NHS North West Genomics, published by NHS North West Genomics. This guide is not an authorized publication; it is the continuous build for version 0.0.8 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nw-gmsa/nw-gmsa.github.com/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Examples
• XML
• JSON

Resource Profile: Encounter

Reference:

• NHS England HL7 v2 PV1 ADT Message Specification

Usages:

• Refer to this Profile: Composition Genomic Report, Diagnostic Report, DocumentReference, Observation Diagnostic Implication... Show 6 more, Observation Genotype, Observation Therapeutic Implication, Observation Variant, Observation, Procedure Genomic Study and ServiceRequest
• Examples for this Profile: Encounter/984b8a89-4194-4eb4-a7ea-ca8049ebeea3

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	UKCoreEncounter	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
extension:dischargeMethod	N	0..1	CodeableConcept	An extension to support the method of discharge from a hospital. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod Binding: UK Core Discharge Method (extensible): The method by which a patient was discharged from hospital
extension:emergencyCareDischargeStatus	N	0..1	CodeableConcept	An extension to support the status of an individual on discharge from an Emergency Care Department. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus Binding: UK Core Emergency Care Discharge Status (preferred): The status of a patient on discharge from an Emergency Care Department
extension:legalStatus	N	0..*	(Complex)	Information relating to a patient's legal status on admission or discharge. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus
extension:OutcomeOfAttendance	N	0..1	CodeableConcept	An extension to support the outcome of an Outpatient attendance. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance Binding: UK Core Outcome Of Attendance (extensible): The outcome of an outpatient attendance
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Identifier(s) by which this encounter is known. Slice: Unordered, Open by value:type
identifier:VisitNumber	SOΣ	0..1	HospitalProviderSpellIdentifier	Identifier assigned by the Order Placer Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
status	?!SΣ	1..1	code	The status of this encounter: planned | arrived | triaged | in-progress | onleave | finished | cancelled | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter.
class	SΣ	1..1	Coding	Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations. Binding: ActEncounterCode (extensible): Classification of the encounter.
type	SΣ	0..1	CodeableConcept	Specific type of encounter Binding: Admission Method (required)
serviceType	SΣ	0..1	CodeableConcept	Specific type of service Binding: Service (required)
subject	SΣ	1..1	Reference(Patient)	The patient or group present at the encounter.
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known
Slices for participant	SΣ	0..*	BackboneElement	The list of people responsible for providing the service. Slice: Unordered, Open by value:type.coding
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	1..*	Coding	Code defined by a terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
participant:attendingDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the service.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ATND
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	Σ	1..1	code	Symbol in syntax defined by the system
participant:referringDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the service.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	Σ	1..1	code	Symbol in syntax defined by the system
participant:consultingDoctor	SΣ	0..*	BackboneElement	The list of people responsible for providing the service.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CON
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	Σ	1..1	code	Symbol in syntax defined by the system
participant:admittingDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the service.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ADM
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	Σ	1..1	code	Symbol in syntax defined by the system
period	S	0..1	Period	The start and end time of the encounter
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
reasonCode	SΣ	0..*	CodeableConcept	Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis. Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	SΣ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place, expressed as a reference to a Condition, Procedure, Observation, or ImmunizationRecommendation.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v6.5
Encounter.type	Base	required	Admission Method	📦0.0.8	This IG
Encounter.serviceType	Base	required	Service	📦0.0.8	This IG
Encounter.participant.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:attendingDoctor.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:referringDoctor.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:consultingDoctor.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:admittingDoctor.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.reasonCode	Base	preferred	Encounter Reason Codes	📦4.0.1	FHIR Std.

Constraints

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

This structure is derived from UKCoreEncounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	UKCoreEncounter	An interaction during which services are provided to the patient
Slices for identifier		1..*	CorrelationIdentifier	Identifier(s) by which this encounter is known. Slice: Unordered, Open by value:type
identifier:VisitNumber	SO	0..1	HospitalProviderSpellIdentifier	Identifier assigned by the Order Placer Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
type	S	0..1	CodeableConcept	Specific type of encounter Binding: Admission Method (required)
serviceType	S	0..1	CodeableConcept	Specific type of service Binding: Service (required)
subject		1..1	Reference(Patient)	The patient or group present at the encounter.
identifier		0..1	NHSNumber	Logical reference, when literal reference is not known
Slices for participant		0..*	BackboneElement	The list of people responsible for providing the service. Slice: Unordered, Open by value:type.coding
participant:All Slices				Content/Rules for all slices
type		1..1	CodeableConcept	Role of participant in encounter
coding		1..*	Coding	Code defined by a terminology system
code		1..1	code	Symbol in syntax defined by the system
participant:attendingDoctor		0..1	BackboneElement	The list of people responsible for providing the service.
type
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ATND
individual
identifier		0..1	PractitionerIdentifier	Logical reference, when literal reference is not known
participant:referringDoctor		0..1	BackboneElement	The list of people responsible for providing the service.
type
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
individual
identifier		0..1	PractitionerIdentifier	Logical reference, when literal reference is not known
participant:consultingDoctor		0..*	BackboneElement	The list of people responsible for providing the service.
type
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CON
individual
identifier		0..1	PractitionerIdentifier	Logical reference, when literal reference is not known
participant:admittingDoctor		0..1	BackboneElement	The list of people responsible for providing the service.
type
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ADM
individual
identifier		0..1	PractitionerIdentifier	Logical reference, when literal reference is not known
period	S	0..1	Period	The start and end time of the encounter
start	S	0..1	dateTime	Starting time with inclusive boundary
hospitalization
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: Admission Source (required)
dischargeDisposition		0..1	CodeableConcept	Category or kind of location after discharge Binding: Discharge Disposition (required)
location
location
identifier		0..1	OrganisationSiteIdentifier	Logical reference, when literal reference is not known
serviceProvider
identifier		0..1	OrganisationCode	Logical reference, when literal reference is not known
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Encounter.type	Base	required	Admission Method	📦0.0.8	This IG
Encounter.serviceType	Base	required	Service	📦0.0.8	This IG
Encounter.hospitalization.​admitSource	Base	required	Admission Source	📦0.0.8	This IG
Encounter.hospitalization.​dischargeDisposition	Base	required	Discharge Disposition	📦0.0.8	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	UKCoreEncounter	An interaction during which services are provided to the patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:dischargeMethod	N	0..1	CodeableConcept	An extension to support the method of discharge from a hospital. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod Binding: UK Core Discharge Method (extensible): The method by which a patient was discharged from hospital
extension:emergencyCareDischargeStatus	N	0..1	CodeableConcept	An extension to support the status of an individual on discharge from an Emergency Care Department. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus Binding: UK Core Emergency Care Discharge Status (preferred): The status of a patient on discharge from an Emergency Care Department
extension:legalStatus	N	0..*	(Complex)	Information relating to a patient's legal status on admission or discharge. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus
extension:OutcomeOfAttendance	N	0..1	CodeableConcept	An extension to support the outcome of an Outpatient attendance. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance Binding: UK Core Outcome Of Attendance (extensible): The outcome of an outpatient attendance
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Identifier(s) by which this encounter is known. Slice: Unordered, Open by value:type
identifier:VisitNumber	SOΣ	0..1	HospitalProviderSpellIdentifier	Identifier assigned by the Order Placer Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
status	?!SΣ	1..1	code	The status of this encounter: planned | arrived | triaged | in-progress | onleave | finished | cancelled | entered-in-error | unknown 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	SΣ	1..1	Coding	Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations. 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	SΣ	0..1	CodeableConcept	Specific type of encounter Binding: Admission Method (required)
serviceType	SΣ	0..1	CodeableConcept	Specific type of service Binding: Service (required)
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject	SΣ	1..1	Reference(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	0..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	NHSNumber	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		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
Slices for participant	SΣ	0..*	BackboneElement	The list of people responsible for providing the service. Slice: Unordered, Open by value:type.coding
participant:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in 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
coding	Σ	1..*	Coding	Code defined by a terminology system
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
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
participant:attendingDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the 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
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in 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
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ATND
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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
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
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	0..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	PractitionerIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
participant:referringDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the 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
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in 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
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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
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
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	0..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	PractitionerIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
participant:consultingDoctor	SΣ	0..*	BackboneElement	The list of people responsible for providing the 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
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in 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
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CON
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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
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
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	0..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	PractitionerIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
participant:admittingDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the 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
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in 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
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ADM
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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
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
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	0..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	PractitionerIdentifier	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	S	0..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	SΣC	0..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..*	CodeableConcept	Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis. Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	SΣ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place, expressed as a reference to a Condition, Procedure, Observation, or ImmunizationRecommendation.
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:admissionMethod	N	0..1	CodeableConcept	An extension to support the method by which an individual was admitted into hospital. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdmissionMethod Binding: UK Core Admission Method (extensible): The method by which a patient was admitted to hospital
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: Admission Source (required)
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: Discharge Disposition (required)
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
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	0..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	OrganisationSiteIdentifier	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: UK Core Encounter Location Type (preferred): A set of codes that define the physical type of location where an encounter takes place.
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider		0..1	Reference(Organization)	The organization (facility) responsible for this encounter
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	0..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	OrganisationCode	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.statusHistory.​status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v6.5
Encounter.classHistory.​class	Base	extensible	ActEncounterCode	📦3.0.0	THO v6.5
Encounter.type	Base	required	Admission Method	📦0.0.8	This IG
Encounter.serviceType	Base	required	Service	📦0.0.8	This IG
Encounter.priority	Base	example	ActPriority	📦3.0.0	THO v6.5
Encounter.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.participant.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:attendingDoctor.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:attendingDoctor.​individual.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.participant:referringDoctor.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:referringDoctor.​individual.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.participant:consultingDoctor.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:consultingDoctor.​individual.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.participant:admittingDoctor.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:admittingDoctor.​individual.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.reasonCode	Base	preferred	Encounter Reason Codes	📦4.0.1	FHIR Std.
Encounter.diagnosis.​use	Base	preferred	DiagnosisRole	📦4.0.1	FHIR Std.
Encounter.hospitalization.​admitSource	Base	required	Admission Source	📦0.0.8	This IG
Encounter.hospitalization.​reAdmission	Base	example	hl7VS-re-admissionIndicator	📦2.0.0	THO v6.5
Encounter.hospitalization.​dietPreference	Base	example	Diet	📦4.0.1	FHIR Std.
Encounter.hospitalization.​specialCourtesy	Base	preferred	Special courtesy	📦4.0.1	FHIR Std.
Encounter.hospitalization.​specialArrangement	Base	preferred	Special arrangements	📦4.0.1	FHIR Std.
Encounter.hospitalization.​dischargeDisposition	Base	required	Discharge Disposition	📦0.0.8	This IG
Encounter.location.location.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.location.status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location.physicalType	Base	preferred	UK Core Encounter Location Type	📦1.0.0	fhir.r4.ukcore.stu3.currentbuild v0.0
Encounter.serviceProvider.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.

Constraints

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

This structure is derived from UKCoreEncounter

Summary

Mandatory: 2 elements(3 nested mandatory elements)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Correlation Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/CorrelationIdentifier)
• Hospital Provider Spell Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/HospitalProviderSpellIdentifier)
• Patient (https://fhir.nwgenomics.nhs.uk/StructureDefinition/Patient)
• NHS Number (https://fhir.nwgenomics.nhs.uk/StructureDefinition/NHSNumber)
• Practitioner Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerIdentifier)
• Organisation Site Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationSiteIdentifier)
• Organisation Code (https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationCode)

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.participant

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	UKCoreEncounter	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
extension:dischargeMethod	N	0..1	CodeableConcept	An extension to support the method of discharge from a hospital. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod Binding: UK Core Discharge Method (extensible): The method by which a patient was discharged from hospital
extension:emergencyCareDischargeStatus	N	0..1	CodeableConcept	An extension to support the status of an individual on discharge from an Emergency Care Department. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus Binding: UK Core Emergency Care Discharge Status (preferred): The status of a patient on discharge from an Emergency Care Department
extension:legalStatus	N	0..*	(Complex)	Information relating to a patient's legal status on admission or discharge. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus
extension:OutcomeOfAttendance	N	0..1	CodeableConcept	An extension to support the outcome of an Outpatient attendance. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance Binding: UK Core Outcome Of Attendance (extensible): The outcome of an outpatient attendance
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Identifier(s) by which this encounter is known. Slice: Unordered, Open by value:type
identifier:VisitNumber	SOΣ	0..1	HospitalProviderSpellIdentifier	Identifier assigned by the Order Placer Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
status	?!SΣ	1..1	code	The status of this encounter: planned | arrived | triaged | in-progress | onleave | finished | cancelled | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter.
class	SΣ	1..1	Coding	Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations. Binding: ActEncounterCode (extensible): Classification of the encounter.
type	SΣ	0..1	CodeableConcept	Specific type of encounter Binding: Admission Method (required)
serviceType	SΣ	0..1	CodeableConcept	Specific type of service Binding: Service (required)
subject	SΣ	1..1	Reference(Patient)	The patient or group present at the encounter.
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known
Slices for participant	SΣ	0..*	BackboneElement	The list of people responsible for providing the service. Slice: Unordered, Open by value:type.coding
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	1..*	Coding	Code defined by a terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
participant:attendingDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the service.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ATND
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	Σ	1..1	code	Symbol in syntax defined by the system
participant:referringDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the service.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	Σ	1..1	code	Symbol in syntax defined by the system
participant:consultingDoctor	SΣ	0..*	BackboneElement	The list of people responsible for providing the service.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CON
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	Σ	1..1	code	Symbol in syntax defined by the system
participant:admittingDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the service.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ADM
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	Σ	1..1	code	Symbol in syntax defined by the system
period	S	0..1	Period	The start and end time of the encounter
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
reasonCode	SΣ	0..*	CodeableConcept	Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis. Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	SΣ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place, expressed as a reference to a Condition, Procedure, Observation, or ImmunizationRecommendation.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v6.5
Encounter.type	Base	required	Admission Method	📦0.0.8	This IG
Encounter.serviceType	Base	required	Service	📦0.0.8	This IG
Encounter.participant.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:attendingDoctor.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:referringDoctor.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:consultingDoctor.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:admittingDoctor.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.reasonCode	Base	preferred	Encounter Reason Codes	📦4.0.1	FHIR Std.

Constraints

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

Differential View

This structure is derived from UKCoreEncounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	UKCoreEncounter	An interaction during which services are provided to the patient
Slices for identifier		1..*	CorrelationIdentifier	Identifier(s) by which this encounter is known. Slice: Unordered, Open by value:type
identifier:VisitNumber	SO	0..1	HospitalProviderSpellIdentifier	Identifier assigned by the Order Placer Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
type	S	0..1	CodeableConcept	Specific type of encounter Binding: Admission Method (required)
serviceType	S	0..1	CodeableConcept	Specific type of service Binding: Service (required)
subject		1..1	Reference(Patient)	The patient or group present at the encounter.
identifier		0..1	NHSNumber	Logical reference, when literal reference is not known
Slices for participant		0..*	BackboneElement	The list of people responsible for providing the service. Slice: Unordered, Open by value:type.coding
participant:All Slices				Content/Rules for all slices
type		1..1	CodeableConcept	Role of participant in encounter
coding		1..*	Coding	Code defined by a terminology system
code		1..1	code	Symbol in syntax defined by the system
participant:attendingDoctor		0..1	BackboneElement	The list of people responsible for providing the service.
type
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ATND
individual
identifier		0..1	PractitionerIdentifier	Logical reference, when literal reference is not known
participant:referringDoctor		0..1	BackboneElement	The list of people responsible for providing the service.
type
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
individual
identifier		0..1	PractitionerIdentifier	Logical reference, when literal reference is not known
participant:consultingDoctor		0..*	BackboneElement	The list of people responsible for providing the service.
type
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CON
individual
identifier		0..1	PractitionerIdentifier	Logical reference, when literal reference is not known
participant:admittingDoctor		0..1	BackboneElement	The list of people responsible for providing the service.
type
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ADM
individual
identifier		0..1	PractitionerIdentifier	Logical reference, when literal reference is not known
period	S	0..1	Period	The start and end time of the encounter
start	S	0..1	dateTime	Starting time with inclusive boundary
hospitalization
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: Admission Source (required)
dischargeDisposition		0..1	CodeableConcept	Category or kind of location after discharge Binding: Discharge Disposition (required)
location
location
identifier		0..1	OrganisationSiteIdentifier	Logical reference, when literal reference is not known
serviceProvider
identifier		0..1	OrganisationCode	Logical reference, when literal reference is not known
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Encounter.type	Base	required	Admission Method	📦0.0.8	This IG
Encounter.serviceType	Base	required	Service	📦0.0.8	This IG
Encounter.hospitalization.​admitSource	Base	required	Admission Source	📦0.0.8	This IG
Encounter.hospitalization.​dischargeDisposition	Base	required	Discharge Disposition	📦0.0.8	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	UKCoreEncounter	An interaction during which services are provided to the patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:dischargeMethod	N	0..1	CodeableConcept	An extension to support the method of discharge from a hospital. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod Binding: UK Core Discharge Method (extensible): The method by which a patient was discharged from hospital
extension:emergencyCareDischargeStatus	N	0..1	CodeableConcept	An extension to support the status of an individual on discharge from an Emergency Care Department. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus Binding: UK Core Emergency Care Discharge Status (preferred): The status of a patient on discharge from an Emergency Care Department
extension:legalStatus	N	0..*	(Complex)	Information relating to a patient's legal status on admission or discharge. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus
extension:OutcomeOfAttendance	N	0..1	CodeableConcept	An extension to support the outcome of an Outpatient attendance. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance Binding: UK Core Outcome Of Attendance (extensible): The outcome of an outpatient attendance
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Identifier(s) by which this encounter is known. Slice: Unordered, Open by value:type
identifier:VisitNumber	SOΣ	0..1	HospitalProviderSpellIdentifier	Identifier assigned by the Order Placer Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
status	?!SΣ	1..1	code	The status of this encounter: planned | arrived | triaged | in-progress | onleave | finished | cancelled | entered-in-error | unknown 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	SΣ	1..1	Coding	Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations. 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	SΣ	0..1	CodeableConcept	Specific type of encounter Binding: Admission Method (required)
serviceType	SΣ	0..1	CodeableConcept	Specific type of service Binding: Service (required)
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject	SΣ	1..1	Reference(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	0..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	NHSNumber	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		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
Slices for participant	SΣ	0..*	BackboneElement	The list of people responsible for providing the service. Slice: Unordered, Open by value:type.coding
participant:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in 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
coding	Σ	1..*	Coding	Code defined by a terminology system
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
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
participant:attendingDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the 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
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in 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
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ATND
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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
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
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	0..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	PractitionerIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
participant:referringDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the 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
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in 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
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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
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
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	0..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	PractitionerIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
participant:consultingDoctor	SΣ	0..*	BackboneElement	The list of people responsible for providing the 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
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in 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
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CON
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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
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
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	0..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	PractitionerIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
participant:admittingDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the 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
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in 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
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ADM
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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
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
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	0..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	PractitionerIdentifier	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	S	0..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	SΣC	0..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..*	CodeableConcept	Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis. Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	SΣ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place, expressed as a reference to a Condition, Procedure, Observation, or ImmunizationRecommendation.
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:admissionMethod	N	0..1	CodeableConcept	An extension to support the method by which an individual was admitted into hospital. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdmissionMethod Binding: UK Core Admission Method (extensible): The method by which a patient was admitted to hospital
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: Admission Source (required)
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: Discharge Disposition (required)
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
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	0..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	OrganisationSiteIdentifier	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: UK Core Encounter Location Type (preferred): A set of codes that define the physical type of location where an encounter takes place.
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider		0..1	Reference(Organization)	The organization (facility) responsible for this encounter
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	0..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	OrganisationCode	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.statusHistory.​status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v6.5
Encounter.classHistory.​class	Base	extensible	ActEncounterCode	📦3.0.0	THO v6.5
Encounter.type	Base	required	Admission Method	📦0.0.8	This IG
Encounter.serviceType	Base	required	Service	📦0.0.8	This IG
Encounter.priority	Base	example	ActPriority	📦3.0.0	THO v6.5
Encounter.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.participant.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:attendingDoctor.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:attendingDoctor.​individual.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.participant:referringDoctor.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:referringDoctor.​individual.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.participant:consultingDoctor.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:consultingDoctor.​individual.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.participant:admittingDoctor.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:admittingDoctor.​individual.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.reasonCode	Base	preferred	Encounter Reason Codes	📦4.0.1	FHIR Std.
Encounter.diagnosis.​use	Base	preferred	DiagnosisRole	📦4.0.1	FHIR Std.
Encounter.hospitalization.​admitSource	Base	required	Admission Source	📦0.0.8	This IG
Encounter.hospitalization.​reAdmission	Base	example	hl7VS-re-admissionIndicator	📦2.0.0	THO v6.5
Encounter.hospitalization.​dietPreference	Base	example	Diet	📦4.0.1	FHIR Std.
Encounter.hospitalization.​specialCourtesy	Base	preferred	Special courtesy	📦4.0.1	FHIR Std.
Encounter.hospitalization.​specialArrangement	Base	preferred	Special arrangements	📦4.0.1	FHIR Std.
Encounter.hospitalization.​dischargeDisposition	Base	required	Discharge Disposition	📦0.0.8	This IG
Encounter.location.location.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.location.status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location.physicalType	Base	preferred	UK Core Encounter Location Type	📦1.0.0	fhir.r4.ukcore.stu3.currentbuild v0.0
Encounter.serviceProvider.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.

Constraints

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

This structure is derived from UKCoreEncounter

Summary

Mandatory: 2 elements(3 nested mandatory elements)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Correlation Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/CorrelationIdentifier)
• Hospital Provider Spell Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/HospitalProviderSpellIdentifier)
• Patient (https://fhir.nwgenomics.nhs.uk/StructureDefinition/Patient)
• NHS Number (https://fhir.nwgenomics.nhs.uk/StructureDefinition/NHSNumber)
• Practitioner Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerIdentifier)
• Organisation Site Identifier (https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationSiteIdentifier)
• Organisation Code (https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationCode)

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.participant