Encounter-daf - FHIR v1.0.0

DSTU2 QA Preview

This page is part of the FHIR Specification (v1.0.0: DSTU 2 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

D.7.0 U.S. Data Access Framework (DAF) Encounter profile

D.7.0.1 Scope and Usage

This profile sets expectations for use of the Encounter resource within the Data Access Framework (DAF) Implementation Guide. This profile identifies which core elements, extensions, vocabularies and value sets must be Supported by DAF actors. For the definition of Supported please refer to DAF FHIR IG. The data elements identified by the profile are based on ONC 2014 Edition S&CC and DAF use cases. The mappings between the ONC 2014 Edition S&CC data elements and DAF data elements are captured in the table below, where the first column identifies the ONC 2014 Edition S&CC data element name, the second column maps the ONC 2014 Edition S&CC data elements to DAF data elements which are derived from ONC 2014 Edition S&CC standards and DAF use cases and lastly the third column identifies the mapping to FHIR resources and attributes.

D.7.0.2 Meaningful Use Data Element Mapping

The DAF Encounter profile mapping to Meaningful Use data elements and FHIR Resources are as shown below.

Meaningful Use Data Element Name	Mapping to Priority DAF Data Elements	FHIR Resource Mapping
Encounter Diagnoses
	Encounter Start/End Time	Encounter.period
	Specific Encounter Type	Encounter.type
	Encounter class	Encounter.class
	Encounter Location	Encounter.location.location
	Encounter Admission and Discharge Dates	Encounter.hospitalization.period
	Performer	Encounter.participant.individual
	Encounter Reason	Encounter.reason

Meaningful Use Data Element Name

Mapping to Priority DAF Data Elements

FHIR Resource Mapping

Encounter Diagnoses

Encounter Start/End Time

Encounter.period

Specific Encounter Type

Encounter.type

Encounter class

Encounter.class

Encounter Location

Encounter.location.location

Encounter Admission and Discharge Dates

Encounter.hospitalization.period

Performer

Encounter.participant.individual

Encounter Reason

Encounter.reason

D.7.0.3 Boundaries and Relationships

This profile relies on the following other profiles:

DAFPatient which defines DAF Patient profile is used by DAFEncounter profile to refer to patients.
FHIR Extensibility defines how extensions can be applied to FHIR resources and data types. Specifically the data-absent-reason extension can be used to code data elements with missing information when appropriate. See DAF FHIR IG for additional guidance.

D.7.0.4 Content

Profiles:
DAF-Encounter	Defines constraints and extensions on the Encounter resource for use in querying and retrieving a patient's encounter related information.

D.7.0.4.1 Search Parameters

The full list of supported search parameters are can be accessed at DAF Requestor conformance expectations and DAF Responder conformance expectations.

D.7.0.4.2 Example Usage Scenarios

The following are example usage scenarios for the DAF Encounter profile:

Query for encounters experienced by a Patient
Query for all encounters during a time period
Query for all encounters based on class(e.g. outpatient,inpatient) and specific encounter reason (e.g diabetes,cancer)
Query for encounters based on location

D.7.0.4.3 Profile specific implementation guidance

There is no additional profile specific implementation guidance, please refer to DAF FHIR IG for implementation guidance common to all profiles.