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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

5.18.8 Resource Encounter - Detailed Descriptions

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.

Control1..1
Alternate NamesVisit
Encounter.identifier
Definition

Identifier(s) by which this encounter is known.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Summarytrue
Encounter.status
Definition

planned | arrived | in-progress | onleave | finished | cancelled.

Control1..1
BindingEncounterState: Required: http://hl7.org/fhir/encounter-state (Current state of the encounter)
Typecode
Is Modifiertrue
Summarytrue
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.

Control0..*
Encounter.statusHistory.status
Definition

planned | arrived | in-progress | onleave | finished | cancelled.

Control1..1
BindingEncounterState: Required: http://hl7.org/fhir/encounter-state (Current state of the encounter)
Typecode
Encounter.statusHistory.period
Definition

The time that the episode was in the specified status.

Control1..1
TypePeriod
Encounter.class
Definition

inpatient | outpatient | ambulatory | emergency +.

Control0..1
BindingEncounterClass: Required: http://hl7.org/fhir/encounter-class (Classification of the encounter)
Typecode
Summarytrue
Encounter.type
Definition

Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).

Control0..*
BindingEncounterType: Example: See http://hl7.org/fhir/vs/encounter-type (The type of encounter)
TypeCodeableConcept
Summarytrue
Comments

Since there are many ways to further classify encounters, this element is 0..*.

Encounter.patient
Definition

The patient present at the encounter.

Control0..1
TypeReference(Patient)
Alternate Namespatient
Summarytrue
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.

Control0..1
TypeReference(EpisodeOfCare)
Summarytrue
Encounter.incomingReferralRequest
Definition

The referral request that this encounter is satisfies (incoming referral).

Control0..*
TypeReference(ReferralRequest)
Encounter.participant
Definition

The main practitioner responsible for providing the service.

Control0..*
Summarytrue
Encounter.participant.type
Definition

Role of participant in encounter.

Control0..*
BindingParticipantType: Required: See http://hl7.org/fhir/vs/encounter-participant-type (Role of participant in encounter)
TypeCodeableConcept
Summarytrue
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.

Control0..1
TypePeriod
Encounter.participant.individual
Definition

Persons involved in the encounter other than the patient.

Control0..1
TypeReference(Practitioner | RelatedPerson)
Summarytrue
Encounter.fulfills
Definition

The appointment that scheduled this encounter.

Control0..1
TypeReference(Appointment)
Summarytrue
Encounter.period
Definition

The start and end time of the encounter.

Control0..1
TypePeriod
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.

Control0..1
TypeDuration
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.

Control0..*
BindingEncounterReason: Example: See http://hl7.org/fhir/vs/encounter-reason (Reason why the encounter takes place)
TypeCodeableConcept
Summarytrue
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.

Control0..*
TypeReference(Any)
Alternate NamesAdmission diagnosis
Encounter.priority
Definition

Indicates the urgency of the encounter.

Control0..1
BindingPriority: Example: See http://hl7.org/fhir/vs/encounter-priority (Indicates the urgency of the encounter)
TypeCodeableConcept
Encounter.hospitalization
Definition

Details about an admission to a clinic.

Control0..1
Encounter.hospitalization.preAdmissionIdentifier
Definition

Pre-admission identifier.

Control0..1
TypeIdentifier
Encounter.hospitalization.origin
Definition

The location from which the patient came before admission.

Control0..1
TypeReference(Location)
Encounter.hospitalization.admitSource
Definition

From where patient was admitted (physician referral, transfer).

Control0..1
BindingAdmitSource: Required: See http://hl7.org/fhir/vs/encounter-admit-source (From where the patient was admitted)
TypeCodeableConcept
Encounter.hospitalization.dietPreference
Definition

Diet preferences reported by the patient.

Control0..1
BindingPatientDiet: Example: See http://hl7.org/fhir/vs/encounter-diet (Medical, cultural or ethical food preferences to help with catering requirements)
TypeCodeableConcept
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).

Control0..*
BindingCourtesies: Required: See http://hl7.org/fhir/vs/encounter-special-courtesy (Special courtesies)
TypeCodeableConcept
Encounter.hospitalization.specialArrangement
Definition

Wheelchair, translator, stretcher, etc.

Control0..*
BindingArrangements: Required: See http://hl7.org/fhir/vs/encounter-special-arrangements (Special arrangements)
TypeCodeableConcept
Encounter.hospitalization.destination
Definition

Location to which the patient is discharged.

Control0..1
TypeReference(Location)
Encounter.hospitalization.dischargeDisposition
Definition

Category or kind of location after discharge.

Control0..1
BindingDischargeDisp: Required: See http://hl7.org/fhir/vs/encounter-discharge-disposition (Discharge Disposition)
TypeCodeableConcept
Encounter.hospitalization.dischargeDiagnosis
Definition

The final diagnosis given a patient before release from the hospital after all testing, surgery, and workup are complete.

Control0..1
TypeReference(Any)
Encounter.hospitalization.reAdmission
Definition

Whether this hospitalization is a readmission.

Control0..1
Typeboolean
To DoNeed a harmonization proposal for this.
Encounter.location
Definition

List of locations at which the patient has been.

Control0..*
Encounter.location.location
Definition

The location where the encounter takes place.

Control1..1
TypeReference(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.

Control0..1
BindingEncounterLocationStatus: Required: http://hl7.org/fhir/encounter-location-status (The status of the location)
Typecode
Encounter.location.period
Definition

Time period during which the patient was present at the location.

Control0..1
TypePeriod
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.

Control0..1
TypeReference(Organization)
Encounter.partOf
Definition

Another Encounter of which this encounter is a part of (administratively or in time).

Control0..1
TypeReference(Encounter)