This page is part of the FHIR Specification (v0.5.0: DSTU 2 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2
Detailed Descriptions for the elements in the Encounter resource.
Encounter | |
Definition | An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient. |
Control | 1..1 |
Alternate Names | Visit |
Encounter.identifier | |
Definition | Identifier(s) by which this encounter is known. |
Note | This is a business identifer, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
Summary | true |
Encounter.status | |
Definition | planned | arrived | in-progress | onleave | finished | cancelled. |
Control | 1..1 |
Binding | EncounterState: Required: http://hl7.org/fhir/encounter-state (Current state of the encounter) |
Type | code |
Is Modifier | true |
Summary | true |
Encounter.statusHistory | |
Definition | The current status is always found in the current version of the resource. This status history permits the encounter resource to contain the status history without the needing to read through the historical versions of the resource, or even have the server store them. |
Control | 0..* |
Encounter.statusHistory.status | |
Definition | planned | arrived | in-progress | onleave | finished | cancelled. |
Control | 1..1 |
Binding | EncounterState: Required: http://hl7.org/fhir/encounter-state (Current state of the encounter) |
Type | code |
Encounter.statusHistory.period | |
Definition | The time that the episode was in the specified status. |
Control | 1..1 |
Type | Period |
Encounter.class | |
Definition | inpatient | outpatient | ambulatory | emergency +. |
Control | 0..1 |
Binding | EncounterClass: Required: http://hl7.org/fhir/encounter-class (Classification of the encounter) |
Type | code |
Summary | true |
Encounter.type | |
Definition | Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation). |
Control | 0..* |
Binding | EncounterType: Example: See http://hl7.org/fhir/vs/encounter-type (The type of encounter) |
Type | CodeableConcept |
Summary | true |
Comments | Since there are many ways to further classify encounters, this element is 0..*. |
Encounter.patient | |
Definition | The patient present at the encounter. |
Control | 0..1 |
Type | Reference(Patient) |
Alternate Names | patient |
Summary | true |
Comments | While the encounter is always about the patient, the patient may not actually be known in all contexts of use. |
Encounter.episodeOfCare | |
Definition | Where a specific encounter should be classified as a part of a specific episode of care this field should be used. This association can facilitate grouping of related encounters together for a specific purpose, such as govt reporting, or issue tracking. |
Control | 0..1 |
Type | Reference(EpisodeOfCare) |
Summary | true |
Encounter.incomingReferralRequest | |
Definition | The referral request that this encounter is satisfies (incoming referral). |
Control | 0..* |
Type | Reference(ReferralRequest) |
Encounter.participant | |
Definition | The main practitioner responsible for providing the service. |
Control | 0..* |
Summary | true |
Encounter.participant.type | |
Definition | Role of participant in encounter. |
Control | 0..* |
Binding | ParticipantType: Required: See http://hl7.org/fhir/vs/encounter-participant-type (Role of participant in encounter) |
Type | CodeableConcept |
Summary | true |
Comments | The Participant Type indicates how an individual parcitipates in an encounter. It includes non practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the Practitioner Roles which are functional roles, derived from terms of employment, education, licensing, etc. |
Encounter.participant.period | |
Definition | The period of time that the specified participant was present during the encounter. These can overlap or be sub-sets of the overall encounters period. |
Control | 0..1 |
Type | Period |
Encounter.participant.individual | |
Definition | Persons involved in the encounter other than the patient. |
Control | 0..1 |
Type | Reference(Practitioner | RelatedPerson) |
Summary | true |
Encounter.fulfills | |
Definition | The appointment that scheduled this encounter. |
Control | 0..1 |
Type | Reference(Appointment) |
Summary | true |
Encounter.period | |
Definition | The start and end time of the encounter. |
Control | 0..1 |
Type | Period |
Comments | If not (yet) known, the end of the Period may be omitted. |
Encounter.length | |
Definition | Quantity of time the encounter lasted. This excludes the time during leaves of absence. |
Control | 0..1 |
Type | Duration |
Comments | May differ from the time the Encounter.period lasted because of leave of absence. |
Encounter.reason | |
Definition | Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis. |
Control | 0..* |
Binding | EncounterReason: Example: See http://hl7.org/fhir/vs/encounter-reason (Reason why the encounter takes place) |
Type | CodeableConcept |
Summary | true |
Encounter.indication | |
Definition | Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure. |
Control | 0..* |
Type | Reference(Any) |
Alternate Names | Admission diagnosis |
Encounter.priority | |
Definition | Indicates the urgency of the encounter. |
Control | 0..1 |
Binding | Priority: Example: See http://hl7.org/fhir/vs/encounter-priority (Indicates the urgency of the encounter) |
Type | CodeableConcept |
Encounter.hospitalization | |
Definition | Details about an admission to a clinic. |
Control | 0..1 |
Encounter.hospitalization.preAdmissionIdentifier | |
Definition | Pre-admission identifier. |
Control | 0..1 |
Type | Identifier |
Encounter.hospitalization.origin | |
Definition | The location from which the patient came before admission. |
Control | 0..1 |
Type | Reference(Location) |
Encounter.hospitalization.admitSource | |
Definition | From where patient was admitted (physician referral, transfer). |
Control | 0..1 |
Binding | AdmitSource: Required: See http://hl7.org/fhir/vs/encounter-admit-source (From where the patient was admitted) |
Type | CodeableConcept |
Encounter.hospitalization.dietPreference | |
Definition | Diet preferences reported by the patient. |
Control | 0..1 |
Binding | PatientDiet: Example: See http://hl7.org/fhir/vs/encounter-diet (Medical, cultural or ethical food preferences to help with catering requirements) |
Type | CodeableConcept |
Requirements | Used to track patient's diet restrictions and/or preference. For a complete description of the nutrition needs of a patient during their stay, one should use the nutritionOrder resource which links to Encounter. |
Encounter.hospitalization.specialCourtesy | |
Definition | Special courtesies (VIP, board member). |
Control | 0..* |
Binding | Courtesies: Required: See http://hl7.org/fhir/vs/encounter-special-courtesy (Special courtesies) |
Type | CodeableConcept |
Encounter.hospitalization.specialArrangement | |
Definition | Wheelchair, translator, stretcher, etc. |
Control | 0..* |
Binding | Arrangements: Required: See http://hl7.org/fhir/vs/encounter-special-arrangements (Special arrangements) |
Type | CodeableConcept |
Encounter.hospitalization.destination | |
Definition | Location to which the patient is discharged. |
Control | 0..1 |
Type | Reference(Location) |
Encounter.hospitalization.dischargeDisposition | |
Definition | Category or kind of location after discharge. |
Control | 0..1 |
Binding | DischargeDisp: Required: See http://hl7.org/fhir/vs/encounter-discharge-disposition (Discharge Disposition) |
Type | CodeableConcept |
Encounter.hospitalization.dischargeDiagnosis | |
Definition | The final diagnosis given a patient before release from the hospital after all testing, surgery, and workup are complete. |
Control | 0..1 |
Type | Reference(Any) |
Encounter.hospitalization.reAdmission | |
Definition | Whether this hospitalization is a readmission. |
Control | 0..1 |
Type | boolean |
To Do | Need a harmonization proposal for this. |
Encounter.location | |
Definition | List of locations at which the patient has been. |
Control | 0..* |
Encounter.location.location | |
Definition | The location where the encounter takes place. |
Control | 1..1 |
Type | Reference(Location) |
Encounter.location.status | |
Definition | The status of the participants presence at the specified location during the period specified. If the participant is is no longer at the location, then the period will have an end date/time. |
Control | 0..1 |
Binding | EncounterLocationStatus: Required: http://hl7.org/fhir/encounter-location-status (The status of the location) |
Type | code |
Encounter.location.period | |
Definition | Time period during which the patient was present at the location. |
Control | 0..1 |
Type | Period |
Encounter.serviceProvider | |
Definition | An organization that is in charge of maintaining the information of this Encounter (e.g., who maintains the report or the master service catalog item, etc.). This MAY be the same as the organization on the Patient record, however it could be different. This MAY not be not the Service Delivery Location's Organization. |
Control | 0..1 |
Type | Reference(Organization) |
Encounter.partOf | |
Definition | Another Encounter of which this encounter is a part of (administratively or in time). |
Control | 0..1 |
Type | Reference(Encounter) |