HL7 Europe Imaging Study Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/oijauregui/ehdsimaging/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/Report-EuEncounter | Version: 0.1.0-build | |||
| Draft as of 2025-09-08 | Computable Name: Report_EuEncounter | |||
| Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License | ||||
Report obligations for EuEncounter
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|   Encounter | 0..* | EncounterEu | 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 | ||||||||
|    language | O | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language 
 
 | ||||||||
|    text | O | 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 | Content/Rules for all slices | |||||||||||
|     extension:note | O | 0..1 | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note 
 | ||||||||
|     extension:legalStatus | 0..1 | CodeableConcept | Encounter: Legal Status URL: http://hl7.eu/fhir/StructureDefinition/encounter-legalStatus | |||||||||
|     extension:status-reason | O | 0..1 | (Complex) | Why was the status changed? URL: http://hl7.org/fhir/StructureDefinition/workflow-statusReason 
 | ||||||||
|      extension | 0..0 | |||||||||||
|      url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-statusReason" | |||||||||
|      value[x] | 1..1 | CodeableConcept | Value of extension Binding: StatusReasonValueSet (example) | |||||||||
|       text | OΣ | 0..1 | string | Plain text representation of the concept 
 | ||||||||
|    modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||||||
|    identifier | OΣ | 0..* | Identifier | Identifier(s) by which this encounter is known 
 | ||||||||
|    status | ?!OΣ | 1..1 | code | planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter. 
 | ||||||||
|    priority | O | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: x_EncounterAdmissionUrgency (preferred) 
 | ||||||||
|    type | OΣ | 0..* | CodeableConcept | Specific type of encounter (e.g. e-mail consultation, surgical day-care, ...) Binding: ActEncounterCode (preferred) 
 | ||||||||
|    subject | OΣ | 0..1 | Reference(Patient | Group) | The patient or group related to this encounter 
 | ||||||||
|    episodeOfCare | OΣ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against 
 | ||||||||
|    basedOn | O | 0..* | Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest) | The request that initiated this encounter 
 | ||||||||
|    partOf | O | 0..1 | Reference(Encounter: EU Encounter) | Another Encounter this encounter is part of 
 | ||||||||
|    serviceProvider | O | 0..1 | Reference(Organization (EU core)) | The organization (facility) responsible for this encounter 
 | ||||||||
|    Slices for participant | ΣC | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by value:type Constraints: enc-1, enc-2 | ||||||||
|     participant:All Slices | Content/Rules for all slices | |||||||||||
|      modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
|      type | ΣC | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | ||||||||
|      actor | ΣC | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter | ||||||||
|     participant:admitter | ΣC | 0..* | BackboneElement | List of participants involved in the encounter Constraints: enc-1, enc-2 | ||||||||
|      modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
|      Slices for type | ΣC | 1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by value:coding Binding: ParticipantType (extensible): Role of participant in encounter. | ||||||||
|       type:participantCode | ΣC | 1..1 | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||||||
|        id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|        extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|        coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
|         id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|         extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|         system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||||||
|         version | 0..1 | string | Version of the system - if relevant | |||||||||
|         code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ADM | |||||||||
|         display | 0..1 | string | Representation defined by the system | |||||||||
|         userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||
|        text | 0..1 | string | Plain text representation of the concept | |||||||||
|      actor | OΣC | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter 
 | ||||||||
|     participant:discharger | ΣC | 0..* | BackboneElement | List of participants involved in the encounter Constraints: enc-1, enc-2 | ||||||||
|      modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
|      Slices for type | ΣC | 1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by value:coding Binding: ParticipantType (extensible): Role of participant in encounter. | ||||||||
|       type:participantCode | ΣC | 1..1 | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||||||
|        id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|        extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|        coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
|         id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|         extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|         system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||||||
|         version | 0..1 | string | Version of the system - if relevant | |||||||||
|         code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DIS | |||||||||
|         display | 0..1 | string | Representation defined by the system | |||||||||
|         userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||
|        text | 0..1 | string | Plain text representation of the concept | |||||||||
|      actor | ΣC | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter | ||||||||
|     participant:referrer | ΣC | 0..* | BackboneElement | List of participants involved in the encounter Constraints: enc-1, enc-2 | ||||||||
|      modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
|      Slices for type | ΣC | 1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by value:coding Binding: ParticipantType (extensible): Role of participant in encounter. | ||||||||
|       type:participantCode | ΣC | 1..1 | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||||||
|        id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|        extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|        coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
|         id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|         extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|         system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||||||
|         version | 0..1 | string | Version of the system - if relevant | |||||||||
|         code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: REF | |||||||||
|         display | 0..1 | string | Representation defined by the system | |||||||||
|         userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||
|        text | 0..1 | string | Plain text representation of the concept | |||||||||
|      actor | OΣC | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter 
 | ||||||||
|    actualPeriod | O | 0..1 | Period | The actual start and end time of the encounter 
 | ||||||||
|    plannedStartDate | O | 0..1 | dateTime | The planned start date/time (or admission date) of the encounter 
 | ||||||||
|    plannedEndDate | O | 0..1 | dateTime | The planned end date/time (or discharge date) of the encounter 
 | ||||||||
|    admission | O | 0..1 | BackboneElement | Details about the admission to a healthcare service 
 | ||||||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
|     admitSource | O | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted. 
 | ||||||||
|     destination | O | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged 
 | ||||||||
|     dischargeDisposition | O | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition. 
 | ||||||||
|    location | O | 0..* | BackboneElement | List of locations where the patient has been 
 | ||||||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
|     location | O | 1..1 | Reference(Location) | Location the encounter takes place 
 | ||||||||
|     period | O | 0..1 | Period | Time period during which the patient was present at the location 
 | ||||||||
|  Documentation for this format | ||||||||||||
| Path | Conformance | ValueSet / Code | URI | 
| Encounter.language | required | AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0From the FHIR Standard | |
| Encounter.extension:status-reason.value[x] | example | StatusReasonValueSet http://hl7.org/fhir/ValueSet/status-reason | |
| Encounter.status | required | EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|5.0.0From the FHIR Standard | |
| Encounter.priority | preferred | XEncounterAdmissionUrgency http://terminology.hl7.org/ValueSet/v3-xEncounterAdmissionUrgency | |
| Encounter.type | preferred | ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
| Encounter.participant.type | extensible | ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:admitter.type | extensible | ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:admitter.type:participantCode | extensible | Pattern Value: ADM http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:discharger.type | extensible | ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:discharger.type:participantCode | extensible | Pattern Value: DIS http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:referrer.type | extensible | ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:referrer.type:participantCode | extensible | Pattern Value: REF http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.admission.admitSource | preferred | AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-sourceFrom the FHIR Standard | |
| Encounter.admission.dischargeDisposition | example | DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-dispositionFrom the FHIR Standard | 
| Id | Grade | Path(s) | Details | Requirements | 
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()) | |
| enc-1 | error | Encounter.participant, Encounter.participant:admitter, Encounter.participant:discharger, Encounter.participant:referrer | A type must be provided when no explicit actor is specified : actor.exists() or type.exists() | |
| enc-2 | error | Encounter.participant, Encounter.participant:admitter, Encounter.participant:discharger, Encounter.participant:referrer | A type cannot be provided for a patient or group participant : actor.exists(resolve() is Patient or resolve() is Group) implies type.exists().not() | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | 
This structure is derived from EncounterEu
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | ||||
|---|---|---|---|---|---|---|---|---|
|   Encounter | 0..* | EncounterEu | An interaction during which services are provided to the patient | |||||
|    meta | ||||||||
|     versionId | O | 0..1 | id | Version specific identifier 
 | ||||
|     lastUpdated | O | 0..1 | instant | When the resource version last changed 
 | ||||
|    language | O | 0..1 | code | Language of the resource content 
 | ||||
|    text | O | 0..1 | Narrative | Text summary of the resource, for human interpretation 
 | ||||
|    Slices for extension | Content/Rules for all slices | |||||||
|     extension:note | O | 0..1 | Note(5.3.0-ballot) | Additional notes that apply to this resource or element. 
 | ||||
|     extension:status-reason | O | 0..1 | WorkflowStatusReason | Why was the status changed? 
 | ||||
|      value[x] | ||||||||
|       text | O | 0..1 | string | Plain text representation of the concept 
 | ||||
|    identifier | O | 0..* | Identifier | Identifier(s) by which this encounter is known 
 | ||||
|    status | O | 1..1 | code | planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown 
 | ||||
|    priority | O | 0..1 | CodeableConcept | Indicates the urgency of the encounter 
 | ||||
|    type | O | 0..* | CodeableConcept | Specific type of encounter (e.g. e-mail consultation, surgical day-care, ...) 
 | ||||
|    subject | O | 0..1 | Reference(Patient | Group) | The patient or group related to this encounter 
 | ||||
|    episodeOfCare | O | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against 
 | ||||
|    basedOn | O | 0..* | Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest) | The request that initiated this encounter 
 | ||||
|    partOf | O | 0..1 | Reference(Encounter: EU Encounter) | Another Encounter this encounter is part of 
 | ||||
|    serviceProvider | O | 0..1 | Reference(Organization (EU core)) | The organization (facility) responsible for this encounter 
 | ||||
|    Slices for participant | Content/Rules for all slices | |||||||
|     participant:admitter | 0..* | BackboneElement | List of participants involved in the encounter | |||||
|      actor | O | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter 
 | ||||
|     participant:referrer | 0..* | BackboneElement | List of participants involved in the encounter | |||||
|      actor | O | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter 
 | ||||
|    actualPeriod | O | 0..1 | Period | The actual start and end time of the encounter 
 | ||||
|    plannedStartDate | O | 0..1 | dateTime | The planned start date/time (or admission date) of the encounter 
 | ||||
|    plannedEndDate | O | 0..1 | dateTime | The planned end date/time (or discharge date) of the encounter 
 | ||||
|    reason | ||||||||
|     value | ||||||||
|      reference | O | 0..1 | Reference() | Reference to a resource (by instance) 
 | ||||
|    admission | O | 0..1 | BackboneElement | Details about the admission to a healthcare service 
 | ||||
|     admitSource | O | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) 
 | ||||
|     destination | O | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged 
 | ||||
|     dischargeDisposition | O | 0..1 | CodeableConcept | Category or kind of location after discharge 
 | ||||
|    location | O | 0..* | BackboneElement | List of locations where the patient has been 
 | ||||
|     location | O | 1..1 | Reference(Location) | Location the encounter takes place 
 | ||||
|     period | O | 0..1 | Period | Time period during which the patient was present at the location 
 | ||||
|  Documentation for this format | ||||||||
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|   Encounter | 0..* | EncounterEu | 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 | ||||||||
|     id | 0..1 | id | Unique id for inter-element referencing | |||||||||
|     extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|     versionId | OΣ | 0..1 | id | Version specific identifier 
 | ||||||||
|     lastUpdated | OΣ | 0..1 | instant | When the resource version last changed 
 | ||||||||
|     source | Σ | 0..1 | uri | Identifies where the resource comes from | ||||||||
|     profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||||||
|     security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||||||
|     tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||||||
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
|    language | O | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language 
 
 | ||||||||
|    text | O | 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 | Extension Slice: Unordered, Open by value:url | |||||||||
|     extension:note | O | 0..1 | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note 
 | ||||||||
|     extension:legalStatus | 0..1 | CodeableConcept | Encounter: Legal Status URL: http://hl7.eu/fhir/StructureDefinition/encounter-legalStatus | |||||||||
|     extension:status-reason | O | 0..1 | (Complex) | Why was the status changed? URL: http://hl7.org/fhir/StructureDefinition/workflow-statusReason 
 | ||||||||
|      id | 0..1 | id | Unique id for inter-element referencing | |||||||||
|      extension | 0..0 | |||||||||||
|      url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-statusReason" | |||||||||
|      value[x] | 1..1 | CodeableConcept | Value of extension Binding: StatusReasonValueSet (example) | |||||||||
|       id | 0..1 | id | Unique id for inter-element referencing | |||||||||
|       extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|       coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||||||
|       text | OΣ | 0..1 | string | Plain text representation of the concept 
 | ||||||||
|    modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||||||
|    identifier | OΣ | 0..* | Identifier | Identifier(s) by which this encounter is known 
 | ||||||||
|    status | ?!OΣ | 1..1 | code | planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter. 
 | ||||||||
|    class | Σ | 0..* | CodeableConcept | Classification of patient encounter context - e.g. Inpatient, outpatient Binding: Encounter class (preferred): Classification of the encounter. | ||||||||
|    priority | O | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: x_EncounterAdmissionUrgency (preferred) 
 | ||||||||
|    type | OΣ | 0..* | CodeableConcept | Specific type of encounter (e.g. e-mail consultation, surgical day-care, ...) Binding: ActEncounterCode (preferred) 
 | ||||||||
|    serviceType | Σ | 0..* | CodeableReference(HealthcareService) | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. | ||||||||
|    subject | OΣ | 0..1 | Reference(Patient | Group) | The patient or group related to this encounter 
 | ||||||||
|    subjectStatus | 0..1 | CodeableConcept | The current status of the subject in relation to the Encounter Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter. | |||||||||
|    episodeOfCare | OΣ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against 
 | ||||||||
|    basedOn | O | 0..* | Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest) | The request that initiated this encounter 
 | ||||||||
|    careTeam | 0..* | Reference(CareTeam) | The group(s) that are allocated to participate in this encounter | |||||||||
|    partOf | O | 0..1 | Reference(Encounter: EU Encounter) | Another Encounter this encounter is part of 
 | ||||||||
|    serviceProvider | O | 0..1 | Reference(Organization (EU core)) | The organization (facility) responsible for this encounter 
 | ||||||||
|    Slices for participant | ΣC | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by value:type Constraints: enc-1, enc-2 | ||||||||
|     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 | ΣC | 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 | |||||||||
|      actor | ΣC | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter | ||||||||
|     participant:admitter | ΣC | 0..* | BackboneElement | List of participants involved in the encounter Constraints: enc-1, enc-2 | ||||||||
|      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 | ||||||||
|      Slices for type | ΣC | 1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by value:coding Binding: ParticipantType (extensible): Role of participant in encounter. | ||||||||
|       type:participantCode | ΣC | 1..1 | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||||||
|        id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|        extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|        coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
|         id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|         extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|         system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||||||
|         version | 0..1 | string | Version of the system - if relevant | |||||||||
|         code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ADM | |||||||||
|         display | 0..1 | string | Representation defined by the system | |||||||||
|         userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||
|        text | 0..1 | string | Plain text representation of the concept | |||||||||
|      period | 0..1 | Period | Period of time during the encounter that the participant participated | |||||||||
|      actor | OΣC | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter 
 | ||||||||
|     participant:discharger | ΣC | 0..* | BackboneElement | List of participants involved in the encounter Constraints: enc-1, enc-2 | ||||||||
|      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 | ||||||||
|      Slices for type | ΣC | 1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by value:coding Binding: ParticipantType (extensible): Role of participant in encounter. | ||||||||
|       type:participantCode | ΣC | 1..1 | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||||||
|        id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|        extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|        coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
|         id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|         extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|         system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||||||
|         version | 0..1 | string | Version of the system - if relevant | |||||||||
|         code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DIS | |||||||||
|         display | 0..1 | string | Representation defined by the system | |||||||||
|         userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||
|        text | 0..1 | string | Plain text representation of the concept | |||||||||
|      period | 0..1 | Period | Period of time during the encounter that the participant participated | |||||||||
|      actor | ΣC | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter | ||||||||
|     participant:referrer | ΣC | 0..* | BackboneElement | List of participants involved in the encounter Constraints: enc-1, enc-2 | ||||||||
|      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 | ||||||||
|      Slices for type | ΣC | 1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by value:coding Binding: ParticipantType (extensible): Role of participant in encounter. | ||||||||
|       type:participantCode | ΣC | 1..1 | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||||||
|        id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|        extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|        coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
|         id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|         extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|         system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||||||
|         version | 0..1 | string | Version of the system - if relevant | |||||||||
|         code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: REF | |||||||||
|         display | 0..1 | string | Representation defined by the system | |||||||||
|         userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||
|        text | 0..1 | string | Plain text representation of the concept | |||||||||
|      period | 0..1 | Period | Period of time during the encounter that the participant participated | |||||||||
|      actor | OΣC | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter 
 | ||||||||
|    appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | ||||||||
|    virtualService | 0..* | VirtualServiceDetail | Connection details of a virtual service (e.g. conference call) | |||||||||
|    actualPeriod | O | 0..1 | Period | The actual start and end time of the encounter 
 | ||||||||
|    plannedStartDate | O | 0..1 | dateTime | The planned start date/time (or admission date) of the encounter 
 | ||||||||
|    plannedEndDate | O | 0..1 | dateTime | The planned end date/time (or discharge date) of the encounter 
 | ||||||||
|    length | 0..1 | Duration | Actual quantity of time the encounter lasted (less time absent) | |||||||||
|    reason | Σ | 0..* | BackboneElement | The list of medical reasons that are expected to be addressed during the episode of care | ||||||||
|     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 | ||||||||
|     use | Σ | 0..* | CodeableConcept | What the reason value should be used for/as Binding: EncounterReasonUse (example) | ||||||||
|     value | Σ | 0..* | CodeableReference(Condition | DiagnosticReport | Observation | ImmunizationRecommendation | Procedure) | Reason the encounter takes place (core or reference) Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | ||||||||
|      id | 0..1 | id | Unique id for inter-element referencing | |||||||||
|      extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|      concept | Σ | 0..1 | CodeableConcept | Reference to a concept (by class) | ||||||||
|      reference | OΣ | 0..1 | Reference() | Reference to a resource (by instance) 
 | ||||||||
|    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 | 0..* | CodeableReference(Condition) | The diagnosis relevant to the encounter Binding: ConditionProblemDiagnosisCodes (example) | ||||||||
|     use | 0..* | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents. | |||||||||
|    account | 0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter | |||||||||
|    dietPreference | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements. | |||||||||
|    specialArrangement | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc Binding: SpecialArrangements (preferred): Special arrangements. | |||||||||
|    specialCourtesy | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies. | |||||||||
|    admission | O | 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 | O | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted. 
 | ||||||||
|     reAdmission | 0..1 | CodeableConcept | Indicates that the patient is being re-admitted Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this admission encounter. | |||||||||
|     destination | O | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged 
 | ||||||||
|     dischargeDisposition | O | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition. 
 | ||||||||
|    location | O | 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 | O | 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. | |||||||||
|     form | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.) Binding: LocationForm (example): Physical form of the location. | |||||||||
|     period | O | 0..1 | Period | Time period during which the patient was present at the location 
 | ||||||||
|  Documentation for this format | ||||||||||||
| Path | Conformance | ValueSet / Code | URI | 
| Encounter.meta.security | extensible | AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labelsFrom the FHIR Standard | |
| Encounter.meta.tag | example | CommonTags http://hl7.org/fhir/ValueSet/common-tagsFrom the FHIR Standard | |
| Encounter.language | required | AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0From the FHIR Standard | |
| Encounter.extension:status-reason.value[x] | example | StatusReasonValueSet http://hl7.org/fhir/ValueSet/status-reason | |
| Encounter.status | required | EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|5.0.0From the FHIR Standard | |
| Encounter.class | preferred | EncounterClass http://terminology.hl7.org/ValueSet/encounter-class | |
| Encounter.priority | preferred | XEncounterAdmissionUrgency http://terminology.hl7.org/ValueSet/v3-xEncounterAdmissionUrgency | |
| Encounter.type | preferred | ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
| Encounter.serviceType | example | ServiceType http://hl7.org/fhir/ValueSet/service-typeFrom the FHIR Standard | |
| Encounter.subjectStatus | example | EncounterSubjectStatus http://hl7.org/fhir/ValueSet/encounter-subject-statusFrom the FHIR Standard | |
| Encounter.participant.type | extensible | ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:admitter.type | extensible | ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:admitter.type:participantCode | extensible | Pattern Value: ADM http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:discharger.type | extensible | ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:discharger.type:participantCode | extensible | Pattern Value: DIS http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:referrer.type | extensible | ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:referrer.type:participantCode | extensible | Pattern Value: REF http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.reason.use | example | EncounterReasonUse http://hl7.org/fhir/ValueSet/encounter-reason-useFrom the FHIR Standard | |
| Encounter.reason.value | preferred | EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reasonFrom the FHIR Standard | |
| Encounter.diagnosis.condition | example | ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-codeFrom the FHIR Standard | |
| Encounter.diagnosis.use | preferred | EncounterDiagnosisUse http://hl7.org/fhir/ValueSet/encounter-diagnosis-useFrom the FHIR Standard | |
| Encounter.dietPreference | example | EncounterDiet http://hl7.org/fhir/ValueSet/encounter-dietFrom the FHIR Standard | |
| Encounter.specialArrangement | preferred | SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangementsFrom the FHIR Standard | |
| Encounter.specialCourtesy | preferred | SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesyFrom the FHIR Standard | |
| Encounter.admission.admitSource | preferred | AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-sourceFrom the FHIR Standard | |
| Encounter.admission.reAdmission | example | Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092 | |
| Encounter.admission.dischargeDisposition | example | DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-dispositionFrom the FHIR Standard | |
| Encounter.location.status | required | EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|5.0.0From the FHIR Standard | |
| Encounter.location.form | example | LocationForm http://hl7.org/fhir/ValueSet/location-formFrom the FHIR Standard | 
| Id | Grade | Path(s) | Details | Requirements | 
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()) | |
| enc-1 | error | Encounter.participant, Encounter.participant:admitter, Encounter.participant:discharger, Encounter.participant:referrer | A type must be provided when no explicit actor is specified : actor.exists() or type.exists() | |
| enc-2 | error | Encounter.participant, Encounter.participant:admitter, Encounter.participant:discharger, Encounter.participant:referrer | A type cannot be provided for a patient or group participant : actor.exists(resolve() is Patient or resolve() is Group) implies type.exists().not() | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | 
This structure is derived from EncounterEu
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|   Encounter | 0..* | EncounterEu | 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 | ||||||||
|    language | O | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language 
 
 | ||||||||
|    text | O | 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 | Content/Rules for all slices | |||||||||||
|     extension:note | O | 0..1 | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note 
 | ||||||||
|     extension:legalStatus | 0..1 | CodeableConcept | Encounter: Legal Status URL: http://hl7.eu/fhir/StructureDefinition/encounter-legalStatus | |||||||||
|     extension:status-reason | O | 0..1 | (Complex) | Why was the status changed? URL: http://hl7.org/fhir/StructureDefinition/workflow-statusReason 
 | ||||||||
|      extension | 0..0 | |||||||||||
|      url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-statusReason" | |||||||||
|      value[x] | 1..1 | CodeableConcept | Value of extension Binding: StatusReasonValueSet (example) | |||||||||
|       text | OΣ | 0..1 | string | Plain text representation of the concept 
 | ||||||||
|    modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||||||
|    identifier | OΣ | 0..* | Identifier | Identifier(s) by which this encounter is known 
 | ||||||||
|    status | ?!OΣ | 1..1 | code | planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter. 
 | ||||||||
|    priority | O | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: x_EncounterAdmissionUrgency (preferred) 
 | ||||||||
|    type | OΣ | 0..* | CodeableConcept | Specific type of encounter (e.g. e-mail consultation, surgical day-care, ...) Binding: ActEncounterCode (preferred) 
 | ||||||||
|    subject | OΣ | 0..1 | Reference(Patient | Group) | The patient or group related to this encounter 
 | ||||||||
|    episodeOfCare | OΣ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against 
 | ||||||||
|    basedOn | O | 0..* | Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest) | The request that initiated this encounter 
 | ||||||||
|    partOf | O | 0..1 | Reference(Encounter: EU Encounter) | Another Encounter this encounter is part of 
 | ||||||||
|    serviceProvider | O | 0..1 | Reference(Organization (EU core)) | The organization (facility) responsible for this encounter 
 | ||||||||
|    Slices for participant | ΣC | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by value:type Constraints: enc-1, enc-2 | ||||||||
|     participant:All Slices | Content/Rules for all slices | |||||||||||
|      modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
|      type | ΣC | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | ||||||||
|      actor | ΣC | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter | ||||||||
|     participant:admitter | ΣC | 0..* | BackboneElement | List of participants involved in the encounter Constraints: enc-1, enc-2 | ||||||||
|      modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
|      Slices for type | ΣC | 1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by value:coding Binding: ParticipantType (extensible): Role of participant in encounter. | ||||||||
|       type:participantCode | ΣC | 1..1 | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||||||
|        id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|        extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|        coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
|         id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|         extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|         system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||||||
|         version | 0..1 | string | Version of the system - if relevant | |||||||||
|         code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ADM | |||||||||
|         display | 0..1 | string | Representation defined by the system | |||||||||
|         userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||
|        text | 0..1 | string | Plain text representation of the concept | |||||||||
|      actor | OΣC | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter 
 | ||||||||
|     participant:discharger | ΣC | 0..* | BackboneElement | List of participants involved in the encounter Constraints: enc-1, enc-2 | ||||||||
|      modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
|      Slices for type | ΣC | 1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by value:coding Binding: ParticipantType (extensible): Role of participant in encounter. | ||||||||
|       type:participantCode | ΣC | 1..1 | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||||||
|        id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|        extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|        coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
|         id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|         extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|         system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||||||
|         version | 0..1 | string | Version of the system - if relevant | |||||||||
|         code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DIS | |||||||||
|         display | 0..1 | string | Representation defined by the system | |||||||||
|         userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||
|        text | 0..1 | string | Plain text representation of the concept | |||||||||
|      actor | ΣC | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter | ||||||||
|     participant:referrer | ΣC | 0..* | BackboneElement | List of participants involved in the encounter Constraints: enc-1, enc-2 | ||||||||
|      modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
|      Slices for type | ΣC | 1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by value:coding Binding: ParticipantType (extensible): Role of participant in encounter. | ||||||||
|       type:participantCode | ΣC | 1..1 | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||||||
|        id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|        extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|        coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
|         id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|         extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|         system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||||||
|         version | 0..1 | string | Version of the system - if relevant | |||||||||
|         code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: REF | |||||||||
|         display | 0..1 | string | Representation defined by the system | |||||||||
|         userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||
|        text | 0..1 | string | Plain text representation of the concept | |||||||||
|      actor | OΣC | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter 
 | ||||||||
|    actualPeriod | O | 0..1 | Period | The actual start and end time of the encounter 
 | ||||||||
|    plannedStartDate | O | 0..1 | dateTime | The planned start date/time (or admission date) of the encounter 
 | ||||||||
|    plannedEndDate | O | 0..1 | dateTime | The planned end date/time (or discharge date) of the encounter 
 | ||||||||
|    admission | O | 0..1 | BackboneElement | Details about the admission to a healthcare service 
 | ||||||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
|     admitSource | O | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted. 
 | ||||||||
|     destination | O | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged 
 | ||||||||
|     dischargeDisposition | O | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition. 
 | ||||||||
|    location | O | 0..* | BackboneElement | List of locations where the patient has been 
 | ||||||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
|     location | O | 1..1 | Reference(Location) | Location the encounter takes place 
 | ||||||||
|     period | O | 0..1 | Period | Time period during which the patient was present at the location 
 | ||||||||
|  Documentation for this format | ||||||||||||
| Path | Conformance | ValueSet / Code | URI | 
| Encounter.language | required | AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0From the FHIR Standard | |
| Encounter.extension:status-reason.value[x] | example | StatusReasonValueSet http://hl7.org/fhir/ValueSet/status-reason | |
| Encounter.status | required | EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|5.0.0From the FHIR Standard | |
| Encounter.priority | preferred | XEncounterAdmissionUrgency http://terminology.hl7.org/ValueSet/v3-xEncounterAdmissionUrgency | |
| Encounter.type | preferred | ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
| Encounter.participant.type | extensible | ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:admitter.type | extensible | ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:admitter.type:participantCode | extensible | Pattern Value: ADM http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:discharger.type | extensible | ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:discharger.type:participantCode | extensible | Pattern Value: DIS http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:referrer.type | extensible | ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:referrer.type:participantCode | extensible | Pattern Value: REF http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.admission.admitSource | preferred | AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-sourceFrom the FHIR Standard | |
| Encounter.admission.dischargeDisposition | example | DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-dispositionFrom the FHIR Standard | 
| Id | Grade | Path(s) | Details | Requirements | 
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()) | |
| enc-1 | error | Encounter.participant, Encounter.participant:admitter, Encounter.participant:discharger, Encounter.participant:referrer | A type must be provided when no explicit actor is specified : actor.exists() or type.exists() | |
| enc-2 | error | Encounter.participant, Encounter.participant:admitter, Encounter.participant:discharger, Encounter.participant:referrer | A type cannot be provided for a patient or group participant : actor.exists(resolve() is Patient or resolve() is Group) implies type.exists().not() | |
| 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 EncounterEu
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | ||||
|---|---|---|---|---|---|---|---|---|
|   Encounter | 0..* | EncounterEu | An interaction during which services are provided to the patient | |||||
|    meta | ||||||||
|     versionId | O | 0..1 | id | Version specific identifier 
 | ||||
|     lastUpdated | O | 0..1 | instant | When the resource version last changed 
 | ||||
|    language | O | 0..1 | code | Language of the resource content 
 | ||||
|    text | O | 0..1 | Narrative | Text summary of the resource, for human interpretation 
 | ||||
|    Slices for extension | Content/Rules for all slices | |||||||
|     extension:note | O | 0..1 | Note(5.3.0-ballot) | Additional notes that apply to this resource or element. 
 | ||||
|     extension:status-reason | O | 0..1 | WorkflowStatusReason | Why was the status changed? 
 | ||||
|      value[x] | ||||||||
|       text | O | 0..1 | string | Plain text representation of the concept 
 | ||||
|    identifier | O | 0..* | Identifier | Identifier(s) by which this encounter is known 
 | ||||
|    status | O | 1..1 | code | planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown 
 | ||||
|    priority | O | 0..1 | CodeableConcept | Indicates the urgency of the encounter 
 | ||||
|    type | O | 0..* | CodeableConcept | Specific type of encounter (e.g. e-mail consultation, surgical day-care, ...) 
 | ||||
|    subject | O | 0..1 | Reference(Patient | Group) | The patient or group related to this encounter 
 | ||||
|    episodeOfCare | O | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against 
 | ||||
|    basedOn | O | 0..* | Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest) | The request that initiated this encounter 
 | ||||
|    partOf | O | 0..1 | Reference(Encounter: EU Encounter) | Another Encounter this encounter is part of 
 | ||||
|    serviceProvider | O | 0..1 | Reference(Organization (EU core)) | The organization (facility) responsible for this encounter 
 | ||||
|    Slices for participant | Content/Rules for all slices | |||||||
|     participant:admitter | 0..* | BackboneElement | List of participants involved in the encounter | |||||
|      actor | O | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter 
 | ||||
|     participant:referrer | 0..* | BackboneElement | List of participants involved in the encounter | |||||
|      actor | O | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter 
 | ||||
|    actualPeriod | O | 0..1 | Period | The actual start and end time of the encounter 
 | ||||
|    plannedStartDate | O | 0..1 | dateTime | The planned start date/time (or admission date) of the encounter 
 | ||||
|    plannedEndDate | O | 0..1 | dateTime | The planned end date/time (or discharge date) of the encounter 
 | ||||
|    reason | ||||||||
|     value | ||||||||
|      reference | O | 0..1 | Reference() | Reference to a resource (by instance) 
 | ||||
|    admission | O | 0..1 | BackboneElement | Details about the admission to a healthcare service 
 | ||||
|     admitSource | O | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) 
 | ||||
|     destination | O | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged 
 | ||||
|     dischargeDisposition | O | 0..1 | CodeableConcept | Category or kind of location after discharge 
 | ||||
|    location | O | 0..* | BackboneElement | List of locations where the patient has been 
 | ||||
|     location | O | 1..1 | Reference(Location) | Location the encounter takes place 
 | ||||
|     period | O | 0..1 | Period | Time period during which the patient was present at the location 
 | ||||
|  Documentation for this format | ||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|   Encounter | 0..* | EncounterEu | 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 | ||||||||
|     id | 0..1 | id | Unique id for inter-element referencing | |||||||||
|     extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|     versionId | OΣ | 0..1 | id | Version specific identifier 
 | ||||||||
|     lastUpdated | OΣ | 0..1 | instant | When the resource version last changed 
 | ||||||||
|     source | Σ | 0..1 | uri | Identifies where the resource comes from | ||||||||
|     profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||||||
|     security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||||||
|     tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||||||
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
|    language | O | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language 
 
 | ||||||||
|    text | O | 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 | Extension Slice: Unordered, Open by value:url | |||||||||
|     extension:note | O | 0..1 | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note 
 | ||||||||
|     extension:legalStatus | 0..1 | CodeableConcept | Encounter: Legal Status URL: http://hl7.eu/fhir/StructureDefinition/encounter-legalStatus | |||||||||
|     extension:status-reason | O | 0..1 | (Complex) | Why was the status changed? URL: http://hl7.org/fhir/StructureDefinition/workflow-statusReason 
 | ||||||||
|      id | 0..1 | id | Unique id for inter-element referencing | |||||||||
|      extension | 0..0 | |||||||||||
|      url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-statusReason" | |||||||||
|      value[x] | 1..1 | CodeableConcept | Value of extension Binding: StatusReasonValueSet (example) | |||||||||
|       id | 0..1 | id | Unique id for inter-element referencing | |||||||||
|       extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|       coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||||||
|       text | OΣ | 0..1 | string | Plain text representation of the concept 
 | ||||||||
|    modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||||||
|    identifier | OΣ | 0..* | Identifier | Identifier(s) by which this encounter is known 
 | ||||||||
|    status | ?!OΣ | 1..1 | code | planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter. 
 | ||||||||
|    class | Σ | 0..* | CodeableConcept | Classification of patient encounter context - e.g. Inpatient, outpatient Binding: Encounter class (preferred): Classification of the encounter. | ||||||||
|    priority | O | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: x_EncounterAdmissionUrgency (preferred) 
 | ||||||||
|    type | OΣ | 0..* | CodeableConcept | Specific type of encounter (e.g. e-mail consultation, surgical day-care, ...) Binding: ActEncounterCode (preferred) 
 | ||||||||
|    serviceType | Σ | 0..* | CodeableReference(HealthcareService) | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. | ||||||||
|    subject | OΣ | 0..1 | Reference(Patient | Group) | The patient or group related to this encounter 
 | ||||||||
|    subjectStatus | 0..1 | CodeableConcept | The current status of the subject in relation to the Encounter Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter. | |||||||||
|    episodeOfCare | OΣ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against 
 | ||||||||
|    basedOn | O | 0..* | Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest) | The request that initiated this encounter 
 | ||||||||
|    careTeam | 0..* | Reference(CareTeam) | The group(s) that are allocated to participate in this encounter | |||||||||
|    partOf | O | 0..1 | Reference(Encounter: EU Encounter) | Another Encounter this encounter is part of 
 | ||||||||
|    serviceProvider | O | 0..1 | Reference(Organization (EU core)) | The organization (facility) responsible for this encounter 
 | ||||||||
|    Slices for participant | ΣC | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by value:type Constraints: enc-1, enc-2 | ||||||||
|     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 | ΣC | 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 | |||||||||
|      actor | ΣC | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter | ||||||||
|     participant:admitter | ΣC | 0..* | BackboneElement | List of participants involved in the encounter Constraints: enc-1, enc-2 | ||||||||
|      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 | ||||||||
|      Slices for type | ΣC | 1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by value:coding Binding: ParticipantType (extensible): Role of participant in encounter. | ||||||||
|       type:participantCode | ΣC | 1..1 | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||||||
|        id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|        extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|        coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
|         id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|         extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|         system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||||||
|         version | 0..1 | string | Version of the system - if relevant | |||||||||
|         code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ADM | |||||||||
|         display | 0..1 | string | Representation defined by the system | |||||||||
|         userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||
|        text | 0..1 | string | Plain text representation of the concept | |||||||||
|      period | 0..1 | Period | Period of time during the encounter that the participant participated | |||||||||
|      actor | OΣC | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter 
 | ||||||||
|     participant:discharger | ΣC | 0..* | BackboneElement | List of participants involved in the encounter Constraints: enc-1, enc-2 | ||||||||
|      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 | ||||||||
|      Slices for type | ΣC | 1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by value:coding Binding: ParticipantType (extensible): Role of participant in encounter. | ||||||||
|       type:participantCode | ΣC | 1..1 | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||||||
|        id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|        extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|        coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
|         id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|         extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|         system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||||||
|         version | 0..1 | string | Version of the system - if relevant | |||||||||
|         code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DIS | |||||||||
|         display | 0..1 | string | Representation defined by the system | |||||||||
|         userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||
|        text | 0..1 | string | Plain text representation of the concept | |||||||||
|      period | 0..1 | Period | Period of time during the encounter that the participant participated | |||||||||
|      actor | ΣC | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter | ||||||||
|     participant:referrer | ΣC | 0..* | BackboneElement | List of participants involved in the encounter Constraints: enc-1, enc-2 | ||||||||
|      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 | ||||||||
|      Slices for type | ΣC | 1..* | CodeableConcept | Role of participant in encounter Slice: Unordered, Open by value:coding Binding: ParticipantType (extensible): Role of participant in encounter. | ||||||||
|       type:participantCode | ΣC | 1..1 | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||||||
|        id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|        extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|        coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
|         id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|         extension | 0..* | Extension | Additional content defined by implementations | |||||||||
|         system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||||||
|         version | 0..1 | string | Version of the system - if relevant | |||||||||
|         code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: REF | |||||||||
|         display | 0..1 | string | Representation defined by the system | |||||||||
|         userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||
|        text | 0..1 | string | Plain text representation of the concept | |||||||||
|      period | 0..1 | Period | Period of time during the encounter that the participant participated | |||||||||
|      actor | OΣC | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter 
 | ||||||||
|    appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | ||||||||
|    virtualService | 0..* | VirtualServiceDetail | Connection details of a virtual service (e.g. conference call) | |||||||||
|    actualPeriod | O | 0..1 | Period | The actual start and end time of the encounter 
 | ||||||||
|    plannedStartDate | O | 0..1 | dateTime | The planned start date/time (or admission date) of the encounter 
 | ||||||||
|    plannedEndDate | O | 0..1 | dateTime | The planned end date/time (or discharge date) of the encounter 
 | ||||||||
|    length | 0..1 | Duration | Actual quantity of time the encounter lasted (less time absent) | |||||||||
|    reason | Σ | 0..* | BackboneElement | The list of medical reasons that are expected to be addressed during the episode of care | ||||||||
|     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 | ||||||||
|     use | Σ | 0..* | CodeableConcept | What the reason value should be used for/as Binding: EncounterReasonUse (example) | ||||||||
|     value | Σ | 0..* | CodeableReference(Condition | DiagnosticReport | Observation | ImmunizationRecommendation | Procedure) | Reason the encounter takes place (core or reference) Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | ||||||||
|      id | 0..1 | id | Unique id for inter-element referencing | |||||||||
|      extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|      concept | Σ | 0..1 | CodeableConcept | Reference to a concept (by class) | ||||||||
|      reference | OΣ | 0..1 | Reference() | Reference to a resource (by instance) 
 | ||||||||
|    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 | 0..* | CodeableReference(Condition) | The diagnosis relevant to the encounter Binding: ConditionProblemDiagnosisCodes (example) | ||||||||
|     use | 0..* | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents. | |||||||||
|    account | 0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter | |||||||||
|    dietPreference | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements. | |||||||||
|    specialArrangement | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc Binding: SpecialArrangements (preferred): Special arrangements. | |||||||||
|    specialCourtesy | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies. | |||||||||
|    admission | O | 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 | O | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted. 
 | ||||||||
|     reAdmission | 0..1 | CodeableConcept | Indicates that the patient is being re-admitted Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this admission encounter. | |||||||||
|     destination | O | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged 
 | ||||||||
|     dischargeDisposition | O | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition. 
 | ||||||||
|    location | O | 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 | O | 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. | |||||||||
|     form | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.) Binding: LocationForm (example): Physical form of the location. | |||||||||
|     period | O | 0..1 | Period | Time period during which the patient was present at the location 
 | ||||||||
|  Documentation for this format | ||||||||||||
| Path | Conformance | ValueSet / Code | URI | 
| Encounter.meta.security | extensible | AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labelsFrom the FHIR Standard | |
| Encounter.meta.tag | example | CommonTags http://hl7.org/fhir/ValueSet/common-tagsFrom the FHIR Standard | |
| Encounter.language | required | AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0From the FHIR Standard | |
| Encounter.extension:status-reason.value[x] | example | StatusReasonValueSet http://hl7.org/fhir/ValueSet/status-reason | |
| Encounter.status | required | EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|5.0.0From the FHIR Standard | |
| Encounter.class | preferred | EncounterClass http://terminology.hl7.org/ValueSet/encounter-class | |
| Encounter.priority | preferred | XEncounterAdmissionUrgency http://terminology.hl7.org/ValueSet/v3-xEncounterAdmissionUrgency | |
| Encounter.type | preferred | ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
| Encounter.serviceType | example | ServiceType http://hl7.org/fhir/ValueSet/service-typeFrom the FHIR Standard | |
| Encounter.subjectStatus | example | EncounterSubjectStatus http://hl7.org/fhir/ValueSet/encounter-subject-statusFrom the FHIR Standard | |
| Encounter.participant.type | extensible | ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:admitter.type | extensible | ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:admitter.type:participantCode | extensible | Pattern Value: ADM http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:discharger.type | extensible | ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:discharger.type:participantCode | extensible | Pattern Value: DIS http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:referrer.type | extensible | ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.participant:referrer.type:participantCode | extensible | Pattern Value: REF http://hl7.org/fhir/ValueSet/encounter-participant-typeFrom the FHIR Standard | |
| Encounter.reason.use | example | EncounterReasonUse http://hl7.org/fhir/ValueSet/encounter-reason-useFrom the FHIR Standard | |
| Encounter.reason.value | preferred | EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reasonFrom the FHIR Standard | |
| Encounter.diagnosis.condition | example | ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-codeFrom the FHIR Standard | |
| Encounter.diagnosis.use | preferred | EncounterDiagnosisUse http://hl7.org/fhir/ValueSet/encounter-diagnosis-useFrom the FHIR Standard | |
| Encounter.dietPreference | example | EncounterDiet http://hl7.org/fhir/ValueSet/encounter-dietFrom the FHIR Standard | |
| Encounter.specialArrangement | preferred | SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangementsFrom the FHIR Standard | |
| Encounter.specialCourtesy | preferred | SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesyFrom the FHIR Standard | |
| Encounter.admission.admitSource | preferred | AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-sourceFrom the FHIR Standard | |
| Encounter.admission.reAdmission | example | Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092 | |
| Encounter.admission.dischargeDisposition | example | DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-dispositionFrom the FHIR Standard | |
| Encounter.location.status | required | EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|5.0.0From the FHIR Standard | |
| Encounter.location.form | example | LocationForm http://hl7.org/fhir/ValueSet/location-formFrom the FHIR Standard | 
| Id | Grade | Path(s) | Details | Requirements | 
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()) | |
| enc-1 | error | Encounter.participant, Encounter.participant:admitter, Encounter.participant:discharger, Encounter.participant:referrer | A type must be provided when no explicit actor is specified : actor.exists() or type.exists() | |
| enc-2 | error | Encounter.participant, Encounter.participant:admitter, Encounter.participant:discharger, Encounter.participant:referrer | A type cannot be provided for a patient or group participant : actor.exists(resolve() is Patient or resolve() is Group) implies type.exists().not() | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | 
This structure is derived from EncounterEu
Other representations of profile: CSV, Excel, Schematron