CH EMS (R4), published by IVR Interverband für Rettungswesen. This guide is not an authorized publication; it is the continuous build for version 2.1.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-ems/ and changes regularly. See the Directory of published versions

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• Detailed Descriptions
• Mappings
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• XML
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Resource Profile: CH EMS Encounter

This profile constrains the Encounter resource for representing the mission with its details.

Usage:

• Use this Resource Profile: CH EMS Document
• Refer to this Resource Profile: CH EMS AllergyIntolerance, CH EMS Composition, CH EMS MedicationAdministration, CH EMS MedicationStatement... Show 3 more, CH EMS Observation (Base), CH EMS Procedure (Base) and CH EMS ServiceRequest

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	CHCoreEncounter	CH EMS Encounter 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:valuablesPatient	S	0..*	CHEmsCodeableConcept	CH EMS Extension: Valuables Patient URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-valuablespatient Binding: IVR Valuables Type (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:emergencyDoctorSystem	S	0..1	CHEmsCodeableConcept	CH EMS Extension: Emergency Doctor System URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-emergencydoctorsystem Binding: IVR Emergency Doctor System (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:violence	S	0..1	(Complex)	CH EMS Extension: Violence URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-violence 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
Slices for identifier	Σ	1..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children
identifier:VisitNumber	Σ	0..*	Identifier	Visit number (Fallnummer) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
identifier:missionNumber	SΣ	1..1	Identifier	Mission number (Einsatznummer) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-ems/CodeSystem/IVR
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MN
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	OID of organization (IMC) ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Mission number IMC ele-1: All FHIR elements must have a @value or children Example General: 123456
status	?!Σ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. ele-1: All FHIR elements must have a @value or children
class	Σ	1..1	Coding	AMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR Binding: ActEncounterCode (extensible): Classification of the encounter. ele-1: All FHIR elements must have a @value or children
serviceType	SΣ	0..1	CHEmsCodeableConcept	Specific type of service Binding: IVR Mission Type (extensible) ele-1: All FHIR elements must have a @value or children
priority	S	0..1	CHEmsCodeableConcept	Urgency of the mission Binding: IVR Urgency (extensible) ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:urgencyAdequate	S	0..1	CHEmsCodeableConcept	CH EMS Extension: Urgency Adequate URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-urgencyadequate Binding: IVR Urgency Adequate (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding	SΣ	0..*	CHEmsCoding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(CH EMS Patient)	The patient or group present at the encounter ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
basedOn	S	1..1	Reference(CH EMS ServiceRequest)	Informant organisation (IMC) ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
participant	Σ	0..*	BackboneElement	Team ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	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:teamRole	S	1..1	CHEmsCodeableConcept	CH EMS Extension: Team Role URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole Binding: IVR Team Role (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
individual	SΣ	1..1	Reference(CH EMS Practitioner)	Team member ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
period		1..1	Period	The date (and time) of the mission ele-1: All FHIR elements must have a @value or children
start	SΣC	1..1	dateTime	Starting time with inclusive boundary ele-1: All FHIR elements must have a @value or children
reasonCode	SΣ	0..*	CHEmsCodeableConcept	Coded reason the encounter takes place Binding: IVR Transport Reason (extensible) ele-1: All FHIR elements must have a @value or children
hospitalization		0..1	BackboneElement	Destination of the mission ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:BfsAdmitRole		0..1	Coding	BFS Medizinische Statistik - Einweisende Instanz URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-admitrole Binding: BFS Medizinische Statistik - 19 1.2.V04 - Einweisende Instanz / Décision d’envoi / Istanza ricoverante (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:accident		0..1	(Complex)	Flag if hospitalization was due to an accident URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-accident ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:readmission		0..1	boolean	Flag to indicate if it is a suspected readmission URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-encounter-susp-readmission ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:BfsDischargeDecision		0..1	Coding	BFS Medizinische Statistik - Entscheid für Austritt URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedecision Binding: BFS Medizinische Statistik - 27 1.5.V02 - Entscheid für Austritt / Décision de sortie / Décisione dell’uscita (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:BfsDischargeDestination		0..1	Coding	BFS Medizinische Statistik - Aufenthalt nach Austritt URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedestination Binding: BFS Medizinische Statistik - 28 1.5.V03 - Aufenthalt nach Austritt / Séjour après la sortie / Destinazione dopo l’uscita (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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
destination	S	1..1	Reference(CH EMS Location: Location and Destination)	Location/organization to which the patient is discharged ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
location		0..1	BackboneElement	Location of mission ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
location	S	1..1	Reference(CH EMS Location: Location and Destination)	Location the encounter takes place ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.identifier:VisitNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:missionNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.serviceType	extensible	MissionType http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-missionType from this IG
Encounter.priority	extensible	Urgency http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-urgency from this IG
Encounter.reasonCode	extensible	IVRVStransReason http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-transReason from this IG

Constraints

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

This structure is derived from CHCoreEncounter

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	CHCoreEncounter	CH EMS Encounter
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:valuablesPatient	S	0..*	CHEmsCodeableConcept	CH EMS Extension: Valuables Patient URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-valuablespatient Binding: IVR Valuables Type (extensible)
extension:emergencyDoctorSystem	S	0..1	CHEmsCodeableConcept	CH EMS Extension: Emergency Doctor System URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-emergencydoctorsystem Binding: IVR Emergency Doctor System (extensible)
extension:violence	S	0..1	(Complex)	CH EMS Extension: Violence URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-violence
identifier		1..*	Identifier	Identifier(s) by which this encounter is known
Slices for identifier				Content/Rules for all slices
identifier:missionNumber	S	1..1	Identifier	Mission number (Einsatznummer) Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-ems/CodeSystem/IVR
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MN
system		1..1	uri	OID of organization (IMC)
value		1..1	string	Mission number IMC
serviceType	S	0..1	CHEmsCodeableConcept	Specific type of service Binding: IVR Mission Type (extensible)
priority	S	0..1	CHEmsCodeableConcept	Urgency of the mission Binding: IVR Urgency (extensible)
Slices for extension				Content/Rules for all slices
extension:urgencyAdequate	S	0..1	CHEmsCodeableConcept	CH EMS Extension: Urgency Adequate URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-urgencyadequate Binding: IVR Urgency Adequate (extensible)
subject	S	1..1	Reference(CH EMS Patient)	The patient or group present at the encounter
reference		1..1	string	Literal reference, Relative, internal or absolute URL
basedOn	S	1..1	Reference(CH EMS ServiceRequest)	Informant organisation (IMC)
reference		1..1	string	Literal reference, Relative, internal or absolute URL
participant		0..*	BackboneElement	Team
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:teamRole	S	1..1	CHEmsCodeableConcept	CH EMS Extension: Team Role URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole Binding: IVR Team Role (extensible)
individual	S	1..1	Reference(CH EMS Practitioner)	Team member
reference		1..1	string	Literal reference, Relative, internal or absolute URL
period		1..1	Period	The date (and time) of the mission
start	S	1..1	dateTime	Starting time with inclusive boundary
reasonCode	S	0..*	CHEmsCodeableConcept	Coded reason the encounter takes place Binding: IVR Transport Reason (extensible)
hospitalization		0..1	BackboneElement	Destination of the mission
destination	S	1..1	Reference(CH EMS Location: Location and Destination)	Location/organization to which the patient is discharged
reference		1..1	string	Literal reference, Relative, internal or absolute URL
location		0..1	BackboneElement	Location of mission
location	S	1..1	Reference(CH EMS Location: Location and Destination)	Location the encounter takes place
reference		1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.serviceType	extensible	MissionType http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-missionType from this IG
Encounter.priority	extensible	Urgency http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-urgency from this IG
Encounter.reasonCode	extensible	IVRVStransReason http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-transReason from this IG

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	CHCoreEncounter	CH EMS Encounter
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:valuablesPatient	S	0..*	CHEmsCodeableConcept	CH EMS Extension: Valuables Patient URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-valuablespatient Binding: IVR Valuables Type (extensible)
extension:emergencyDoctorSystem	S	0..1	CHEmsCodeableConcept	CH EMS Extension: Emergency Doctor System URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-emergencydoctorsystem Binding: IVR Emergency Doctor System (extensible)
extension:violence	S	0..1	(Complex)	CH EMS Extension: Violence URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-violence
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:$this
identifier:VisitNumber	Σ	0..*	Identifier	Visit number (Fallnummer) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
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
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:missionNumber	SΣ	1..1	Identifier	Mission number (Einsatznummer) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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://fhir.ch/ig/ch-ems/CodeSystem/IVR
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MN
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
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	OID of organization (IMC) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Mission number IMC Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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	AMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR Binding: ActEncounterCode (extensible): Classification of the encounter.
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: EncounterType (example): The type of encounter.
serviceType	SΣ	0..1	CHEmsCodeableConcept	Specific type of service Binding: IVR Mission Type (extensible)
priority	S	0..1	CHEmsCodeableConcept	Urgency of the mission Binding: IVR Urgency (extensible)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:urgencyAdequate	S	0..1	CHEmsCodeableConcept	CH EMS Extension: Urgency Adequate URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-urgencyadequate Binding: IVR Urgency Adequate (extensible)
coding	SΣ	0..*	CHEmsCoding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(CH EMS Patient)	The patient or group present at the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn	S	1..1	Reference(CH EMS ServiceRequest)	Informant organisation (IMC)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
participant	Σ	0..*	BackboneElement	Team
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:teamRole	S	1..1	CHEmsCodeableConcept	CH EMS Extension: Team Role URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole Binding: IVR Team Role (extensible)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ChCoreEncounterParticipationType (extensible)
period		0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	1..1	Reference(CH EMS Practitioner)	Team member
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period		1..1	Period	The date (and time) of the mission
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	SΣ	0..*	CHEmsCodeableConcept	Coded reason the encounter takes place Binding: IVR Transport Reason (extensible)
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	Destination of the mission
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:BfsAdmitRole		0..1	Coding	BFS Medizinische Statistik - Einweisende Instanz URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-admitrole Binding: BFS Medizinische Statistik - 19 1.2.V04 - Einweisende Instanz / Décision d’envoi / Istanza ricoverante (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
extension:accident		0..1	(Complex)	Flag if hospitalization was due to an accident URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-accident
extension:readmission		0..1	boolean	Flag to indicate if it is a suspected readmission URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-encounter-susp-readmission
extension:BfsDischargeDecision		0..1	Coding	BFS Medizinische Statistik - Entscheid für Austritt URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedecision Binding: BFS Medizinische Statistik - 27 1.5.V02 - Entscheid für Austritt / Décision de sortie / Décisione dell’uscita (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
extension:BfsDischargeDestination		0..1	Coding	BFS Medizinische Statistik - Aufenthalt nach Austritt URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedestination Binding: BFS Medizinische Statistik - 28 1.5.V03 - Aufenthalt nach Austritt / Séjour après la sortie / Destinazione dopo l’uscita (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin		0..1	Reference(CH Core Location | CH Core Organization)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	BFS Medizinische Statistik - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione Binding: BFS Medizinische Statistik - 17 1.2.V02 - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione (extensible)
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	S	1..1	Reference(CH EMS Location: Location and Destination)	Location/organization to which the patient is discharged
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
dischargeDisposition		0..1	CodeableConcept	BFS Medizinische Statistik - Behandlung nach Austritt Binding: BFS Medizinische Statistik - 29 1.5.V04 - Behandlung nach Austritt / Prise en charge après la sortie / Trattamento dopo l’uscita (preferred): BFS Medizinische Statistik - Behandlung nach Austritt
location		0..1	BackboneElement	Location of mission
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	S	1..1	Reference(CH EMS Location: Location and Destination)	Location the encounter takes place
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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(CH Core Organization)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(CH Core Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Encounter.identifier:VisitNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:VisitNumber.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.identifier:missionNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:missionNumber.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type from the FHIR Standard
Encounter.serviceType	extensible	MissionType http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-missionType from this IG
Encounter.priority	extensible	Urgency http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-urgency from this IG
Encounter.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.participant.type	extensible	ChCoreEncounterParticipationType http://fhir.ch/ig/ch-core/ValueSet/ch-core-encounter-participation-type
Encounter.participant.individual.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.reasonCode	extensible	IVRVStransReason http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-transReason from this IG
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard
Encounter.hospitalization.admitSource	extensible	BfsMedstats17Admitsource http://fhir.ch/ig/ch-core/ValueSet/bfs-medstats-17-admitsource
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard
Encounter.hospitalization.destination.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	preferred	BfsMedstats29Dischargeencounter http://fhir.ch/ig/ch-core/ValueSet/bfs-medstats-29-dischargeencounter
Encounter.location.location.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard

Constraints

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

This structure is derived from CHCoreEncounter

Summary

Mandatory: 9 elements(7 nested mandatory elements)
Must-Support: 15 elements

Structures

This structure refers to these other structures:

• CH EMS CodeableConcept (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-codeableconcept)
• CH EMS Patient (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-patient)
• CH EMS ServiceRequest (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-servicerequest)
• CH EMS Practitioner (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-practitioner)
• CH EMS Location: Location and Destination (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-location-locationdestination)

Extensions

This structure refers to these extensions:

• http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-valuablespatient
• http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-emergencydoctorsystem
• http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-violence
• http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-urgencyadequate
• http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	CHCoreEncounter	CH EMS Encounter 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:valuablesPatient	S	0..*	CHEmsCodeableConcept	CH EMS Extension: Valuables Patient URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-valuablespatient Binding: IVR Valuables Type (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:emergencyDoctorSystem	S	0..1	CHEmsCodeableConcept	CH EMS Extension: Emergency Doctor System URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-emergencydoctorsystem Binding: IVR Emergency Doctor System (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:violence	S	0..1	(Complex)	CH EMS Extension: Violence URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-violence 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
Slices for identifier	Σ	1..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children
identifier:VisitNumber	Σ	0..*	Identifier	Visit number (Fallnummer) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
identifier:missionNumber	SΣ	1..1	Identifier	Mission number (Einsatznummer) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-ems/CodeSystem/IVR
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MN
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	OID of organization (IMC) ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Mission number IMC ele-1: All FHIR elements must have a @value or children Example General: 123456
status	?!Σ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. ele-1: All FHIR elements must have a @value or children
class	Σ	1..1	Coding	AMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR Binding: ActEncounterCode (extensible): Classification of the encounter. ele-1: All FHIR elements must have a @value or children
serviceType	SΣ	0..1	CHEmsCodeableConcept	Specific type of service Binding: IVR Mission Type (extensible) ele-1: All FHIR elements must have a @value or children
priority	S	0..1	CHEmsCodeableConcept	Urgency of the mission Binding: IVR Urgency (extensible) ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:urgencyAdequate	S	0..1	CHEmsCodeableConcept	CH EMS Extension: Urgency Adequate URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-urgencyadequate Binding: IVR Urgency Adequate (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding	SΣ	0..*	CHEmsCoding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(CH EMS Patient)	The patient or group present at the encounter ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
basedOn	S	1..1	Reference(CH EMS ServiceRequest)	Informant organisation (IMC) ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
participant	Σ	0..*	BackboneElement	Team ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	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:teamRole	S	1..1	CHEmsCodeableConcept	CH EMS Extension: Team Role URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole Binding: IVR Team Role (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
individual	SΣ	1..1	Reference(CH EMS Practitioner)	Team member ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
period		1..1	Period	The date (and time) of the mission ele-1: All FHIR elements must have a @value or children
start	SΣC	1..1	dateTime	Starting time with inclusive boundary ele-1: All FHIR elements must have a @value or children
reasonCode	SΣ	0..*	CHEmsCodeableConcept	Coded reason the encounter takes place Binding: IVR Transport Reason (extensible) ele-1: All FHIR elements must have a @value or children
hospitalization		0..1	BackboneElement	Destination of the mission ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:BfsAdmitRole		0..1	Coding	BFS Medizinische Statistik - Einweisende Instanz URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-admitrole Binding: BFS Medizinische Statistik - 19 1.2.V04 - Einweisende Instanz / Décision d’envoi / Istanza ricoverante (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:accident		0..1	(Complex)	Flag if hospitalization was due to an accident URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-accident ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:readmission		0..1	boolean	Flag to indicate if it is a suspected readmission URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-encounter-susp-readmission ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:BfsDischargeDecision		0..1	Coding	BFS Medizinische Statistik - Entscheid für Austritt URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedecision Binding: BFS Medizinische Statistik - 27 1.5.V02 - Entscheid für Austritt / Décision de sortie / Décisione dell’uscita (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:BfsDischargeDestination		0..1	Coding	BFS Medizinische Statistik - Aufenthalt nach Austritt URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedestination Binding: BFS Medizinische Statistik - 28 1.5.V03 - Aufenthalt nach Austritt / Séjour après la sortie / Destinazione dopo l’uscita (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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
destination	S	1..1	Reference(CH EMS Location: Location and Destination)	Location/organization to which the patient is discharged ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
location		0..1	BackboneElement	Location of mission ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
location	S	1..1	Reference(CH EMS Location: Location and Destination)	Location the encounter takes place ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.identifier:VisitNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:missionNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.serviceType	extensible	MissionType http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-missionType from this IG
Encounter.priority	extensible	Urgency http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-urgency from this IG
Encounter.reasonCode	extensible	IVRVStransReason http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-transReason from this IG

Constraints

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

Differential View

This structure is derived from CHCoreEncounter

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	CHCoreEncounter	CH EMS Encounter
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:valuablesPatient	S	0..*	CHEmsCodeableConcept	CH EMS Extension: Valuables Patient URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-valuablespatient Binding: IVR Valuables Type (extensible)
extension:emergencyDoctorSystem	S	0..1	CHEmsCodeableConcept	CH EMS Extension: Emergency Doctor System URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-emergencydoctorsystem Binding: IVR Emergency Doctor System (extensible)
extension:violence	S	0..1	(Complex)	CH EMS Extension: Violence URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-violence
identifier		1..*	Identifier	Identifier(s) by which this encounter is known
Slices for identifier				Content/Rules for all slices
identifier:missionNumber	S	1..1	Identifier	Mission number (Einsatznummer) Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-ems/CodeSystem/IVR
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MN
system		1..1	uri	OID of organization (IMC)
value		1..1	string	Mission number IMC
serviceType	S	0..1	CHEmsCodeableConcept	Specific type of service Binding: IVR Mission Type (extensible)
priority	S	0..1	CHEmsCodeableConcept	Urgency of the mission Binding: IVR Urgency (extensible)
Slices for extension				Content/Rules for all slices
extension:urgencyAdequate	S	0..1	CHEmsCodeableConcept	CH EMS Extension: Urgency Adequate URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-urgencyadequate Binding: IVR Urgency Adequate (extensible)
subject	S	1..1	Reference(CH EMS Patient)	The patient or group present at the encounter
reference		1..1	string	Literal reference, Relative, internal or absolute URL
basedOn	S	1..1	Reference(CH EMS ServiceRequest)	Informant organisation (IMC)
reference		1..1	string	Literal reference, Relative, internal or absolute URL
participant		0..*	BackboneElement	Team
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:teamRole	S	1..1	CHEmsCodeableConcept	CH EMS Extension: Team Role URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole Binding: IVR Team Role (extensible)
individual	S	1..1	Reference(CH EMS Practitioner)	Team member
reference		1..1	string	Literal reference, Relative, internal or absolute URL
period		1..1	Period	The date (and time) of the mission
start	S	1..1	dateTime	Starting time with inclusive boundary
reasonCode	S	0..*	CHEmsCodeableConcept	Coded reason the encounter takes place Binding: IVR Transport Reason (extensible)
hospitalization		0..1	BackboneElement	Destination of the mission
destination	S	1..1	Reference(CH EMS Location: Location and Destination)	Location/organization to which the patient is discharged
reference		1..1	string	Literal reference, Relative, internal or absolute URL
location		0..1	BackboneElement	Location of mission
location	S	1..1	Reference(CH EMS Location: Location and Destination)	Location the encounter takes place
reference		1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.serviceType	extensible	MissionType http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-missionType from this IG
Encounter.priority	extensible	Urgency http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-urgency from this IG
Encounter.reasonCode	extensible	IVRVStransReason http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-transReason from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	CHCoreEncounter	CH EMS Encounter
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:valuablesPatient	S	0..*	CHEmsCodeableConcept	CH EMS Extension: Valuables Patient URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-valuablespatient Binding: IVR Valuables Type (extensible)
extension:emergencyDoctorSystem	S	0..1	CHEmsCodeableConcept	CH EMS Extension: Emergency Doctor System URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-emergencydoctorsystem Binding: IVR Emergency Doctor System (extensible)
extension:violence	S	0..1	(Complex)	CH EMS Extension: Violence URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-violence
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:$this
identifier:VisitNumber	Σ	0..*	Identifier	Visit number (Fallnummer) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
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
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:missionNumber	SΣ	1..1	Identifier	Mission number (Einsatznummer) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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://fhir.ch/ig/ch-ems/CodeSystem/IVR
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MN
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
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	OID of organization (IMC) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Mission number IMC Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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	AMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR Binding: ActEncounterCode (extensible): Classification of the encounter.
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: EncounterType (example): The type of encounter.
serviceType	SΣ	0..1	CHEmsCodeableConcept	Specific type of service Binding: IVR Mission Type (extensible)
priority	S	0..1	CHEmsCodeableConcept	Urgency of the mission Binding: IVR Urgency (extensible)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:urgencyAdequate	S	0..1	CHEmsCodeableConcept	CH EMS Extension: Urgency Adequate URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-urgencyadequate Binding: IVR Urgency Adequate (extensible)
coding	SΣ	0..*	CHEmsCoding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(CH EMS Patient)	The patient or group present at the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn	S	1..1	Reference(CH EMS ServiceRequest)	Informant organisation (IMC)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
participant	Σ	0..*	BackboneElement	Team
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:teamRole	S	1..1	CHEmsCodeableConcept	CH EMS Extension: Team Role URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole Binding: IVR Team Role (extensible)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ChCoreEncounterParticipationType (extensible)
period		0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	1..1	Reference(CH EMS Practitioner)	Team member
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period		1..1	Period	The date (and time) of the mission
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	SΣ	0..*	CHEmsCodeableConcept	Coded reason the encounter takes place Binding: IVR Transport Reason (extensible)
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	Destination of the mission
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:BfsAdmitRole		0..1	Coding	BFS Medizinische Statistik - Einweisende Instanz URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-admitrole Binding: BFS Medizinische Statistik - 19 1.2.V04 - Einweisende Instanz / Décision d’envoi / Istanza ricoverante (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
extension:accident		0..1	(Complex)	Flag if hospitalization was due to an accident URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-accident
extension:readmission		0..1	boolean	Flag to indicate if it is a suspected readmission URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-encounter-susp-readmission
extension:BfsDischargeDecision		0..1	Coding	BFS Medizinische Statistik - Entscheid für Austritt URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedecision Binding: BFS Medizinische Statistik - 27 1.5.V02 - Entscheid für Austritt / Décision de sortie / Décisione dell’uscita (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
extension:BfsDischargeDestination		0..1	Coding	BFS Medizinische Statistik - Aufenthalt nach Austritt URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedestination Binding: BFS Medizinische Statistik - 28 1.5.V03 - Aufenthalt nach Austritt / Séjour après la sortie / Destinazione dopo l’uscita (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin		0..1	Reference(CH Core Location | CH Core Organization)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	BFS Medizinische Statistik - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione Binding: BFS Medizinische Statistik - 17 1.2.V02 - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione (extensible)
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	S	1..1	Reference(CH EMS Location: Location and Destination)	Location/organization to which the patient is discharged
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
dischargeDisposition		0..1	CodeableConcept	BFS Medizinische Statistik - Behandlung nach Austritt Binding: BFS Medizinische Statistik - 29 1.5.V04 - Behandlung nach Austritt / Prise en charge après la sortie / Trattamento dopo l’uscita (preferred): BFS Medizinische Statistik - Behandlung nach Austritt
location		0..1	BackboneElement	Location of mission
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	S	1..1	Reference(CH EMS Location: Location and Destination)	Location the encounter takes place
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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(CH Core Organization)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(CH Core Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Encounter.identifier:VisitNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:VisitNumber.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.identifier:missionNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:missionNumber.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type from the FHIR Standard
Encounter.serviceType	extensible	MissionType http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-missionType from this IG
Encounter.priority	extensible	Urgency http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-urgency from this IG
Encounter.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.participant.type	extensible	ChCoreEncounterParticipationType http://fhir.ch/ig/ch-core/ValueSet/ch-core-encounter-participation-type
Encounter.participant.individual.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.reasonCode	extensible	IVRVStransReason http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-transReason from this IG
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard
Encounter.hospitalization.admitSource	extensible	BfsMedstats17Admitsource http://fhir.ch/ig/ch-core/ValueSet/bfs-medstats-17-admitsource
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard
Encounter.hospitalization.destination.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	preferred	BfsMedstats29Dischargeencounter http://fhir.ch/ig/ch-core/ValueSet/bfs-medstats-29-dischargeencounter
Encounter.location.location.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard

Constraints

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

This structure is derived from CHCoreEncounter

Summary

Mandatory: 9 elements(7 nested mandatory elements)
Must-Support: 15 elements

Structures

This structure refers to these other structures:

• CH EMS CodeableConcept (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-codeableconcept)
• CH EMS Patient (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-patient)
• CH EMS ServiceRequest (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-servicerequest)
• CH EMS Practitioner (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-practitioner)
• CH EMS Location: Location and Destination (http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-location-locationdestination)

Extensions

This structure refers to these extensions:

• http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-valuablespatient
• http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-emergencydoctorsystem
• http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-violence
• http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-urgencyadequate
• http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole