AU Base Implementation Guide
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AU Base Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 5.0.1-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/au-fhir-base/ and changes regularly. See the Directory of published versions

Resource Profile: AU Base Encounter

Official URL: http://hl7.org.au/fhir/StructureDefinition/au-encounter Version: 5.0.1-ci-build
Standards status: Trial-use Maturity Level: 1 Computable Name: AUBaseEncounter

Copyright/Legal: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved.

This profile defines an encounter structure that localises core concepts, including terminology, for use in an Australian context. This profile is intended to be applicable for recording details of ambulatory and non-ambulatory patient encounters in an Australian healthcare context. The purpose of this profile is to provide national level agreement on core localised concepts. This profile does not force conformance to core localised concepts. It enables implementers and modellers to make their own rules, i.e. profiling, about how to support these concepts for specific implementation needs.

Usage Notes

Usage:

Changes since version 5.0.0:

  • No changes
  • Formal Views of Profile Content

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

    This structure is derived from Encounter

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Encounter 0..* Encounter An encounter in an Australian healthcare context
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:associatedHealthcareService 0..* Reference(HealthcareService) Associated healthcare service
    URL: http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice
    ... class 1..1 Coding Classification of patient encounter
    Binding: ActEncounterCode - AU Extended (extensible)
    ... type 0..* CodeableConcept Specific type of encounter
    Binding: Encounter Type . (preferred)
    ... hospitalization 0..1 BackboneElement Details about the admission to a healthcare service
    .... dischargeDisposition 0..1 CodeableConcept Separation Mode
    Binding: Separation Mode . (extensible)

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Encounter.classextensibleActEncounterCodeAUExtended
    http://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extended
    from this IG
    Encounter.typepreferredEncounterType .
    https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1
    Encounter.serviceTypepreferredServiceType .
    https://healthterminologies.gov.au/fhir/ValueSet/service-type-1
    Encounter.hospitalization.dischargeDispositionextensibleSeparationMode . (a valid code from https://healthterminologies.gov.au/fhir/CodeSystem/separation-mode-1)
    https://healthterminologies.gov.au/fhir/ValueSet/separation-mode-1
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Encounter 0..* Encounter An encounter in an Australian healthcare context
    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
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    .... extension:associatedHealthcareService 0..* Reference(HealthcareService) Associated healthcare service
    URL: http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ... 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
    ... class Σ 1..1 Coding Classification of patient encounter
    Binding: ActEncounterCode - AU Extended (extensible)
    ele-1: All FHIR elements must have a @value or children
    ... type Σ 0..* CodeableConcept Specific type of encounter
    Binding: Encounter Type . (preferred)
    ele-1: All FHIR elements must have a @value or children
    ... serviceType Σ 0..1 CodeableConcept Specific type of service
    Binding: Service Type . (preferred)
    ele-1: All FHIR elements must have a @value or children
    ... hospitalization 0..1 BackboneElement Details about the admission to a healthcare service
    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
    .... dischargeDisposition 0..1 CodeableConcept Separation Mode
    Binding: Separation Mode . (extensible)
    ele-1: All FHIR elements must have a @value or children

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Encounter.statusrequiredEncounterStatus
    http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
    from the FHIR Standard
    Encounter.classextensibleActEncounterCodeAUExtended
    http://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extended
    from this IG
    Encounter.typepreferredEncounterType .
    https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1
    Encounter.serviceTypepreferredServiceType .
    https://healthterminologies.gov.au/fhir/ValueSet/service-type-1
    Encounter.hospitalization.dischargeDispositionextensibleSeparationMode . (a valid code from https://healthterminologies.gov.au/fhir/CodeSystem/separation-mode-1)
    https://healthterminologies.gov.au/fhir/ValueSet/separation-mode-1

    Constraints

    IdGradePath(s)DetailsRequirements
    dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorEncounterIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4errorEncounterIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
    : contained.meta.security.empty()
    dom-6best practiceEncounterA resource should have narrative for robust management
    : text.`div`.exists()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Encounter 0..* Encounter An encounter in an Australian healthcare context
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.

    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:associatedHealthcareService 0..* Reference(HealthcareService) Associated healthcare service
    URL: http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice
    ... 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 planned | arrived | triaged | in-progress | onleave | finished | cancelled +
    Binding: EncounterStatus (required): Current state of the encounter.

    ... statusHistory 0..* BackboneElement List of past encounter statuses
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... 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: ActEncounterCode - AU Extended (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 encounter
    Binding: Encounter Type . (preferred)
    ... serviceType Σ 0..1 CodeableConcept Specific type of service
    Binding: Service Type . (preferred)
    ... priority 0..1 CodeableConcept Indicates the urgency of the encounter
    Binding: ActPriority (example): Indicates the urgency of the encounter.

    ... subject Σ 0..1 Reference(Patient | Group) The patient or group present at the encounter
    ... episodeOfCare Σ 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
    ... basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
    ... participant Σ 0..* BackboneElement List of participants involved in the encounter
    .... 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
    ... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
    ... period 0..1 Period The start and end time of the 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: EncounterReasonCodes (preferred): Reason why the encounter takes place.


    ... reasonReference Σ 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
    ... diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... 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(Location | Organization) Location/organization to which the patient is discharged
    .... dischargeDisposition 0..1 CodeableConcept Separation Mode
    Binding: Separation Mode . (extensible)
    ... location 0..* BackboneElement List of locations where the patient has been
    .... 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 Time period during which the patient was present at the location
    ... serviceProvider 0..1 Reference(Organization) The organization (facility) responsible for this encounter
    ... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Encounter.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    Encounter.statusrequiredEncounterStatus
    http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
    from the FHIR Standard
    Encounter.statusHistory.statusrequiredEncounterStatus
    http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
    from the FHIR Standard
    Encounter.classextensibleActEncounterCodeAUExtended
    http://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extended
    from this IG
    Encounter.classHistory.classextensibleActEncounterCode
    http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
    Encounter.typepreferredEncounterType .
    https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1
    Encounter.serviceTypepreferredServiceType .
    https://healthterminologies.gov.au/fhir/ValueSet/service-type-1
    Encounter.priorityexampleActPriority
    http://terminology.hl7.org/ValueSet/v3-ActPriority
    Encounter.participant.typeextensibleParticipantType
    http://hl7.org/fhir/ValueSet/encounter-participant-type
    from the FHIR Standard
    Encounter.reasonCodepreferredEncounterReasonCodes
    http://hl7.org/fhir/ValueSet/encounter-reason
    from the FHIR Standard
    Encounter.diagnosis.usepreferredDiagnosisRole
    http://hl7.org/fhir/ValueSet/diagnosis-role
    from the FHIR Standard
    Encounter.hospitalization.admitSourcepreferredAdmitSource
    http://hl7.org/fhir/ValueSet/encounter-admit-source
    from the FHIR Standard
    Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
    http://terminology.hl7.org/ValueSet/v2-0092
    Encounter.hospitalization.dietPreferenceexampleDiet
    http://hl7.org/fhir/ValueSet/encounter-diet
    from the FHIR Standard
    Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
    http://hl7.org/fhir/ValueSet/encounter-special-courtesy
    from the FHIR Standard
    Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
    http://hl7.org/fhir/ValueSet/encounter-special-arrangements
    from the FHIR Standard
    Encounter.hospitalization.dischargeDispositionextensibleSeparationMode . (a valid code from https://healthterminologies.gov.au/fhir/CodeSystem/separation-mode-1)
    https://healthterminologies.gov.au/fhir/ValueSet/separation-mode-1
    Encounter.location.statusrequiredEncounterLocationStatus
    http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
    from the FHIR Standard
    Encounter.location.physicalTypeexampleLocationType
    http://hl7.org/fhir/ValueSet/location-physical-type
    from the FHIR Standard

    Constraints

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

    This structure is derived from Encounter

    Summary

    Extensions

    This structure refers to these extensions:

    Maturity: 1

    Differential View

    This structure is derived from Encounter

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Encounter 0..* Encounter An encounter in an Australian healthcare context
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:associatedHealthcareService 0..* Reference(HealthcareService) Associated healthcare service
    URL: http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice
    ... class 1..1 Coding Classification of patient encounter
    Binding: ActEncounterCode - AU Extended (extensible)
    ... type 0..* CodeableConcept Specific type of encounter
    Binding: Encounter Type . (preferred)
    ... hospitalization 0..1 BackboneElement Details about the admission to a healthcare service
    .... dischargeDisposition 0..1 CodeableConcept Separation Mode
    Binding: Separation Mode . (extensible)

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Encounter.classextensibleActEncounterCodeAUExtended
    http://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extended
    from this IG
    Encounter.typepreferredEncounterType .
    https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1
    Encounter.serviceTypepreferredServiceType .
    https://healthterminologies.gov.au/fhir/ValueSet/service-type-1
    Encounter.hospitalization.dischargeDispositionextensibleSeparationMode . (a valid code from https://healthterminologies.gov.au/fhir/CodeSystem/separation-mode-1)
    https://healthterminologies.gov.au/fhir/ValueSet/separation-mode-1

    Key Elements View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Encounter 0..* Encounter An encounter in an Australian healthcare context
    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
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    .... extension:associatedHealthcareService 0..* Reference(HealthcareService) Associated healthcare service
    URL: http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ... 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
    ... class Σ 1..1 Coding Classification of patient encounter
    Binding: ActEncounterCode - AU Extended (extensible)
    ele-1: All FHIR elements must have a @value or children
    ... type Σ 0..* CodeableConcept Specific type of encounter
    Binding: Encounter Type . (preferred)
    ele-1: All FHIR elements must have a @value or children
    ... serviceType Σ 0..1 CodeableConcept Specific type of service
    Binding: Service Type . (preferred)
    ele-1: All FHIR elements must have a @value or children
    ... hospitalization 0..1 BackboneElement Details about the admission to a healthcare service
    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
    .... dischargeDisposition 0..1 CodeableConcept Separation Mode
    Binding: Separation Mode . (extensible)
    ele-1: All FHIR elements must have a @value or children

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Encounter.statusrequiredEncounterStatus
    http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
    from the FHIR Standard
    Encounter.classextensibleActEncounterCodeAUExtended
    http://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extended
    from this IG
    Encounter.typepreferredEncounterType .
    https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1
    Encounter.serviceTypepreferredServiceType .
    https://healthterminologies.gov.au/fhir/ValueSet/service-type-1
    Encounter.hospitalization.dischargeDispositionextensibleSeparationMode . (a valid code from https://healthterminologies.gov.au/fhir/CodeSystem/separation-mode-1)
    https://healthterminologies.gov.au/fhir/ValueSet/separation-mode-1

    Constraints

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

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Encounter 0..* Encounter An encounter in an Australian healthcare context
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.

    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:associatedHealthcareService 0..* Reference(HealthcareService) Associated healthcare service
    URL: http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice
    ... 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 planned | arrived | triaged | in-progress | onleave | finished | cancelled +
    Binding: EncounterStatus (required): Current state of the encounter.

    ... statusHistory 0..* BackboneElement List of past encounter statuses
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... 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: ActEncounterCode - AU Extended (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 encounter
    Binding: Encounter Type . (preferred)
    ... serviceType Σ 0..1 CodeableConcept Specific type of service
    Binding: Service Type . (preferred)
    ... priority 0..1 CodeableConcept Indicates the urgency of the encounter
    Binding: ActPriority (example): Indicates the urgency of the encounter.

    ... subject Σ 0..1 Reference(Patient | Group) The patient or group present at the encounter
    ... episodeOfCare Σ 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
    ... basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
    ... participant Σ 0..* BackboneElement List of participants involved in the encounter
    .... 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
    ... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
    ... period 0..1 Period The start and end time of the 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: EncounterReasonCodes (preferred): Reason why the encounter takes place.


    ... reasonReference Σ 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
    ... diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... 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(Location | Organization) Location/organization to which the patient is discharged
    .... dischargeDisposition 0..1 CodeableConcept Separation Mode
    Binding: Separation Mode . (extensible)
    ... location 0..* BackboneElement List of locations where the patient has been
    .... 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 Time period during which the patient was present at the location
    ... serviceProvider 0..1 Reference(Organization) The organization (facility) responsible for this encounter
    ... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Encounter.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    Encounter.statusrequiredEncounterStatus
    http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
    from the FHIR Standard
    Encounter.statusHistory.statusrequiredEncounterStatus
    http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
    from the FHIR Standard
    Encounter.classextensibleActEncounterCodeAUExtended
    http://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extended
    from this IG
    Encounter.classHistory.classextensibleActEncounterCode
    http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
    Encounter.typepreferredEncounterType .
    https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1
    Encounter.serviceTypepreferredServiceType .
    https://healthterminologies.gov.au/fhir/ValueSet/service-type-1
    Encounter.priorityexampleActPriority
    http://terminology.hl7.org/ValueSet/v3-ActPriority
    Encounter.participant.typeextensibleParticipantType
    http://hl7.org/fhir/ValueSet/encounter-participant-type
    from the FHIR Standard
    Encounter.reasonCodepreferredEncounterReasonCodes
    http://hl7.org/fhir/ValueSet/encounter-reason
    from the FHIR Standard
    Encounter.diagnosis.usepreferredDiagnosisRole
    http://hl7.org/fhir/ValueSet/diagnosis-role
    from the FHIR Standard
    Encounter.hospitalization.admitSourcepreferredAdmitSource
    http://hl7.org/fhir/ValueSet/encounter-admit-source
    from the FHIR Standard
    Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
    http://terminology.hl7.org/ValueSet/v2-0092
    Encounter.hospitalization.dietPreferenceexampleDiet
    http://hl7.org/fhir/ValueSet/encounter-diet
    from the FHIR Standard
    Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
    http://hl7.org/fhir/ValueSet/encounter-special-courtesy
    from the FHIR Standard
    Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
    http://hl7.org/fhir/ValueSet/encounter-special-arrangements
    from the FHIR Standard
    Encounter.hospitalization.dischargeDispositionextensibleSeparationMode . (a valid code from https://healthterminologies.gov.au/fhir/CodeSystem/separation-mode-1)
    https://healthterminologies.gov.au/fhir/ValueSet/separation-mode-1
    Encounter.location.statusrequiredEncounterLocationStatus
    http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
    from the FHIR Standard
    Encounter.location.physicalTypeexampleLocationType
    http://hl7.org/fhir/ValueSet/location-physical-type
    from the FHIR Standard

    Constraints

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

    This structure is derived from Encounter

    Summary

    Extensions

    This structure refers to these extensions:

    Maturity: 1

     

    Other representations of profile: CSV, Excel, Schematron