ImplementationGuide for Malaysia Core (MY Core)
0.0.1 - CI Build

ImplementationGuide for Malaysia Core (MY Core), published by Malaysia Healthcare Nexus (MHN). This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nhphong245/my-core-ig-r4/ and changes regularly. See the Directory of published versions

Resource Profile: Encounter (MY Core)

Official URL: http://fhir.hie.moh.gov.my/StructureDefinition/Encounter-my-core Version: 0.0.1
Active as of 2024-04-16 Responsible: Malaysia Healthcare Nexus (MHN) Realm: International flag Computable Name: EncounterMyCore

An interaction during which services are provided to the patient.

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

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 interaction during which services are provided to the patient
... Slices for extension Content/Rules for all slices
.... audit 0..1 (Complex) Extension of the individual who recorded and updated the date
URL: http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core
.... outcome 0..1 (Complex) Extension about the outcome of an encounter
URL: http://fhir.hie.moh.gov.my/StructureDefinition/encounter-outcome-my-core
.... visitType 0..1 CodeableConcept Extension to determine the visit type
URL: http://fhir.hie.moh.gov.my/StructureDefinition/visit-type-my-core
Binding: ValueSetVisitType (MY Core) (required)
.... internalReferral 0..1 boolean Extension whether this Encounter is from an internal or external referral
URL: http://fhir.hie.moh.gov.my/StructureDefinition/internal-refferal-my-core
.... Rating 0..1 (Complex) Extension about the rating of an encounter
URL: http://fhir.hie.moh.gov.my/StructureDefinition/encounter-rating-my-core
.... ncdVcDx 0..* (Complex) Extension to define the outcome diagnosis of a Virtual Consultation (To fulfil their analytics requirement)
URL: http://fhir.hie.moh.gov.my/StructureDefinition/ncd-vc-dx-my-core
.... policeCase 0..* boolean Extension whether this Encounter is directly created as part of a police case investigation
URL: http://fhir.hie.moh.gov.my/StructureDefinition/police-case-my-core
.... vrStatus 0..* CodeableConcept Extension about the current status of the virtual consultation session
URL: http://fhir.hie.moh.gov.my/StructureDefinition/vr-status-my-core
... Slices for identifier 0..* Identifier Identifier(s) by which this encounter is known
Slice: Unordered, Open by value:system
.... identifier:encounterNo 0..* Identifier Identifier(s) by which this encounter is known
..... system 0..1 uri The namespace for the identifier value
Fixed Value: http://fhir.hie.moh.gov.my/sid/encounter-id
.... identifier:vcToken 0..1 Identifier Identifier(s) by which this encounter is known
..... system 0..1 uri The namespace for the identifier value
Fixed Value: http://fhir.hie.moh.gov.my/sid/vc-token
... status 1..1 code arrived | in-progress | finished | unknown
Binding: value-set-encounter-status-my-core (required)
... classHistory
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ValueSetEncounterClass (MY Core) (extensible)
... type 1..* CodeableConcept Primary specialty managing the encounter
Binding: ValueSetSpecialty (MYCore) (example): Primary specialty managing the encounter

.... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:specialty 0..* Coding Code defined by a terminology system
Binding: ValueSetSpecialty (MYCore) (example)
...... system 0..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/specialty-my-core
..... coding:category 0..* Coding Code defined by a terminology system
Binding: ValueSetEncounterCategory (MY Core) (example)
...... system 0..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/encounter-category-my-core
..... coding:serviceCategory 0..* Coding Code defined by a terminology system
Binding: ValueSetServiceRequestCategory( MY Core) (example)
...... system 0..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core
... serviceType 1..1 CodeableConcept Based on PIK code service type
Binding: ValueSetServiceType (MY Core) (required): Based on PIK code service type

... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ValueSetPriority (MY Core) (example)
... subject 1..1 Reference(Patient | Group) The patient or group present at the encounter
... period 1..1 Period The start and end time of the encounter
.... start 1..1 dateTime Starting time with inclusive boundary
... diagnosis
.... use 1..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: ValueSetDiagnosisRole (MY Core) (extensible)
... hospitalization
.... admitSource
..... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:internal 0..* Coding Code defined by a terminology system
Binding: ValueSetInternalReferralSourceType (MY Core) (preferred)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/internal-referral-source-type-my-core
...... coding:external 0..* Coding Code defined by a terminology system
Binding: ValueSetExternalReferralSourceType (MY Core) (preferred)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/external-referral-source-type-my-core
... serviceProvider 1..1 Reference(Organization) The organization (facility) responsible for this encounter

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.statusrequiredValueSetEncounterStatusMyCore
http://fhir.hie.moh.gov.my/ValueSet/encounter-status-my-core
from this IG
Encounter.classrequiredValueSetEncounterClassMyCore (a valid code from CodeSystem-encounter-class-my-core)
http://fhir.hie.moh.gov.my/ValueSet/encounter-class-my-core
from this IG
Encounter.classHistory.classextensibleValueSetEncounterClassMyCore (a valid code from CodeSystem-encounter-class-my-core)
http://fhir.hie.moh.gov.my/ValueSet/encounter-class-my-core
from this IG
Encounter.typeexampleValueSetSpecialtyMyCore (a valid code from CodeSystemSpecialty (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core
from this IG
Encounter.type.coding:specialtyexampleValueSetSpecialtyMyCore (a valid code from CodeSystemSpecialty (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core
from this IG
Encounter.type.coding:categoryexampleValueSetEncounterCategoryMyCore (a valid code from CodeSystemEncounterCategory (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/encounter-category-my-core
from this IG
Encounter.type.coding:serviceCategoryexampleValueSetServiceRequestCategoryMyCore (a valid code from CodeSystemServiceRequestCategory (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core
from this IG
Encounter.serviceTyperequiredValueSetServiceTypeMyCore (a valid code from CodeSystemServiceType (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/service-type-my-core
from this IG
Encounter.priorityexampleValueSetPriorityMyCore
http://fhir.hie.moh.gov.my/ValueSet/encounter-priority-my-core
from this IG
Encounter.diagnosis.useextensibleValueSetDiagnosisRoleMyCore
http://fhir.hie.moh.gov.my/ValueSet/diagnosis-role-my-core
from this IG
Encounter.hospitalization.admitSource.coding:internalpreferredValueSetInternalReferralSourceTypeMyCore (a valid code from CodeSystemInternalReferralSourceType (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/internal-referral-source-type-my-core
from this IG
Encounter.hospitalization.admitSource.coding:externalpreferredValueSetExternalReferralSourceTypeMyCore (a valid code from CodeSystemExternalReferralSourceType (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/external-referral-source-type-my-core
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... audit 0..1 (Complex) Extension of the individual who recorded and updated the date
URL: http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core
.... outcome 0..1 (Complex) Extension about the outcome of an encounter
URL: http://fhir.hie.moh.gov.my/StructureDefinition/encounter-outcome-my-core
.... visitType 0..1 CodeableConcept Extension to determine the visit type
URL: http://fhir.hie.moh.gov.my/StructureDefinition/visit-type-my-core
Binding: ValueSetVisitType (MY Core) (required)
.... internalReferral 0..1 boolean Extension whether this Encounter is from an internal or external referral
URL: http://fhir.hie.moh.gov.my/StructureDefinition/internal-refferal-my-core
.... Rating 0..1 (Complex) Extension about the rating of an encounter
URL: http://fhir.hie.moh.gov.my/StructureDefinition/encounter-rating-my-core
.... ncdVcDx 0..* (Complex) Extension to define the outcome diagnosis of a Virtual Consultation (To fulfil their analytics requirement)
URL: http://fhir.hie.moh.gov.my/StructureDefinition/ncd-vc-dx-my-core
.... policeCase 0..* boolean Extension whether this Encounter is directly created as part of a police case investigation
URL: http://fhir.hie.moh.gov.my/StructureDefinition/police-case-my-core
.... vrStatus 0..* CodeableConcept Extension about the current status of the virtual consultation session
URL: http://fhir.hie.moh.gov.my/StructureDefinition/vr-status-my-core
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:encounterNo Σ 0..* Identifier Identifier(s) by which this encounter is known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system Σ 0..1 uri The namespace for the identifier value
Fixed Value: http://fhir.hie.moh.gov.my/sid/encounter-id
.... identifier:vcToken Σ 0..1 Identifier Identifier(s) by which this encounter is known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system Σ 0..1 uri The namespace for the identifier value
Fixed Value: http://fhir.hie.moh.gov.my/sid/vc-token
... status ?!Σ 1..1 code arrived | in-progress | finished | unknown
Binding: value-set-encounter-status-my-core (required)
... class Σ 1..1 Coding Classification of patient encounter
Binding: ValueSetEncounterClass (MY Core) (required)
... type Σ 1..* CodeableConcept Primary specialty managing the encounter
Binding: ValueSetSpecialty (MYCore) (example): Primary specialty managing the encounter


.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:specialty Σ 0..* Coding Code defined by a terminology system
Binding: ValueSetSpecialty (MYCore) (example)
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/specialty-my-core
..... coding:category Σ 0..* Coding Code defined by a terminology system
Binding: ValueSetEncounterCategory (MY Core) (example)
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/encounter-category-my-core
..... coding:serviceCategory Σ 0..* Coding Code defined by a terminology system
Binding: ValueSetServiceRequestCategory( MY Core) (example)
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core
... serviceType Σ 1..1 CodeableConcept Based on PIK code service type
Binding: ValueSetServiceType (MY Core) (required): Based on PIK code service type

... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ValueSetPriority (MY Core) (example)
... subject Σ 1..1 Reference(Patient | Group) The patient or group present at the encounter
... period 1..1 Period The start and end time of the encounter
.... start ΣC 1..1 dateTime Starting time with inclusive boundary
... serviceProvider 1..1 Reference(Organization) The organization (facility) responsible for this encounter

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.identifier:encounterNo.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.identifier:vcToken.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.statusrequiredValueSetEncounterStatusMyCore
http://fhir.hie.moh.gov.my/ValueSet/encounter-status-my-core
from this IG
Encounter.classrequiredValueSetEncounterClassMyCore (a valid code from CodeSystem-encounter-class-my-core)
http://fhir.hie.moh.gov.my/ValueSet/encounter-class-my-core
from this IG
Encounter.typeexampleValueSetSpecialtyMyCore (a valid code from CodeSystemSpecialty (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core
from this IG
Encounter.type.coding:specialtyexampleValueSetSpecialtyMyCore (a valid code from CodeSystemSpecialty (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core
from this IG
Encounter.type.coding:categoryexampleValueSetEncounterCategoryMyCore (a valid code from CodeSystemEncounterCategory (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/encounter-category-my-core
from this IG
Encounter.type.coding:serviceCategoryexampleValueSetServiceRequestCategoryMyCore (a valid code from CodeSystemServiceRequestCategory (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core
from this IG
Encounter.serviceTyperequiredValueSetServiceTypeMyCore (a valid code from CodeSystemServiceType (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/service-type-my-core
from this IG
Encounter.priorityexampleValueSetPriorityMyCore
http://fhir.hie.moh.gov.my/ValueSet/encounter-priority-my-core
from this IG

Constraints

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

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... audit 0..1 (Complex) Extension of the individual who recorded and updated the date
URL: http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core
.... outcome 0..1 (Complex) Extension about the outcome of an encounter
URL: http://fhir.hie.moh.gov.my/StructureDefinition/encounter-outcome-my-core
.... visitType 0..1 CodeableConcept Extension to determine the visit type
URL: http://fhir.hie.moh.gov.my/StructureDefinition/visit-type-my-core
Binding: ValueSetVisitType (MY Core) (required)
.... internalReferral 0..1 boolean Extension whether this Encounter is from an internal or external referral
URL: http://fhir.hie.moh.gov.my/StructureDefinition/internal-refferal-my-core
.... Rating 0..1 (Complex) Extension about the rating of an encounter
URL: http://fhir.hie.moh.gov.my/StructureDefinition/encounter-rating-my-core
.... ncdVcDx 0..* (Complex) Extension to define the outcome diagnosis of a Virtual Consultation (To fulfil their analytics requirement)
URL: http://fhir.hie.moh.gov.my/StructureDefinition/ncd-vc-dx-my-core
.... policeCase 0..* boolean Extension whether this Encounter is directly created as part of a police case investigation
URL: http://fhir.hie.moh.gov.my/StructureDefinition/police-case-my-core
.... vrStatus 0..* CodeableConcept Extension about the current status of the virtual consultation session
URL: http://fhir.hie.moh.gov.my/StructureDefinition/vr-status-my-core
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier Identifier(s) by which this encounter is known
Slice: Unordered, Open by value:system
.... identifier:encounterNo Σ 0..* Identifier Identifier(s) by which this encounter is known
..... 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 0..1 uri The namespace for the identifier value
Fixed Value: http://fhir.hie.moh.gov.my/sid/encounter-id
..... value Σ 0..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:vcToken Σ 0..1 Identifier Identifier(s) by which this encounter is known
..... 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 0..1 uri The namespace for the identifier value
Fixed Value: http://fhir.hie.moh.gov.my/sid/vc-token
..... value Σ 0..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)
... status ?!Σ 1..1 code arrived | in-progress | finished | unknown
Binding: value-set-encounter-status-my-core (required)
... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1 Period The time that the episode was in the specified status
... class Σ 1..1 Coding Classification of patient encounter
Binding: ValueSetEncounterClass (MY Core) (required)
... 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: ValueSetEncounterClass (MY Core) (extensible)
.... period 1..1 Period The time that the episode was in the specified class
... type Σ 1..* CodeableConcept Primary specialty managing the encounter
Binding: ValueSetSpecialty (MYCore) (example): Primary specialty managing 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
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:specialty Σ 0..* Coding Code defined by a terminology system
Binding: ValueSetSpecialty (MYCore) (example)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/specialty-my-core
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:category Σ 0..* Coding Code defined by a terminology system
Binding: ValueSetEncounterCategory (MY Core) (example)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/encounter-category-my-core
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:serviceCategory Σ 0..* Coding Code defined by a terminology system
Binding: ValueSetServiceRequestCategory( MY Core) (example)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... serviceType Σ 1..1 CodeableConcept Based on PIK code service type
Binding: ValueSetServiceType (MY Core) (required): Based on PIK code service type

... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ValueSetPriority (MY Core) (example)
... subject Σ 1..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 1..1 Period The start and end time of 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
.... start ΣC 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 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 1..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: ValueSetDiagnosisRole (MY Core) (extensible)
.... 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.

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:internal Σ 0..* Coding Code defined by a terminology system
Binding: ValueSetInternalReferralSourceType (MY Core) (preferred)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/internal-referral-source-type-my-core
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:external Σ 0..* Coding Code defined by a terminology system
Binding: ValueSetExternalReferralSourceType (MY Core) (preferred)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/external-referral-source-type-my-core
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... 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 Category or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

... 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 1..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
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Encounter.identifier:encounterNo.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.identifier:encounterNo.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Encounter.identifier:vcToken.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.identifier:vcToken.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Encounter.statusrequiredValueSetEncounterStatusMyCore
http://fhir.hie.moh.gov.my/ValueSet/encounter-status-my-core
from this IG
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classrequiredValueSetEncounterClassMyCore (a valid code from CodeSystem-encounter-class-my-core)
http://fhir.hie.moh.gov.my/ValueSet/encounter-class-my-core
from this IG
Encounter.classHistory.classextensibleValueSetEncounterClassMyCore (a valid code from CodeSystem-encounter-class-my-core)
http://fhir.hie.moh.gov.my/ValueSet/encounter-class-my-core
from this IG
Encounter.typeexampleValueSetSpecialtyMyCore (a valid code from CodeSystemSpecialty (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core
from this IG
Encounter.type.coding:specialtyexampleValueSetSpecialtyMyCore (a valid code from CodeSystemSpecialty (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core
from this IG
Encounter.type.coding:categoryexampleValueSetEncounterCategoryMyCore (a valid code from CodeSystemEncounterCategory (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/encounter-category-my-core
from this IG
Encounter.type.coding:serviceCategoryexampleValueSetServiceRequestCategoryMyCore (a valid code from CodeSystemServiceRequestCategory (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core
from this IG
Encounter.serviceTyperequiredValueSetServiceTypeMyCore (a valid code from CodeSystemServiceType (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/service-type-my-core
from this IG
Encounter.priorityexampleValueSetPriorityMyCore
http://fhir.hie.moh.gov.my/ValueSet/encounter-priority-my-core
from this IG
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.useextensibleValueSetDiagnosisRoleMyCore
http://fhir.hie.moh.gov.my/ValueSet/diagnosis-role-my-core
from this IG
Encounter.hospitalization.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
from the FHIR Standard
Encounter.hospitalization.admitSource.coding:internalpreferredValueSetInternalReferralSourceTypeMyCore (a valid code from CodeSystemInternalReferralSourceType (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/internal-referral-source-type-my-core
from this IG
Encounter.hospitalization.admitSource.coding:externalpreferredValueSetExternalReferralSourceTypeMyCore (a valid code from CodeSystemExternalReferralSourceType (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/external-referral-source-type-my-core
from this IG
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
http://hl7.org/fhir/ValueSet/encounter-discharge-disposition
from the FHIR Standard
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
from the FHIR Standard
Encounter.location.physicalTypeexampleLocationType
http://hl7.org/fhir/ValueSet/location-physical-type
from the FHIR Standard

Constraints

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

This structure is derived from Encounter

Summary

Mandatory: 6 elements(3 nested mandatory elements)
Fixed: 7 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Encounter.identifier
  • The element 1 is sliced based on the value of Encounter.type.coding
  • The element 1 is sliced based on the value of Encounter.hospitalization.admitSource.coding

Differential View

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... Slices for extension Content/Rules for all slices
.... audit 0..1 (Complex) Extension of the individual who recorded and updated the date
URL: http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core
.... outcome 0..1 (Complex) Extension about the outcome of an encounter
URL: http://fhir.hie.moh.gov.my/StructureDefinition/encounter-outcome-my-core
.... visitType 0..1 CodeableConcept Extension to determine the visit type
URL: http://fhir.hie.moh.gov.my/StructureDefinition/visit-type-my-core
Binding: ValueSetVisitType (MY Core) (required)
.... internalReferral 0..1 boolean Extension whether this Encounter is from an internal or external referral
URL: http://fhir.hie.moh.gov.my/StructureDefinition/internal-refferal-my-core
.... Rating 0..1 (Complex) Extension about the rating of an encounter
URL: http://fhir.hie.moh.gov.my/StructureDefinition/encounter-rating-my-core
.... ncdVcDx 0..* (Complex) Extension to define the outcome diagnosis of a Virtual Consultation (To fulfil their analytics requirement)
URL: http://fhir.hie.moh.gov.my/StructureDefinition/ncd-vc-dx-my-core
.... policeCase 0..* boolean Extension whether this Encounter is directly created as part of a police case investigation
URL: http://fhir.hie.moh.gov.my/StructureDefinition/police-case-my-core
.... vrStatus 0..* CodeableConcept Extension about the current status of the virtual consultation session
URL: http://fhir.hie.moh.gov.my/StructureDefinition/vr-status-my-core
... Slices for identifier 0..* Identifier Identifier(s) by which this encounter is known
Slice: Unordered, Open by value:system
.... identifier:encounterNo 0..* Identifier Identifier(s) by which this encounter is known
..... system 0..1 uri The namespace for the identifier value
Fixed Value: http://fhir.hie.moh.gov.my/sid/encounter-id
.... identifier:vcToken 0..1 Identifier Identifier(s) by which this encounter is known
..... system 0..1 uri The namespace for the identifier value
Fixed Value: http://fhir.hie.moh.gov.my/sid/vc-token
... status 1..1 code arrived | in-progress | finished | unknown
Binding: value-set-encounter-status-my-core (required)
... classHistory
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ValueSetEncounterClass (MY Core) (extensible)
... type 1..* CodeableConcept Primary specialty managing the encounter
Binding: ValueSetSpecialty (MYCore) (example): Primary specialty managing the encounter

.... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:specialty 0..* Coding Code defined by a terminology system
Binding: ValueSetSpecialty (MYCore) (example)
...... system 0..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/specialty-my-core
..... coding:category 0..* Coding Code defined by a terminology system
Binding: ValueSetEncounterCategory (MY Core) (example)
...... system 0..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/encounter-category-my-core
..... coding:serviceCategory 0..* Coding Code defined by a terminology system
Binding: ValueSetServiceRequestCategory( MY Core) (example)
...... system 0..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core
... serviceType 1..1 CodeableConcept Based on PIK code service type
Binding: ValueSetServiceType (MY Core) (required): Based on PIK code service type

... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ValueSetPriority (MY Core) (example)
... subject 1..1 Reference(Patient | Group) The patient or group present at the encounter
... period 1..1 Period The start and end time of the encounter
.... start 1..1 dateTime Starting time with inclusive boundary
... diagnosis
.... use 1..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: ValueSetDiagnosisRole (MY Core) (extensible)
... hospitalization
.... admitSource
..... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:internal 0..* Coding Code defined by a terminology system
Binding: ValueSetInternalReferralSourceType (MY Core) (preferred)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/internal-referral-source-type-my-core
...... coding:external 0..* Coding Code defined by a terminology system
Binding: ValueSetExternalReferralSourceType (MY Core) (preferred)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/external-referral-source-type-my-core
... serviceProvider 1..1 Reference(Organization) The organization (facility) responsible for this encounter

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.statusrequiredValueSetEncounterStatusMyCore
http://fhir.hie.moh.gov.my/ValueSet/encounter-status-my-core
from this IG
Encounter.classrequiredValueSetEncounterClassMyCore (a valid code from CodeSystem-encounter-class-my-core)
http://fhir.hie.moh.gov.my/ValueSet/encounter-class-my-core
from this IG
Encounter.classHistory.classextensibleValueSetEncounterClassMyCore (a valid code from CodeSystem-encounter-class-my-core)
http://fhir.hie.moh.gov.my/ValueSet/encounter-class-my-core
from this IG
Encounter.typeexampleValueSetSpecialtyMyCore (a valid code from CodeSystemSpecialty (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core
from this IG
Encounter.type.coding:specialtyexampleValueSetSpecialtyMyCore (a valid code from CodeSystemSpecialty (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core
from this IG
Encounter.type.coding:categoryexampleValueSetEncounterCategoryMyCore (a valid code from CodeSystemEncounterCategory (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/encounter-category-my-core
from this IG
Encounter.type.coding:serviceCategoryexampleValueSetServiceRequestCategoryMyCore (a valid code from CodeSystemServiceRequestCategory (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core
from this IG
Encounter.serviceTyperequiredValueSetServiceTypeMyCore (a valid code from CodeSystemServiceType (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/service-type-my-core
from this IG
Encounter.priorityexampleValueSetPriorityMyCore
http://fhir.hie.moh.gov.my/ValueSet/encounter-priority-my-core
from this IG
Encounter.diagnosis.useextensibleValueSetDiagnosisRoleMyCore
http://fhir.hie.moh.gov.my/ValueSet/diagnosis-role-my-core
from this IG
Encounter.hospitalization.admitSource.coding:internalpreferredValueSetInternalReferralSourceTypeMyCore (a valid code from CodeSystemInternalReferralSourceType (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/internal-referral-source-type-my-core
from this IG
Encounter.hospitalization.admitSource.coding:externalpreferredValueSetExternalReferralSourceTypeMyCore (a valid code from CodeSystemExternalReferralSourceType (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/external-referral-source-type-my-core
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... audit 0..1 (Complex) Extension of the individual who recorded and updated the date
URL: http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core
.... outcome 0..1 (Complex) Extension about the outcome of an encounter
URL: http://fhir.hie.moh.gov.my/StructureDefinition/encounter-outcome-my-core
.... visitType 0..1 CodeableConcept Extension to determine the visit type
URL: http://fhir.hie.moh.gov.my/StructureDefinition/visit-type-my-core
Binding: ValueSetVisitType (MY Core) (required)
.... internalReferral 0..1 boolean Extension whether this Encounter is from an internal or external referral
URL: http://fhir.hie.moh.gov.my/StructureDefinition/internal-refferal-my-core
.... Rating 0..1 (Complex) Extension about the rating of an encounter
URL: http://fhir.hie.moh.gov.my/StructureDefinition/encounter-rating-my-core
.... ncdVcDx 0..* (Complex) Extension to define the outcome diagnosis of a Virtual Consultation (To fulfil their analytics requirement)
URL: http://fhir.hie.moh.gov.my/StructureDefinition/ncd-vc-dx-my-core
.... policeCase 0..* boolean Extension whether this Encounter is directly created as part of a police case investigation
URL: http://fhir.hie.moh.gov.my/StructureDefinition/police-case-my-core
.... vrStatus 0..* CodeableConcept Extension about the current status of the virtual consultation session
URL: http://fhir.hie.moh.gov.my/StructureDefinition/vr-status-my-core
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:encounterNo Σ 0..* Identifier Identifier(s) by which this encounter is known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system Σ 0..1 uri The namespace for the identifier value
Fixed Value: http://fhir.hie.moh.gov.my/sid/encounter-id
.... identifier:vcToken Σ 0..1 Identifier Identifier(s) by which this encounter is known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system Σ 0..1 uri The namespace for the identifier value
Fixed Value: http://fhir.hie.moh.gov.my/sid/vc-token
... status ?!Σ 1..1 code arrived | in-progress | finished | unknown
Binding: value-set-encounter-status-my-core (required)
... class Σ 1..1 Coding Classification of patient encounter
Binding: ValueSetEncounterClass (MY Core) (required)
... type Σ 1..* CodeableConcept Primary specialty managing the encounter
Binding: ValueSetSpecialty (MYCore) (example): Primary specialty managing the encounter


.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:specialty Σ 0..* Coding Code defined by a terminology system
Binding: ValueSetSpecialty (MYCore) (example)
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/specialty-my-core
..... coding:category Σ 0..* Coding Code defined by a terminology system
Binding: ValueSetEncounterCategory (MY Core) (example)
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/encounter-category-my-core
..... coding:serviceCategory Σ 0..* Coding Code defined by a terminology system
Binding: ValueSetServiceRequestCategory( MY Core) (example)
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core
... serviceType Σ 1..1 CodeableConcept Based on PIK code service type
Binding: ValueSetServiceType (MY Core) (required): Based on PIK code service type

... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ValueSetPriority (MY Core) (example)
... subject Σ 1..1 Reference(Patient | Group) The patient or group present at the encounter
... period 1..1 Period The start and end time of the encounter
.... start ΣC 1..1 dateTime Starting time with inclusive boundary
... serviceProvider 1..1 Reference(Organization) The organization (facility) responsible for this encounter

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.identifier:encounterNo.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.identifier:vcToken.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.statusrequiredValueSetEncounterStatusMyCore
http://fhir.hie.moh.gov.my/ValueSet/encounter-status-my-core
from this IG
Encounter.classrequiredValueSetEncounterClassMyCore (a valid code from CodeSystem-encounter-class-my-core)
http://fhir.hie.moh.gov.my/ValueSet/encounter-class-my-core
from this IG
Encounter.typeexampleValueSetSpecialtyMyCore (a valid code from CodeSystemSpecialty (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core
from this IG
Encounter.type.coding:specialtyexampleValueSetSpecialtyMyCore (a valid code from CodeSystemSpecialty (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core
from this IG
Encounter.type.coding:categoryexampleValueSetEncounterCategoryMyCore (a valid code from CodeSystemEncounterCategory (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/encounter-category-my-core
from this IG
Encounter.type.coding:serviceCategoryexampleValueSetServiceRequestCategoryMyCore (a valid code from CodeSystemServiceRequestCategory (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core
from this IG
Encounter.serviceTyperequiredValueSetServiceTypeMyCore (a valid code from CodeSystemServiceType (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/service-type-my-core
from this IG
Encounter.priorityexampleValueSetPriorityMyCore
http://fhir.hie.moh.gov.my/ValueSet/encounter-priority-my-core
from this IG

Constraints

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

Snapshot View

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

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... audit 0..1 (Complex) Extension of the individual who recorded and updated the date
URL: http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core
.... outcome 0..1 (Complex) Extension about the outcome of an encounter
URL: http://fhir.hie.moh.gov.my/StructureDefinition/encounter-outcome-my-core
.... visitType 0..1 CodeableConcept Extension to determine the visit type
URL: http://fhir.hie.moh.gov.my/StructureDefinition/visit-type-my-core
Binding: ValueSetVisitType (MY Core) (required)
.... internalReferral 0..1 boolean Extension whether this Encounter is from an internal or external referral
URL: http://fhir.hie.moh.gov.my/StructureDefinition/internal-refferal-my-core
.... Rating 0..1 (Complex) Extension about the rating of an encounter
URL: http://fhir.hie.moh.gov.my/StructureDefinition/encounter-rating-my-core
.... ncdVcDx 0..* (Complex) Extension to define the outcome diagnosis of a Virtual Consultation (To fulfil their analytics requirement)
URL: http://fhir.hie.moh.gov.my/StructureDefinition/ncd-vc-dx-my-core
.... policeCase 0..* boolean Extension whether this Encounter is directly created as part of a police case investigation
URL: http://fhir.hie.moh.gov.my/StructureDefinition/police-case-my-core
.... vrStatus 0..* CodeableConcept Extension about the current status of the virtual consultation session
URL: http://fhir.hie.moh.gov.my/StructureDefinition/vr-status-my-core
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier Identifier(s) by which this encounter is known
Slice: Unordered, Open by value:system
.... identifier:encounterNo Σ 0..* Identifier Identifier(s) by which this encounter is known
..... 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 0..1 uri The namespace for the identifier value
Fixed Value: http://fhir.hie.moh.gov.my/sid/encounter-id
..... value Σ 0..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:vcToken Σ 0..1 Identifier Identifier(s) by which this encounter is known
..... 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 0..1 uri The namespace for the identifier value
Fixed Value: http://fhir.hie.moh.gov.my/sid/vc-token
..... value Σ 0..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)
... status ?!Σ 1..1 code arrived | in-progress | finished | unknown
Binding: value-set-encounter-status-my-core (required)
... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1 Period The time that the episode was in the specified status
... class Σ 1..1 Coding Classification of patient encounter
Binding: ValueSetEncounterClass (MY Core) (required)
... 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: ValueSetEncounterClass (MY Core) (extensible)
.... period 1..1 Period The time that the episode was in the specified class
... type Σ 1..* CodeableConcept Primary specialty managing the encounter
Binding: ValueSetSpecialty (MYCore) (example): Primary specialty managing 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
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:specialty Σ 0..* Coding Code defined by a terminology system
Binding: ValueSetSpecialty (MYCore) (example)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/specialty-my-core
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:category Σ 0..* Coding Code defined by a terminology system
Binding: ValueSetEncounterCategory (MY Core) (example)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/encounter-category-my-core
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:serviceCategory Σ 0..* Coding Code defined by a terminology system
Binding: ValueSetServiceRequestCategory( MY Core) (example)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... serviceType Σ 1..1 CodeableConcept Based on PIK code service type
Binding: ValueSetServiceType (MY Core) (required): Based on PIK code service type

... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ValueSetPriority (MY Core) (example)
... subject Σ 1..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 1..1 Period The start and end time of 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
.... start ΣC 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 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 1..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: ValueSetDiagnosisRole (MY Core) (extensible)
.... 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.

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:internal Σ 0..* Coding Code defined by a terminology system
Binding: ValueSetInternalReferralSourceType (MY Core) (preferred)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/internal-referral-source-type-my-core
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:external Σ 0..* Coding Code defined by a terminology system
Binding: ValueSetExternalReferralSourceType (MY Core) (preferred)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/external-referral-source-type-my-core
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... 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 Category or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

... 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 1..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
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Encounter.identifier:encounterNo.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.identifier:encounterNo.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Encounter.identifier:vcToken.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.identifier:vcToken.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Encounter.statusrequiredValueSetEncounterStatusMyCore
http://fhir.hie.moh.gov.my/ValueSet/encounter-status-my-core
from this IG
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classrequiredValueSetEncounterClassMyCore (a valid code from CodeSystem-encounter-class-my-core)
http://fhir.hie.moh.gov.my/ValueSet/encounter-class-my-core
from this IG
Encounter.classHistory.classextensibleValueSetEncounterClassMyCore (a valid code from CodeSystem-encounter-class-my-core)
http://fhir.hie.moh.gov.my/ValueSet/encounter-class-my-core
from this IG
Encounter.typeexampleValueSetSpecialtyMyCore (a valid code from CodeSystemSpecialty (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core
from this IG
Encounter.type.coding:specialtyexampleValueSetSpecialtyMyCore (a valid code from CodeSystemSpecialty (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/specialty-my-core
from this IG
Encounter.type.coding:categoryexampleValueSetEncounterCategoryMyCore (a valid code from CodeSystemEncounterCategory (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/encounter-category-my-core
from this IG
Encounter.type.coding:serviceCategoryexampleValueSetServiceRequestCategoryMyCore (a valid code from CodeSystemServiceRequestCategory (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/servicerequest-category-my-core
from this IG
Encounter.serviceTyperequiredValueSetServiceTypeMyCore (a valid code from CodeSystemServiceType (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/service-type-my-core
from this IG
Encounter.priorityexampleValueSetPriorityMyCore
http://fhir.hie.moh.gov.my/ValueSet/encounter-priority-my-core
from this IG
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.useextensibleValueSetDiagnosisRoleMyCore
http://fhir.hie.moh.gov.my/ValueSet/diagnosis-role-my-core
from this IG
Encounter.hospitalization.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
from the FHIR Standard
Encounter.hospitalization.admitSource.coding:internalpreferredValueSetInternalReferralSourceTypeMyCore (a valid code from CodeSystemInternalReferralSourceType (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/internal-referral-source-type-my-core
from this IG
Encounter.hospitalization.admitSource.coding:externalpreferredValueSetExternalReferralSourceTypeMyCore (a valid code from CodeSystemExternalReferralSourceType (MY Core))
http://fhir.hie.moh.gov.my/ValueSet/external-referral-source-type-my-core
from this IG
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
http://hl7.org/fhir/ValueSet/encounter-discharge-disposition
from the FHIR Standard
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
from the FHIR Standard
Encounter.location.physicalTypeexampleLocationType
http://hl7.org/fhir/ValueSet/location-physical-type
from the FHIR Standard

Constraints

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

This structure is derived from Encounter

Summary

Mandatory: 6 elements(3 nested mandatory elements)
Fixed: 7 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Encounter.identifier
  • The element 1 is sliced based on the value of Encounter.type.coding
  • The element 1 is sliced based on the value of Encounter.hospitalization.admitSource.coding

 

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