XpanDH Hospital Discharge Report, published by XpanDH Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/xpandh-hdr/ and changes regularly. See the Directory of published versions

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Resource Profile: Inpatient Encounter Xpandh

This profile defines how to represent Inpatient Encounter in FHIR for the purpose of the XpanDH Hospital Discharge Report.

Usage:

• Refer to this Resource Profile: Composition: Hospital Discharge Report
• Examples for this Resource Profile: Encounter/SK-Hospital-Encounter

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	An interaction during which services are provided to the patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	0..*	Identifier	Identifier(s) by which this encounter is known. ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	Status of this Hospital stay Binding: In-patient Encounter Type Value Set (required) ele-1: All FHIR elements must have a @value or children
class	Σ	1..1	Coding	Classification of patient encounter Binding: Encounter Class Value Set (extensible) ele-1: All FHIR elements must have a @value or children
type	Σ	0..*	CodeableConcept	Specific type of Hospital stay Binding: In-patient Encounter Type Value Set (example) ele-1: All FHIR elements must have a @value or children
serviceType	Σ	0..1	CodeableConcept	Specific type of service. Binding: ServiceType (example): Broad categorization of the service that is to be provided. ele-1: All FHIR elements must have a @value or children
priority		0..1	CodeableConcept	Encounter priority Binding: Admission Urgency Value Set (preferred) ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(Patient: HDR)	The patient present at the encounter ele-1: All FHIR elements must have a @value or children
basedOn		0..*	Reference(ServiceRequest)	The request for which this encounter has been made ele-1: All FHIR elements must have a @value or children
Slices for participant	Σ	0..*	BackboneElement	List of participants involved in the encounters Slice: Unordered, Open by value:type ele-1: All FHIR elements must have a @value or children
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient ele-1: All FHIR elements must have a @value or children
participant:admitter	Σ	0..*	BackboneElement	Admitting professional ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. ele-1: All FHIR elements must have a @value or children 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. ele-1: All FHIR elements must have a @value or children
reasonCode	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: Condition Value Set (preferred) ele-1: All FHIR elements must have a @value or children
reasonReference	Σ	0..*	Reference(Observation | Condition | Procedure)	Reason the encounter takes place (reference) ele-1: All FHIR elements must have a @value or children
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter, see comment ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter ele-1: All FHIR elements must have a @value or children
location		0..*	BackboneElement	Locations where the patient stayed ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
location		1..1	Reference(Location)	Location the encounter takes place ele-1: All FHIR elements must have a @value or children
period		0..1	Period	Location period ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Encounter.status	required	EncounterStatusHdrVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/encounter-status-vs-eu-hdr from this IG
Encounter.class	extensible	HdrEncounterClassXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-encounterClass-xpandh-vs from this IG
Encounter.type	example	HdrEncounterTypeXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-encounter-type-xpandh-vs from this IG
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Encounter.priority	preferred	HdrAdmissionUrgencyXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-admission-urgency-xpandh-vs from this IG
Encounter.participant:admitter.type	extensible	Pattern: ADM http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:discharger.type	extensible	Pattern: DIS http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:referrer.type	extensible	Pattern: REF http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.reasonCode	preferred	HdrConditionXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-condition-xpandh-vs from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Encounter

Name	Flags	Card.	Type	Description & Constraints
Encounter			Encounter
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)
class		1..1	Coding	Classification of patient encounter Binding: Encounter Class Value Set (extensible)
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 | PractitionerRole | 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
hospitalization
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer).
destination		0..1	Reference(Organization | Location)	Location/organization to which the patient is discharged
location		0..*	BackboneElement	Locations where the patient stayed
period		0..1	Period	Location period
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.status	required	EncounterStatusHdrVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/encounter-status-vs-eu-hdr from this IG
Encounter.class	extensible	HdrEncounterClassXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-encounterClass-xpandh-vs from this IG
Encounter.type	example	HdrEncounterTypeXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-encounter-type-xpandh-vs from this IG
Encounter.priority	preferred	HdrAdmissionUrgencyXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-admission-urgency-xpandh-vs from this IG
Encounter.reasonCode	preferred	HdrConditionXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-condition-xpandh-vs from this IG

Name	Flags	Card.	Type	Description & Constraints
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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
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 | PractitionerRole | 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 | Procedure)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!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 | Location)	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)	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)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Encounter.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Encounter.status	required	EncounterStatusHdrVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/encounter-status-vs-eu-hdr from this IG
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	HdrEncounterClassXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-encounterClass-xpandh-vs from this IG
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	example	HdrEncounterTypeXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-encounter-type-xpandh-vs from this IG
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Encounter.priority	preferred	HdrAdmissionUrgencyXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-admission-urgency-xpandh-vs from this IG
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:admitter.type	extensible	Pattern: ADM http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:discharger.type	extensible	Pattern: DIS http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:referrer.type	extensible	Pattern: REF http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.reasonCode	preferred	HdrConditionXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-condition-xpandh-vs from this IG
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard
Encounter.hospitalization.admitSource	preferred	AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	example	DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Encounter

Summary

Mandatory: 1 element(3 nested mandatory elements)

Structures

This structure refers to these other structures:

• Patient: HDR (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Patient-eu-xpandh)
• Practitioner (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Practitioner-eu-xpandh)
• PractitionerRole (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/PractitionerRole-eu-xpandh)

Slices

This structure defines the following Slices:

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

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	An interaction during which services are provided to the patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	0..*	Identifier	Identifier(s) by which this encounter is known. ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	Status of this Hospital stay Binding: In-patient Encounter Type Value Set (required) ele-1: All FHIR elements must have a @value or children
class	Σ	1..1	Coding	Classification of patient encounter Binding: Encounter Class Value Set (extensible) ele-1: All FHIR elements must have a @value or children
type	Σ	0..*	CodeableConcept	Specific type of Hospital stay Binding: In-patient Encounter Type Value Set (example) ele-1: All FHIR elements must have a @value or children
serviceType	Σ	0..1	CodeableConcept	Specific type of service. Binding: ServiceType (example): Broad categorization of the service that is to be provided. ele-1: All FHIR elements must have a @value or children
priority		0..1	CodeableConcept	Encounter priority Binding: Admission Urgency Value Set (preferred) ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(Patient: HDR)	The patient present at the encounter ele-1: All FHIR elements must have a @value or children
basedOn		0..*	Reference(ServiceRequest)	The request for which this encounter has been made ele-1: All FHIR elements must have a @value or children
Slices for participant	Σ	0..*	BackboneElement	List of participants involved in the encounters Slice: Unordered, Open by value:type ele-1: All FHIR elements must have a @value or children
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient ele-1: All FHIR elements must have a @value or children
participant:admitter	Σ	0..*	BackboneElement	Admitting professional ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. ele-1: All FHIR elements must have a @value or children 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. ele-1: All FHIR elements must have a @value or children
reasonCode	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: Condition Value Set (preferred) ele-1: All FHIR elements must have a @value or children
reasonReference	Σ	0..*	Reference(Observation | Condition | Procedure)	Reason the encounter takes place (reference) ele-1: All FHIR elements must have a @value or children
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter, see comment ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter ele-1: All FHIR elements must have a @value or children
location		0..*	BackboneElement	Locations where the patient stayed ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
location		1..1	Reference(Location)	Location the encounter takes place ele-1: All FHIR elements must have a @value or children
period		0..1	Period	Location period ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Encounter.status	required	EncounterStatusHdrVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/encounter-status-vs-eu-hdr from this IG
Encounter.class	extensible	HdrEncounterClassXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-encounterClass-xpandh-vs from this IG
Encounter.type	example	HdrEncounterTypeXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-encounter-type-xpandh-vs from this IG
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Encounter.priority	preferred	HdrAdmissionUrgencyXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-admission-urgency-xpandh-vs from this IG
Encounter.participant:admitter.type	extensible	Pattern: ADM http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:discharger.type	extensible	Pattern: DIS http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:referrer.type	extensible	Pattern: REF http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.reasonCode	preferred	HdrConditionXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-condition-xpandh-vs from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from Encounter

Name	Flags	Card.	Type	Description & Constraints
Encounter			Encounter
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)
class		1..1	Coding	Classification of patient encounter Binding: Encounter Class Value Set (extensible)
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 | PractitionerRole | 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
hospitalization
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer).
destination		0..1	Reference(Organization | Location)	Location/organization to which the patient is discharged
location		0..*	BackboneElement	Locations where the patient stayed
period		0..1	Period	Location period
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.status	required	EncounterStatusHdrVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/encounter-status-vs-eu-hdr from this IG
Encounter.class	extensible	HdrEncounterClassXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-encounterClass-xpandh-vs from this IG
Encounter.type	example	HdrEncounterTypeXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-encounter-type-xpandh-vs from this IG
Encounter.priority	preferred	HdrAdmissionUrgencyXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-admission-urgency-xpandh-vs from this IG
Encounter.reasonCode	preferred	HdrConditionXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-condition-xpandh-vs from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
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 | PractitionerRole | 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 | Procedure)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!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 | Location)	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)	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)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Encounter.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Encounter.status	required	EncounterStatusHdrVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/encounter-status-vs-eu-hdr from this IG
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	HdrEncounterClassXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-encounterClass-xpandh-vs from this IG
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	example	HdrEncounterTypeXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-encounter-type-xpandh-vs from this IG
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Encounter.priority	preferred	HdrAdmissionUrgencyXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-admission-urgency-xpandh-vs from this IG
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:admitter.type	extensible	Pattern: ADM http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:discharger.type	extensible	Pattern: DIS http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:referrer.type	extensible	Pattern: REF http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.reasonCode	preferred	HdrConditionXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-condition-xpandh-vs from this IG
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard
Encounter.hospitalization.admitSource	preferred	AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	example	DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Encounter

Summary

Mandatory: 1 element(3 nested mandatory elements)

Structures

This structure refers to these other structures:

• Patient: HDR (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Patient-eu-xpandh)
• Practitioner (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Practitioner-eu-xpandh)
• PractitionerRole (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/PractitionerRole-eu-xpandh)

Slices

This structure defines the following Slices:

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