay
Binding: In-patient Encounter Type Value Set (example)
... serviceType 0..1 CodeableConcept Specific type of service.
... priority 0..1 CodeableConcept Encounter priority
Binding: Admission Urgency Value Set (preferred)
... subject 1..1 Reference(Patient (HDR)) The patient present at the encounter
... basedOn 0..* Reference(ServiceRequest) The request for which this encounter has been made
... Slices for participant 0..* BackboneElement List of participants involved in the encounters
Slice: Unordered, Open by value:type
.... participant:All Slices Content/Rules for all slices
..... individual 0..1 Reference(Practitioner (HDR) | PractitionerRole: (HDR) | RelatedPerson) Persons involved in the encounter other than the patient
.... participant:admitter 0..* BackboneElement Admitting professional
..... type 1..* CodeableConcept Role of participant in encounter
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ADM
.... participant:discharger 0..* BackboneElement Discharging professional
..... type 1..* CodeableConcept Role of participant in encounter
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DIS
.... participant:referrer 0..* BackboneElement Referring professional
..... type 1..* CodeableConcept Role of participant in encounter
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: REF
... period 0..1 Period The start and end time of this encounter.
... reasonCode 0..* CodeableConcept Coded reason the encounter takes place
Binding: Condition Value Set (preferred)
... reasonReference 0..* Reference(Observation | Condition | Procedure) Reason the encounter takes place (reference)
... diagnosis 0..* BackboneElement The list of diagnosis relevant to this encounter, see comment
.... condition 1..1 Reference(Condition) The diagnosis or procedure relevant to the encounter
... hospitalization
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer).
.... destination 0..1 Reference(Organization (HDR) | Location (HDR)) Location/organization to which the patient is discharged
... location 0..* BackboneElement Locations where the patient stayed
.... location 1..1 Reference(Location (HDR)) Location the encounter takes place
.... period 0..1 Period Location period
... serviceProvider 0..1 Reference(Organization (HDR)) The organization (facility) responsible for this encounter

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.statusrequiredEncounterStatusHdrVS
http://hl7.eu/fhir/hdr/ValueSet/encounter-status-eu-hdr
from this IG
Encounter.classextensibleEncounterClassHdrVS
http://hl7.eu/fhir/hdr/ValueSet/hdr-encounterClass-eu-hdr
from this IG
Encounter.typeexampleEncounterTypeHdrVS
http://hl7.eu/fhir/hdr/ValueSet/hdr-encounter-type-eu-hdr
from this IG
Encounter.prioritypreferredAdmissionUrgencyHdrVS
http://hl7.eu/fhir/hdr/ValueSet/admission-urgency-eu-hdr
from this IG
Encounter.reasonCodepreferredConditionHdrVS
http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter 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 0..* Extension Extension
Slice: Unordered, Open by value:url
.... note 0..* Annotation Enconter note
URL: http://hl7.org/fhir/StructureDefinition/note
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code Status of this Hospital stay
Binding: In-patient Encounter Type Value Set (required)
... class Σ 1..1 Coding Classification of patient encounter
Binding: Encounter Class Value Set (extensible)
... type Σ 0..* CodeableConcept Specific type of Hospital stay
Binding: In-patient Encounter Type Value Set (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 Encounter priority
Binding: Admission Urgency Value Set (preferred)
... subject Σ 1..1 Reference(Patient (HDR)) The patient present at the encounter
... basedOn 0..* Reference(ServiceRequest) The request for which this encounter has been made
... Slices for participant Σ 0..* BackboneElement List of participants involved in the encounters
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
..... individual Σ 0..1 Reference(Practitioner (HDR) | PractitionerRole: (HDR) | RelatedPerson) Persons involved in the encounter other than the patient
.... participant:admitter Σ 0..* BackboneElement Admitting professional
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type Σ 1..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ADM
.... participant:discharger Σ 0..* BackboneElement Discharging professional
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type Σ 1..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DIS
.... participant:referrer Σ 0..* BackboneElement Referring professional
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type Σ 1..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: REF
... period 0..1 Period The start and end time of this encounter.
... reasonCode Σ 0..* CodeableConcept Coded reason the encounter takes place
Binding: Condition Value Set (preferred)
... reasonReference Σ 0..* Reference(Observation | Condition | Procedure) Reason the encounter takes place (reference)
... diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter, see comment
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(Condition) The diagnosis or procedure relevant to the encounter
... location 0..* BackboneElement Locations where the patient stayed
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location 1..1 Reference(Location (HDR)) Location the encounter takes place
.... period 0..1 Period Location period
... serviceProvider 0..1 Reference(Organization (HDR)) The organization (facility) responsible for this encounter

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.statusrequiredEncounterStatusHdrVS
http://hl7.eu/fhir/hdr/ValueSet/encounter-status-eu-hdr
from this IG
Encounter.classextensibleEncounterClassHdrVS
http://hl7.eu/fhir/hdr/ValueSet/hdr-encounterClass-eu-hdr
from this IG
Encounter.typeexampleEncounterTypeHdrVS
http://hl7.eu/fhir/hdr/ValueSet/hdr-encounter-type-eu-hdr
from this IG
Encounter.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Encounter.prioritypreferredAdmissionUrgencyHdrVS
http://hl7.eu/fhir/hdr/ValueSet/admission-urgency-eu-hdr
from this IG
Encounter.participant:admitter.typeextensiblePattern: ADM
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.participant:discharger.typeextensiblePattern: DIS
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.participant:referrer.typeextensiblePattern: REF
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reasonCodepreferredConditionHdrVS
http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

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

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... note 0..* Annotation Enconter note
URL: http://hl7.org/fhir/StructureDefinition/note
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) by which this encounter is known.
... status ?!Σ 1..1 code Status of this Hospital stay
Binding: In-patient Encounter Type Value Set (required)
... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1 Period The time that the episode was in the specified status
... class Σ 1..1 Coding Classification of patient encounter
Binding: Encounter Class Value Set (extensible)
... classHistory 0..* BackboneElement List of past encounter classes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... period 1..1 Period The time that the episode was in the specified class
... type Σ 0..* CodeableConcept Specific type of Hospital stay
Binding: In-patient Encounter Type Value Set (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 Encounter priority
Binding: Admission Urgency Value Set (preferred)
... subject Σ 1..1 Reference(Patient (HDR)) The patient 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 request for which this encounter has been made
... Slices for participant Σ 0..* BackboneElement List of participants involved in the encounters
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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type Σ 0..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.


..... period 0..1 Period Period of time during the encounter that the participant participated
..... individual Σ 0..1 Reference(Practitioner (HDR) | PractitionerRole: (HDR) | RelatedPerson) Persons involved in the encounter other than the patient
.... participant:admitter Σ 0..* BackboneElement Admitting professional
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type Σ 1..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ADM
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period 0..1 Period Period of time during the encounter that the participant participated
..... individual Σ 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson) Persons involved in the encounter other than the patient
.... participant:discharger Σ 0..* BackboneElement Discharging professional
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type Σ 1..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DIS
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period 0..1 Period Period of time during the encounter that the participant participated
..... individual Σ 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson) Persons involved in the encounter other than the patient
.... participant:referrer Σ 0..* BackboneElement Referring professional
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type Σ 1..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: REF
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period 0..1 Period Period of time during the encounter that the participant participated
..... individual Σ 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson) Persons involved in the encounter other than the patient
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... period 0..1 Period The start and end time of this encounter.
... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
... reasonCode Σ 0..* CodeableConcept Coded reason the encounter takes place
Binding: Condition Value Set (preferred)
... reasonReference Σ 0..* Reference(Observation | Condition | Procedure) Reason the encounter takes place (reference)
... diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter, see comment
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(Condition) The diagnosis or procedure relevant to the encounter
.... use 0..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization 0..1 BackboneElement Details about the admission to a healthcare service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer).
Binding: AdmitSource (preferred): From where the patient was admitted.

.... reAdmission 0..1 CodeableConcept The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.

.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.


.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.


.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.


.... destination 0..1 Reference(Organization (HDR) | Location (HDR)) Location/organization to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

... location 0..* BackboneElement Locations where the patient stayed
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location 1..1 Reference(Location (HDR)) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... physicalType 0..1 CodeableConcept The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.

.... period 0..1 Period Location period
... serviceProvider 0..1 Reference(Organization (HDR)) The organization (facility) responsible for this encounter
... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Encounter.statusrequiredEncounterStatusHdrVS
http://hl7.eu/fhir/hdr/ValueSet/encounter-status-eu-hdr
from this IG
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classextensibleEncounterClassHdrVS
http://hl7.eu/fhir/hdr/ValueSet/hdr-encounterClass-eu-hdr
from this IG
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typeexampleEncounterTypeHdrVS
http://hl7.eu/fhir/hdr/ValueSet/hdr-encounter-type-eu-hdr
from this IG
Encounter.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Encounter.prioritypreferredAdmissionUrgencyHdrVS
http://hl7.eu/fhir/hdr/ValueSet/admission-urgency-eu-hdr
from this IG
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.participant:admitter.typeextensiblePattern: ADM
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.participant:discharger.typeextensiblePattern: DIS
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.participant:referrer.typeextensiblePattern: REF
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reasonCodepreferredConditionHdrVS
http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr
from this IG
Encounter.diagnosis.usepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard
Encounter.hospitalization.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
from the FHIR Standard
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
http://hl7.org/fhir/ValueSet/encounter-discharge-disposition
from the FHIR Standard
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
from the FHIR Standard
Encounter.location.physicalTypeexampleLocationType
http://hl7.org/fhir/ValueSet/location-physical-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Encounter

 

Other representations of profile: CSV, Excel, Schematron