XpanDH Hospital Discharge Report
0.1.0 - ci-build 150

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

## Resource Profile: Inpatient Encounter Xpandh

Official URL: http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/inpatient-encounter-hdr-xpandh | Version: 0.1.0
Draft as of 2025-10-10 | Computable Name: InpatientEncounterHDRXpandh
Copyright/Legal: Used by permission of the XpanDH project, all rights reserved Creative Commons License

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

Usages:

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

You can also check for usages in the FHIR IG Statistics

### 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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
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)
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 | PractitionerRole | 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
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
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
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
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
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 | 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 | Procedure) | 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) | Location the encounter takes place
period |  | 0..1 | Period | Location period
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Encounter.status | Base | required | In-patient Encounter Type Value Set | 📦0.1.0 | This IG
Encounter.class | Base | extensible | Encounter Class Value Set | 📦0.1.0 | This IG
Encounter.type | Base | example | In-patient Encounter Type Value Set | 📦0.1.0 | This IG
Encounter.serviceType | Base | example | Service type | 📍4.0.1 | FHIR Std.
Encounter.priority | Base | preferred | Admission Urgency Value Set | 📦0.1.0 | This IG
Encounter.participant:admitter.​type | Base | extensible | Participant type | 📍4.0.1 | FHIR Std.
Encounter.participant:discharger.​type | Base | extensible | Participant type | 📍4.0.1 | FHIR Std.
Encounter.participant:referrer.​type | Base | extensible | Participant type | 📍4.0.1 | FHIR Std.
Encounter.reasonCode | Base | preferred | Condition Value Set | 📦0.1.0 | This IG

#### Constraints

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

This structure is derived from Encounter

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An interaction during which services are provided to the patient
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 | Status | Usage | ValueSet | Version | Source
Encounter.status | Base | required | In-patient Encounter Type Value Set | 📦0.1.0 | This IG
Encounter.class | Base | extensible | Encounter Class Value Set | 📦0.1.0 | This IG
Encounter.type | Base | example | In-patient Encounter Type Value Set | 📦0.1.0 | This IG
Encounter.priority | Base | preferred | Admission Urgency Value Set | 📦0.1.0 | This IG
Encounter.reasonCode | Base | preferred | Condition Value Set | 📦0.1.0 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | Status | Usage | ValueSet | Version | Source
Encounter.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Encounter.status | Base | required | In-patient Encounter Type Value Set | 📦0.1.0 | This IG
Encounter.statusHistory.​status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std.
Encounter.class | Base | extensible | Encounter Class Value Set | 📦0.1.0 | This IG
Encounter.classHistory.​class | Base | extensible | ActEncounterCode | 📦3.0.0 | THO v6.5
Encounter.type | Base | example | In-patient Encounter Type Value Set | 📦0.1.0 | This IG
Encounter.serviceType | Base | example | Service type | 📍4.0.1 | FHIR Std.
Encounter.priority | Base | preferred | Admission Urgency Value Set | 📦0.1.0 | This IG
Encounter.participant.​type | Base | extensible | Participant type | 📍4.0.1 | FHIR Std.
Encounter.participant:admitter.​type | Base | extensible | Participant type | 📍4.0.1 | FHIR Std.
Encounter.participant:discharger.​type | Base | extensible | Participant type | 📍4.0.1 | FHIR Std.
Encounter.participant:referrer.​type | Base | extensible | Participant type | 📍4.0.1 | FHIR Std.
Encounter.reasonCode | Base | preferred | Condition Value Set | 📦0.1.0 | This IG
Encounter.diagnosis.​use | Base | preferred | DiagnosisRole | 📍4.0.1 | FHIR Std.
Encounter.hospitalization.​admitSource | Base | preferred | Admit source | 📍4.0.1 | FHIR Std.
Encounter.hospitalization.​reAdmission | Base | example | hl7VS-re-admissionIndicator | 📦2.0.0 | THO v6.5
Encounter.hospitalization.​dietPreference | Base | example | Diet | 📍4.0.1 | FHIR Std.
Encounter.hospitalization.​specialCourtesy | Base | preferred | Special courtesy | 📍4.0.1 | FHIR Std.
Encounter.hospitalization.​specialArrangement | Base | preferred | Special arrangements | 📍4.0.1 | FHIR Std.
Encounter.hospitalization.​dischargeDisposition | Base | example | Discharge disposition | 📍4.0.1 | FHIR Std.
Encounter.location.status | Base | required | EncounterLocationStatus | 📍4.0.1 | FHIR Std.
Encounter.location.physicalType | Base | example | Location type | 📍4.0.1 | FHIR Std.

#### Constraints

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

This structure is derived from 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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
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)
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 | PractitionerRole | 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
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
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
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
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
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 | 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 | Procedure) | 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) | Location the encounter takes place
period |  | 0..1 | Period | Location period
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Encounter.status | Base | required | In-patient Encounter Type Value Set | 📦0.1.0 | This IG
Encounter.class | Base | extensible | Encounter Class Value Set | 📦0.1.0 | This IG
Encounter.type | Base | example | In-patient Encounter Type Value Set | 📦0.1.0 | This IG
Encounter.serviceType | Base | example | Service type | 📍4.0.1 | FHIR Std.
Encounter.priority | Base | preferred | Admission Urgency Value Set | 📦0.1.0 | This IG
Encounter.participant:admitter.​type | Base | extensible | Participant type | 📍4.0.1 | FHIR Std.
Encounter.participant:discharger.​type | Base | extensible | Participant type | 📍4.0.1 | FHIR Std.
Encounter.participant:referrer.​type | Base | extensible | Participant type | 📍4.0.1 | FHIR Std.
Encounter.reasonCode | Base | preferred | Condition Value Set | 📦0.1.0 | This IG

#### Constraints

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

Differential View

This structure is derived from Encounter

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An interaction during which services are provided to the patient
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 | Status | Usage | ValueSet | Version | Source
Encounter.status | Base | required | In-patient Encounter Type Value Set | 📦0.1.0 | This IG
Encounter.class | Base | extensible | Encounter Class Value Set | 📦0.1.0 | This IG
Encounter.type | Base | example | In-patient Encounter Type Value Set | 📦0.1.0 | This IG
Encounter.priority | Base | preferred | Admission Urgency Value Set | 📦0.1.0 | This IG
Encounter.reasonCode | Base | preferred | Condition Value Set | 📦0.1.0 | This IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | Status | Usage | ValueSet | Version | Source
Encounter.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Encounter.status | Base | required | In-patient Encounter Type Value Set | 📦0.1.0 | This IG
Encounter.statusHistory.​status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std.
Encounter.class | Base | extensible | Encounter Class Value Set | 📦0.1.0 | This IG
Encounter.classHistory.​class | Base | extensible | ActEncounterCode | 📦3.0.0 | THO v6.5
Encounter.type | Base | example | In-patient Encounter Type Value Set | 📦0.1.0 | This IG
Encounter.serviceType | Base | example | Service type | 📍4.0.1 | FHIR Std.
Encounter.priority | Base | preferred | Admission Urgency Value Set | 📦0.1.0 | This IG
Encounter.participant.​type | Base | extensible | Participant type | 📍4.0.1 | FHIR Std.
Encounter.participant:admitter.​type | Base | extensible | Participant type | 📍4.0.1 | FHIR Std.
Encounter.participant:discharger.​type | Base | extensible | Participant type | 📍4.0.1 | FHIR Std.
Encounter.participant:referrer.​type | Base | extensible | Participant type | 📍4.0.1 | FHIR Std.
Encounter.reasonCode | Base | preferred | Condition Value Set | 📦0.1.0 | This IG
Encounter.diagnosis.​use | Base | preferred | DiagnosisRole | 📍4.0.1 | FHIR Std.
Encounter.hospitalization.​admitSource | Base | preferred | Admit source | 📍4.0.1 | FHIR Std.
Encounter.hospitalization.​reAdmission | Base | example | hl7VS-re-admissionIndicator | 📦2.0.0 | THO v6.5
Encounter.hospitalization.​dietPreference | Base | example | Diet | 📍4.0.1 | FHIR Std.
Encounter.hospitalization.​specialCourtesy | Base | preferred | Special courtesy | 📍4.0.1 | FHIR Std.
Encounter.hospitalization.​specialArrangement | Base | preferred | Special arrangements | 📍4.0.1 | FHIR Std.
Encounter.hospitalization.​dischargeDisposition | Base | example | Discharge disposition | 📍4.0.1 | FHIR Std.
Encounter.location.status | Base | required | EncounterLocationStatus | 📍4.0.1 | FHIR Std.
Encounter.location.physicalType | Base | example | Location type | 📍4.0.1 | FHIR Std.

#### Constraints

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

This structure is derived from 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

Other representations of profile: CSV, Excel, Schematron