STU 3 Candidate
This page is part of the FHIR Specification (v1.4.0: STU 3 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 
StructureDefinition for The HSPC Outpatient Encounter profile, specifically for outpatient class of encounter
{
"resourceType": "StructureDefinition",
"id": "hspc-opencounter",
"text": {
"status": "generated",
"div": "<div>!-- Snipped for Brevity --></div>"
},
"url": "http://hl7.org/fhir/StructureDefinition/hspc-opencounter",
"name": "HSPC-Outpatient Encounter",
"status": "draft",
"publisher": "HSPC",
"contact": [
{
"telecom": [
{
"system": "other",
"value": "http://healthcaresoa.org"
}
]
}
],
"date": "2015-12-30",
"description": "The HSPC Outpatient Encounter profile, specifically for outpatient class of encounter",
"fhirVersion": "1.4.0",
"mapping": [
{
"identity": "qdm",
"uri": "http://www.healthit.gov/quality-data-model",
"name": "Quality Data Model"
}
],
"kind": "resource",
"abstract": false,
"baseType": "Encounter",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/qicore-encounter",
"derivation": "constraint",
"snapshot": {
"element": [
{
"path": "Encounter",
"name": "HSPC-opencounter",
"short": "An interaction during which services are provided to the patient",
"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.",
"alias": [
"Visit"
],
"min": 0,
"max": "*",
"base": {
"path": "Encounter",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Encounter"
}
],
"mapping": [
{
"identity": "rim",
"map": "Encounter[moodCode=EVN]"
},
{
"identity": "w5",
"map": "workflow.encounter"
},
{
"identity": "qdm",
"map": "Encounter, Active or Performed"
},
{
"identity": "qdm",
"map": "Patient Characteristic"
}
]
},
{
"path": "Encounter.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comments": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "*"
},
"type": [
{
"code": "id"
}
],
"isSummary": true
},
{
"path": "Encounter.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Meta"
}
],
"isSummary": true
},
{
"path": "Encounter.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
"comments": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "*"
},
"type": [
{
"code": "uri"
}
],
"isModifier": true,
"isSummary": true
},
{
"path": "Encounter.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comments": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "*"
},
"type": [
{
"code": "code"
}
],
"binding": {
"strength": "required",
"description": "A human language.",
"valueSetUri": "http://tools.ietf.org/html/bcp47"
}
},
{
"path": "Encounter.text",
"short": "Text summary of the resource, for human interpretation",
"definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
"alias": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.text",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Narrative"
}
],
"condition": [
"dom-1"
],
"mapping": [
{
"identity": "rim",
"map": "Act.text?"
}
]
},
{
"path": "Encounter.contained",
"short": "Contained, inline Resources",
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comments": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"alias": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.contained",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Resource"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Encounter.extension",
"slicing": {
"discriminator": [
"url"
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"path": "Encounter.extension",
"name": "Encounter.relatedCondition",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/encounter-relatedCondition"
]
}
],
"mapping": [
{
"identity": "qdm",
"map": "Encounter.RelatedCondition comes indirectly from Diagnosis, Active: Ordinality in QDM. However, ordinality should be in the context of an encounter, which is why we added it to Encounter. Instead of ordinality, we added conditionRole, which is more expressive, and can take values such as primary, secondary, dischange, admission."
}
]
},
{
"path": "Encounter.extension",
"slicing": {
"discriminator": [
"url"
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"path": "Encounter.extension",
"slicing": {
"discriminator": [
"url"
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"path": "Encounter.extension",
"slicing": {
"discriminator": [
"url"
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"path": "Encounter.extension",
"slicing": {
"discriminator": [
"url"
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"path": "Encounter.extension",
"slicing": {
"discriminator": [
"url"
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"path": "Encounter.extension",
"slicing": {
"discriminator": [
"url"
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"path": "Encounter.extension",
"slicing": {
"discriminator": [
"url"
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"path": "Encounter.extension",
"slicing": {
"discriminator": [
"url"
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
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]
},
{
"path": "Encounter.extension",
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"url"
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"path": "Encounter.extension",
"slicing": {
"discriminator": [
"url"
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"path": "Encounter.extension",
"slicing": {
"discriminator": [
"url"
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
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]
},
{
"path": "Encounter.extension",
"slicing": {
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"url"
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
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]
},
{
"path": "Encounter.extension",
"slicing": {
"discriminator": [
"url"
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
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]
},
{
"path": "Encounter.extension",
"slicing": {
"discriminator": [
"url"
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
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]
},
{
"path": "Encounter.extension",
"slicing": {
"discriminator": [
"url"
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"path": "Encounter.extension",
"slicing": {
"discriminator": [
"url"
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"path": "Encounter.extension",
"name": "Encounter.reasonCancelled",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/encounter-reasonCancelled"
]
}
],
"binding": {
"strength": "example",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/qicore-encounter-canceled-reason"
}
},
"mapping": [
{
"identity": "qdm",
"map": "negation rationale"
}
]
},
{
"path": "Encounter.extension",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-extensionsconfidentiality"
]
}
],
"binding": {
"strength": "preferred",
"description": "The set of values that describe the level of confidentiality for the patient encounter.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v2-0907"
}
}
},
{
"path": "Encounter.extension",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-hospitalService"
]
}
],
"binding": {
"strength": "preferred",
"description": "The particular healthcare specialty or care group responsible for the care of the patient during the encounter",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-practitioner-providerPractitionerSpecialty"
}
}
},
{
"path": "Encounter.extension",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-VipLevel"
]
}
],
"binding": {
"strength": "preferred",
"description": "A set of codes that describe the sensitivity level of a patient's information",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-hspc-viplevel"
}
}
},
{
"path": "Encounter.extension",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-AmbulatoryStatus"
]
}
],
"binding": {
"strength": "preferred",
"description": "The codes that describe a patient's current level of ability to ambulate.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v2-0009"
}
}
},
{
"path": "Encounter.extension",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-TransportationMode"
]
}
],
"binding": {
"strength": "preferred",
"description": "A set of codes that describe various means of transportation used to leave a location",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-departureTransportMode"
}
}
},
{
"path": "Encounter.extension",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-TransportationMode"
]
}
],
"binding": {
"strength": "preferred",
"description": "A set of codes that describe various means of transportation used to arrive at a location",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-arrivalTransportMode"
}
}
},
{
"path": "Encounter.extension",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-AdmitMedicationId"
]
}
]
},
{
"path": "Encounter.extension",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-DischargeMedicationId"
]
}
]
},
{
"path": "Encounter.extension",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-AdministrativeEncounterId"
]
}
]
},
{
"path": "Encounter.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Encounter.identifier",
"short": "Identifier(s) by which this encounter is known",
"definition": "Identifier(s) by which this encounter is known.",
"min": 0,
"max": "*",
"base": {
"path": "Encounter.identifier",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "PV1-19"
},
{
"identity": "rim",
"map": ".id"
},
{
"identity": "w5",
"map": "id"
}
]
},
{
"path": "Encounter.status",
"short": "planned | arrived | in-progress | onleave | finished | cancelled",
"definition": "planned | arrived | in-progress | onleave | finished | cancelled.",
"min": 1,
"max": "1",
"base": {
"path": "Encounter.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mustSupport": true,
"isModifier": true,
"isSummary": true,
"binding": {
"strength": "required",
"description": "Current state of the encounter",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/encounter-state"
}
},
"mapping": [
{
"identity": "v2",
"map": "No clear equivalent in HL7 v2; active/finished could be inferred from PV1-44, PV1-45, PV2-24; inactive could be inferred from PV2-16"
},
{
"identity": "rim",
"map": ".statusCode"
},
{
"identity": "w5",
"map": "status"
}
]
},
{
"path": "Encounter.statusHistory",
"short": "List of past encounter statuses",
"definition": "The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.",
"comments": "The current status is always found in the current version of the resource, not the status history.",
"min": 0,
"max": "*",
"base": {
"path": "Encounter.statusHistory",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
]
},
{
"path": "Encounter.statusHistory.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references).",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "*"
},
"type": [
{
"code": "id"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Encounter.statusHistory.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Encounter.statusHistory.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Encounter.statusHistory.status",
"short": "planned | arrived | in-progress | onleave | finished | cancelled",
"definition": "planned | arrived | in-progress | onleave | finished | cancelled.",
"min": 1,
"max": "1",
"base": {
"path": "Encounter.statusHistory.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"binding": {
"strength": "required",
"description": "Current state of the encounter",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/encounter-state"
}
}
},
{
"path": "Encounter.statusHistory.period",
"short": "The time that the episode was in the specified status",
"definition": "The time that the episode was in the specified status.",
"min": 1,
"max": "1",
"base": {
"path": "Encounter.statusHistory.period",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Period"
}
]
},
{
"path": "Encounter.class",
"short": "inpatient | outpatient | ambulatory | emergency +",
"definition": "inpatient | outpatient | ambulatory | emergency +.",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.class",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"fixedCode": "outpatient",
"mustSupport": true,
"isSummary": true,
"binding": {
"strength": "required",
"description": "Classification of the encounter",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/encounter-class"
}
},
"mapping": [
{
"identity": "v2",
"map": "PV1-2"
},
{
"identity": "rim",
"map": ".inboundRelationship[typeCode=SUBJ].source[classCode=LIST].code"
},
{
"identity": "w5",
"map": "class"
}
]
},
{
"path": "Encounter.type",
"short": "Specific type of encounter",
"definition": "Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).",
"comments": "Since there are many ways to further classify encounters, this element is 0..*.",
"min": 0,
"max": "*",
"base": {
"path": "Encounter.type",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mustSupport": true,
"isSummary": true,
"binding": {
"strength": "preferred",
"description": "Encounter Type Value set to describe the type of encounter",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/daf-encounter-type"
}
},
"mapping": [
{
"identity": "v2",
"map": "PV1-4 / PV1-18"
},
{
"identity": "rim",
"map": ".code"
},
{
"identity": "w5",
"map": "class"
},
{
"identity": "qdm",
"map": "primary code"
}
]
},
{
"path": "Encounter.priority",
"short": "Indicates the urgency of the encounter",
"definition": "Indicates the urgency of the encounter.",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.priority",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "preferred",
"description": "The priority level of the encounter",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-encounterPriority"
}
},
"mapping": [
{
"identity": "v2",
"map": "PV2-25"
},
{
"identity": "rim",
"map": ".priorityCode"
},
{
"identity": "w5",
"map": "grade"
}
]
},
{
"path": "Encounter.patient",
"short": "The patient present at the encounter",
"definition": "The patient present at the encounter.",
"comments": "While the encounter is always about the patient, the patient may not actually be known in all contexts of use.",
"alias": [
"patient"
],
"min": 0,
"max": "1",
"base": {
"path": "Encounter.patient",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-patient"
]
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "PID-3"
},
{
"identity": "rim",
"map": ".participation[typeCode=SBJ]/role[classCode=PAT]"
},
{
"identity": "w5",
"map": "who.focus"
}
]
},
{
"path": "Encounter.episodeOfCare",
"short": "Episode(s) of care that this encounter should be recorded against",
"definition": "Where a specific encounter should be classified as a part of a specific episode(s) of care this field should be used. This association can facilitate grouping of related encounters together for a specific purpose, such as government reporting, issue tracking, association via a common problem. The association is recorded on the encounter as these are typically created after the episode of care, and grouped on entry rather than editing the episode of care to append another encounter to it (the episode of care could span years).",
"min": 0,
"max": "*",
"base": {
"path": "Encounter.episodeOfCare",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"
]
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "PV1-54, PV1-53"
},
{
"identity": "w5",
"map": "context"
}
]
},
{
"path": "Encounter.incomingReferral",
"short": "The ReferralRequest that initiated this encounter",
"definition": "The referral request this encounter satisfies (incoming referral).",
"min": 0,
"max": "*",
"base": {
"path": "Encounter.incomingReferral",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-referralrequest"
]
}
]
},
{
"path": "Encounter.participant",
"short": "List of participants involved in the encounter",
"definition": "The list of people responsible for providing the service.",
"min": 0,
"max": "*",
"base": {
"path": "Encounter.participant",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "ROL"
},
{
"identity": "rim",
"map": ".participation[typeCode=PFM]"
}
]
},
{
"path": "Encounter.participant.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references).",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "*"
},
"type": [
{
"code": "id"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Encounter.participant.extension",
"name": "ProviderService",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-ProviderService"
]
}
],
"binding": {
"strength": "preferred",
"description": "The codes that represent the particular specialty or practice group that a provider is affiliated with for the given encounter",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-practitioner-providerPractitionerSpecialty"
}
}
},
{
"path": "Encounter.participant.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Encounter.participant.type",
"short": "Role of participant in encounter",
"definition": "Role of participant in encounter.",
"comments": "The participant type indicates how an individual partitipates 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.",
"min": 0,
"max": "*",
"base": {
"path": "Encounter.participant.type",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true,
"binding": {
"strength": "preferred",
"description": "A set of codes that are used to describe how an entity participates in an encounter",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v3-ParticipationType"
}
},
"mapping": [
{
"identity": "v2",
"map": "ROL-3 (or maybe PRT-4)"
},
{
"identity": "rim",
"map": ".functionCode"
}
]
},
{
"path": "Encounter.participant.period",
"short": "Period of time during the encounter participant was present",
"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.",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.participant.period",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Period"
}
],
"mapping": [
{
"identity": "v2",
"map": "ROL-5, ROL-6 (or maybe PRT-5)"
}
]
},
{
"path": "Encounter.participant.individual",
"short": "Persons involved in the encounter other than the patient",
"definition": "Persons involved in the encounter other than the patient.",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.participant.individual",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-practitioner"
]
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-relatedperson"
]
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "ROL-4"
},
{
"identity": "rim",
"map": ".role"
},
{
"identity": "w5",
"map": "who"
}
]
},
{
"path": "Encounter.appointment",
"short": "The appointment that scheduled this encounter",
"definition": "The appointment that scheduled this encounter.",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.appointment",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Appointment"
]
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "SCH-1 / SCH-2"
},
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=FLFS].target[classCode=ENC, moodCode=APT]"
}
]
},
{
"path": "Encounter.period",
"short": "The start and end time of the encounter",
"definition": "The start and end time of the encounter.",
"comments": "If not (yet) known, the end of the Period may be omitted.",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.period",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Period"
}
],
"mustSupport": true,
"mapping": [
{
"identity": "v2",
"map": "PV1-44, PV1-45"
},
{
"identity": "rim",
"map": ".effectiveTime (low & high)"
},
{
"identity": "w5",
"map": "when.done"
}
]
},
{
"path": "Encounter.length",
"name": "LengthOfStay",
"short": "Quantity of time the encounter lasted (less time absent)",
"definition": "Quantity of time the encounter lasted. This excludes the time during leaves of absence.",
"comments": "May differ from the time the Encounter.period lasted because of leave of absence.",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.length",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Duration"
]
}
],
"mustSupport": true,
"mapping": [
{
"identity": "v2",
"map": "(PV1-45 less PV1-44) iff ( (PV1-44 not empty) and (PV1-45 not empty) ); units in minutes"
},
{
"identity": "rim",
"map": ".lengthOfStayQuantity"
},
{
"identity": "qdm",
"map": "length of stay"
}
]
},
{
"path": "Encounter.length.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references).",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "*"
},
"type": [
{
"code": "id"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Encounter.length.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Encounter.length.value",
"short": "Numerical value (with implicit precision)",
"definition": "The value of the measured amount. The value includes an implicit precision in the presentation of the value.",
"comments": "The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).",
"requirements": "Precision is handled implicitly in almost all cases of measurement.",
"min": 0,
"max": "1",
"base": {
"path": "Quantity.value",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "SN.2 / CQ - N/A"
},
{
"identity": "rim",
"map": "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
}
]
},
{
"path": "Encounter.length.comparator",
"short": "< | <= | >= | > - how to understand the value",
"definition": "How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value.",
"comments": "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value.",
"requirements": "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.",
"min": 0,
"max": "1",
"base": {
"path": "Quantity.comparator",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"meaningWhenMissing": "If there is no comparator, then there is no modification of the value",
"isModifier": true,
"isSummary": true,
"binding": {
"strength": "required",
"description": "How the Quantity should be understood and represented.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/quantity-comparator"
}
},
"mapping": [
{
"identity": "v2",
"map": "SN.1 / CQ.1"
},
{
"identity": "rim",
"map": "IVL properties"
}
]
},
{
"path": "Encounter.length.unit",
"short": "Unit representation",
"definition": "A human-readable form of the unit.",
"requirements": "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.",
"min": 0,
"max": "1",
"base": {
"path": "Quantity.unit",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "(see OBX.6 etc.) / CQ.2"
},
{
"identity": "rim",
"map": "PQ.unit"
}
]
},
{
"path": "Encounter.length.system",
"short": "System that defines coded unit form",
"definition": "The identification of the system that provides the coded form of the unit.",
"requirements": "Need to know the system that defines the coded form of the unit.",
"min": 0,
"max": "1",
"base": {
"path": "Quantity.system",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "http://unitsofmeasure.org",
"condition": [
"qty-3"
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "(see OBX.6 etc.) / CQ.2"
},
{
"identity": "rim",
"map": "CO.codeSystem, PQ.translation.codeSystem"
}
]
},
{
"path": "Encounter.length.code",
"short": "Coded form of the unit",
"definition": "A computer processable form of the unit in some unit representation system.",
"comments": "The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.",
"requirements": "Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.",
"min": 0,
"max": "1",
"base": {
"path": "Quantity.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"fixedCode": "d",
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "(see OBX.6 etc.) / CQ.2"
},
{
"identity": "rim",
"map": "PQ.code, MO.currency, PQ.translation.code"
}
]
},
{
"path": "Encounter.reason",
"short": "Reason the encounter takes place (code)",
"definition": "Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.",
"comments": "For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).",
"alias": [
"Indication",
"Admission diagnosis"
],
"min": 0,
"max": "*",
"base": {
"path": "Encounter.reason",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mustSupport": true,
"isSummary": true,
"binding": {
"strength": "example",
"description": "A set of codes that describe why an act was performed",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-encounterReason"
}
},
"mapping": [
{
"identity": "v2",
"map": "EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )"
},
{
"identity": "rim",
"map": ".reasonCode"
},
{
"identity": "w5",
"map": "why"
},
{
"identity": "qdm",
"map": "reason"
}
]
},
{
"path": "Encounter.indication",
"name": "VisitDiagnosis",
"short": "Reason the encounter takes place (resource)",
"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.",
"comments": "For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).",
"alias": [
"Admission diagnosis"
],
"min": 0,
"max": "*",
"base": {
"path": "Encounter.indication",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-condition"
]
}
],
"mapping": [
{
"identity": "v2",
"map": "Resources that would commonly referenced at Encounter.indication would be Condition and/or Procedure. These most closely align with DG1/PRB and PR1 respectively."
},
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=RSON].target"
},
{
"identity": "w5",
"map": "why"
}
]
},
{
"path": "Encounter.indication.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comments": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "*"
},
"type": [
{
"code": "id"
}
],
"isSummary": true
},
{
"path": "Encounter.indication.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Meta"
}
],
"isSummary": true
},
{
"path": "Encounter.indication.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
"comments": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "*"
},
"type": [
{
"code": "uri"
}
],
"isModifier": true,
"isSummary": true
},
{
"path": "Encounter.indication.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comments": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "*"
},
"type": [
{
"code": "code"
}
],
"binding": {
"strength": "required",
"description": "A human language.",
"valueSetUri": "http://tools.ietf.org/html/bcp47"
}
},
{
"path": "Encounter.indication.text",
"short": "Text summary of the resource, for human interpretation",
"definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
"alias": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.text",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Narrative"
}
],
"condition": [
"dom-1"
],
"mapping": [
{
"identity": "rim",
"map": "Act.text?"
}
]
},
{
"path": "Encounter.indication.contained",
"short": "Contained, inline Resources",
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comments": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"alias": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.contained",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Resource"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Encounter.indication.extension",
"slicing": {
"discriminator": [
"url"
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"path": "Encounter.indication.extension",
"name": "criticality",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/condition-criticality"
]
}
],
"binding": {
"strength": "example",
"description": "Indicates the potential impact of the condition",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/qicore-condition-criticality"
}
},
"mapping": [
{
"identity": "qidam",
"map": "ManifestedSymptom.criticality"
}
]
},
{
"path": "Encounter.indication.extension",
"name": "bodySiteInstance",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-bodysite"
]
}
],
"mustSupport": true
},
{
"path": "Encounter.indication.extension",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-extensionsprimaryIndicator"
]
}
],
"binding": {
"strength": "preferred",
"description": "The set of values to indicate affirmative or negative",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v2-0136"
}
}
},
{
"path": "Encounter.indication.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Encounter.indication.identifier",
"short": "External Ids for this condition",
"definition": "This records identifiers associated with this condition that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).",
"requirements": "Need to allow connection to a wider workflow.",
"min": 0,
"max": "*",
"base": {
"path": "Condition.identifier",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".id"
},
{
"identity": "w5",
"map": "id"
}
]
},
{
"path": "Encounter.indication.patient",
"short": "Who has the condition?",
"definition": "Indicates the patient who the condition record is associated with.",
"min": 1,
"max": "1",
"base": {
"path": "Condition.patient",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-patient"
]
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "PID-3"
},
{
"identity": "rim",
"map": ".participation[typeCode=SBJ].role[classCode=PAT]"
},
{
"identity": "w5",
"map": "who.focus"
}
]
},
{
"path": "Encounter.indication.encounter",
"short": "Encounter when condition first asserted",
"definition": "Encounter during which the condition was first asserted.",
"comments": "This record indicates the encounter this particular record is associated with. In the case of a \"new\" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first \"known\".",
"min": 0,
"max": "1",
"base": {
"path": "Condition.encounter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-encounter"
]
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "PV1-19 (+PV1-54)"
},
{
"identity": "rim",
"map": ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
},
{
"identity": "w5",
"map": "context"
}
]
},
{
"path": "Encounter.indication.asserter",
"short": "Person who asserts this condition",
"definition": "Individual who is making the condition statement.",
"min": 0,
"max": "1",
"base": {
"path": "Condition.asserter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-patient"
]
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-practitioner"
]
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "REL-7.1 identifier + REL-7.12 type code"
},
{
"identity": "rim",
"map": ".participation[typeCode=AUT].role"
},
{
"identity": "w5",
"map": "who.author"
}
]
},
{
"path": "Encounter.indication.dateRecorded",
"short": "When first entered",
"definition": "A date, when the Condition statement was documented.",
"comments": "The Date Recorded represents the date when this particular Condition record was created in the EHR, not the date of the most recent update in terms of when severity, abatement, etc. were specified. Â The date of the last record modification can be retrieved from the resource metadata.",
"min": 0,
"max": "1",
"base": {
"path": "Condition.dateRecorded",
"min": 0,
"max": "1"
},
"type": [
{
"code": "date"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "REL-11"
},
{
"identity": "rim",
"map": ".participation[typeCode=AUT].time"
},
{
"identity": "w5",
"map": "when.recorded"
}
]
},
{
"path": "Encounter.indication.code",
"short": "Identification of the condition, problem or diagnosis",
"definition": "Identification of the condition, problem or diagnosis.",
"min": 1,
"max": "1",
"base": {
"path": "Condition.code",
"min": 1,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mustSupport": true,
"isSummary": true,
"binding": {
"strength": "preferred",
"description": "The code for the condition",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/daf-problem"
}
},
"mapping": [
{
"identity": "v2",
"map": "PRB-3"
},
{
"identity": "rim",
"map": ".value"
},
{
"identity": "w5",
"map": "what"
},
{
"identity": "qdm",
"map": "primary code"
}
]
},
{
"path": "Encounter.indication.category",
"short": "complaint | symptom | finding | diagnosis",
"definition": "A category assigned to the condition.",
"comments": "The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.",
"min": 0,
"max": "1",
"base": {
"path": "Condition.category",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mustSupport": true,
"isSummary": true,
"binding": {
"strength": "preferred",
"description": "A category assigned to the condition.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/condition-category"
}
},
"mapping": [
{
"identity": "v2",
"map": "'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message"
},
{
"identity": "rim",
"map": ".code"
},
{
"identity": "w5",
"map": "class"
}
]
},
{
"path": "Encounter.indication.clinicalStatus",
"short": "active | relapse | remission | resolved",
"definition": "The clinical status of the condition.",
"min": 0,
"max": "1",
"base": {
"path": "Condition.clinicalStatus",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mustSupport": true,
"isModifier": true,
"isSummary": true,
"binding": {
"strength": "preferred",
"description": "The clinical status of the condition or diagnosis.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/condition-clinical"
}
},
"mapping": [
{
"identity": "v2",
"map": "PRB-14 / DG1-6"
},
{
"identity": "w5",
"map": "status"
}
]
},
{
"path": "Encounter.indication.verificationStatus",
"short": "provisional | differential | confirmed | refuted | entered-in-error | unknown",
"definition": "The verification status to support the clinical status of the condition.",
"min": 1,
"max": "1",
"base": {
"path": "Condition.verificationStatus",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"isModifier": true,
"isSummary": true,
"binding": {
"strength": "required",
"description": "The verification status to support or decline the clinical status of the condition or diagnosis.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/condition-ver-status"
}
},
"mapping": [
{
"identity": "v2",
"map": "PRB-13"
},
{
"identity": "rim",
"map": ".code (pre or post-coordinated in) Can use valueNegationInd for refuted"
},
{
"identity": "w5",
"map": "status"
}
]
},
{
"path": "Encounter.indication.severity",
"short": "Subjective severity of condition",
"definition": "A subjective assessment of the severity of the condition as evaluated by the clinician.",
"comments": "Coding of the severity with a terminology is preferred, where possible.",
"min": 0,
"max": "1",
"base": {
"path": "Condition.severity",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mustSupport": true,
"isSummary": true,
"binding": {
"strength": "preferred",
"description": "A subjective assessment of the severity of the condition as evaluated by the clinician.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/condition-severity"
}
},
"mapping": [
{
"identity": "v2",
"map": "PRB-26 / ABS-3"
},
{
"identity": "rim",
"map": "Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"severity\"].value"
},
{
"identity": "w5",
"map": "grade"
},
{
"identity": "qdm",
"map": "severity"
}
]
},
{
"path": "Encounter.indication.onset[x]",
"short": "Estimated or actual date, date-time, or age",
"definition": "Estimated or actual date or date-time the condition began, in the opinion of the clinician.",
"comments": "Age is generally used when the patient reports an age at which the Condition began to occur.",
"min": 0,
"max": "1",
"base": {
"path": "Condition.onset[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
},
{
"code": "Quantity",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Age"
]
},
{
"code": "Period"
},
{
"code": "Range"
},
{
"code": "string"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "PRB-16"
},
{
"identity": "rim",
"map": ".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at onset\"].value"
},
{
"identity": "w5",
"map": "when.init"
},
{
"identity": "qdm",
"map": "start datetime"
}
]
},
{
"path": "Encounter.indication.abatement[x]",
"short": "If/when in resolution/remission",
"definition": "The date or estimated date that the condition resolved or went into remission. This is called \"abatement\" because of the many overloaded connotations associated with \"remission\" or \"resolution\" - Conditions are never really resolved, but they can abate.",
"comments": "There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid.",
"min": 0,
"max": "1",
"base": {
"path": "Condition.abatement[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
},
{
"code": "Quantity",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Age"
]
},
{
"code": "boolean"
},
{
"code": "Period"
},
{
"code": "Range"
},
{
"code": "string"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at remission\"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed"
},
{
"identity": "w5",
"map": "when.done"
},
{
"identity": "qdm",
"map": "stop datetime"
}
]
},
{
"path": "Encounter.indication.stage",
"short": "Stage/grade, usually assessed formally",
"definition": "Clinical stage or grade of a condition. May include formal severity assessments.",
"min": 0,
"max": "1",
"base": {
"path": "Condition.stage",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "con-1",
"severity": "error",
"human": "Stage SHALL have summary or assessment",
"expression": "summary or assessment",
"xpath": "exists(f:summary) or exists(f:assessment)"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"stage/grade\"]"
}
]
},
{
"path": "Encounter.indication.stage.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references).",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "*"
},
"type": [
{
"code": "id"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Encounter.indication.stage.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Encounter.indication.stage.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Encounter.indication.stage.summary",
"short": "Simple summary (disease specific)",
"definition": "A simple summary of the stage such as \"Stage 3\". The determination of the stage is disease-specific.",
"min": 0,
"max": "1",
"base": {
"path": "Condition.stage.summary",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"condition": [
"con-1"
],
"mustSupport": true,
"isSummary": true,
"binding": {
"strength": "example",
"description": "Codes describing condition stages (e.g. Cancer stages).",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/condition-stage"
}
},
"mapping": [
{
"identity": "v2",
"map": "PRB-14"
},
{
"identity": "rim",
"map": ".value"
}
]
},
{
"path": "Encounter.indication.stage.assessment",
"short": "Formal record of assessment",
"definition": "Reference to a formal record of the evidence on which the staging assessment is based.",
"min": 0,
"max": "*",
"base": {
"path": "Condition.stage.assessment",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/ClinicalImpression"
]
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
]
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Observation"
]
}
],
"condition": [
"con-1"
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".self"
}
]
},
{
"path": "Encounter.indication.evidence",
"short": "Supporting evidence",
"definition": "Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed.",
"comments": "The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.",
"min": 0,
"max": "*",
"base": {
"path": "Condition.evidence",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "con-2",
"severity": "error",
"human": "evidence SHALL have code or details",
"expression": "code or detail",
"xpath": "exists(f:code) or exists(f:detail)"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]"
}
]
},
{
"path": "Encounter.indication.evidence.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references).",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "*"
},
"type": [
{
"code": "id"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Encounter.indication.evidence.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Encounter.indication.evidence.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Encounter.indication.evidence.code",
"short": "Manifestation/symptom",
"definition": "A manifestation or symptom that led to the recording of this condition.",
"min": 0,
"max": "1",
"base": {
"path": "Condition.evidence.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"condition": [
"con-2"
],
"isSummary": true,
"binding": {
"strength": "example",
"description": "Codes that describe the manifestation or symptoms of a condition.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/manifestation-or-symptom"
}
},
"mapping": [
{
"identity": "rim",
"map": "[code=\"diagnosis\"].value"
}
]
},
{
"path": "Encounter.indication.evidence.detail",
"short": "Supporting information found elsewhere",
"definition": "Links to other relevant information, including pathology reports.",
"min": 0,
"max": "*",
"base": {
"path": "Condition.evidence.detail",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Resource"
]
}
],
"condition": [
"con-2"
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".self"
}
]
},
{
"path": "Encounter.indication.bodySite",
"short": "Anatomical location, if relevant",
"definition": "The anatomical location where this condition manifests itself.",
"comments": "May be a summary code, or a reference to a very precise definition of the location, or both.",
"min": 0,
"max": "*",
"base": {
"path": "Condition.bodySite",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mustSupport": true,
"isSummary": true,
"binding": {
"strength": "example",
"description": "Codes describing anatomical locations. May include laterality.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/body-site"
}
},
"mapping": [
{
"identity": "rim",
"map": ".targetBodySiteCode"
},
{
"identity": "qdm",
"map": "anatomical location site and laterality"
}
]
},
{
"path": "Encounter.indication.notes",
"short": "Additional information about the Condition",
"definition": "Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.",
"min": 0,
"max": "1",
"base": {
"path": "Condition.notes",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "NTE child of PRB"
},
{
"identity": "rim",
"map": ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
}
]
},
{
"path": "Encounter.hospitalization",
"short": "Details about the admission to a healthcare service",
"definition": "Details about the admission to a healthcare service.",
"comments": "An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included.\n\nThe duration recorded in the period of this encounter covers the entire scope of this hospitalization record.",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.hospitalization",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=COMP].target[classCode=ENC, moodCode=EVN]"
}
]
},
{
"path": "Encounter.hospitalization.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references).",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "*"
},
"type": [
{
"code": "id"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Encounter.hospitalization.extension",
"slicing": {
"discriminator": [
"url"
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"path": "Encounter.hospitalization.extension",
"name": "PreAdmitTestIndicator",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-PreAdmitTestInd"
]
}
],
"binding": {
"strength": "preferred",
"description": "The set of values to indicate affirmative or negative",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v2-0136"
}
}
},
{
"path": "Encounter.hospitalization.extension",
"name": "ReAdmitIndicator",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-ReAdmitInd"
]
}
],
"binding": {
"strength": "preferred",
"description": "The set of values to indicate affirmative or negative",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v2-0136"
}
}
},
{
"path": "Encounter.hospitalization.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Encounter.hospitalization.preAdmissionIdentifier",
"short": "Pre-admission identifier",
"definition": "Pre-admission identifier.",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.hospitalization.preAdmissionIdentifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"mapping": [
{
"identity": "v2",
"map": "PV1-5"
},
{
"identity": "rim",
"map": ".id"
}
]
},
{
"path": "Encounter.hospitalization.origin",
"short": "The location from which the patient came before admission",
"definition": "The location from which the patient came before admission.",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.hospitalization.origin",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-location"
]
}
],
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=ORG].role"
}
]
},
{
"path": "Encounter.hospitalization.admitSource",
"short": "From where patient was admitted (physician referral, transfer)",
"definition": "From where patient was admitted (physician referral, transfer).",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.hospitalization.admitSource",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mustSupport": true,
"binding": {
"strength": "example",
"description": "The set of codes that describe where a patient came from for the current admission.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-admissionSource"
}
},
"mapping": [
{
"identity": "v2",
"map": "PV1-14"
},
{
"identity": "rim",
"map": ".admissionReferralSourceCode"
}
]
},
{
"path": "Encounter.hospitalization.admittingDiagnosis",
"short": "The admitting diagnosis as reported by admitting practitioner",
"definition": "The admitting diagnosis field is used to record the diagnosis codes as reported by admitting practitioner. This could be different or in addition to the conditions reported as reason-condition(s) for the encounter.",
"min": 0,
"max": "*",
"base": {
"path": "Encounter.hospitalization.admittingDiagnosis",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Condition"
]
}
]
},
{
"path": "Encounter.hospitalization.reAdmission",
"short": "The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission",
"definition": "Whether this hospitalization is a readmission and why if known.",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.hospitalization.reAdmission",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mustSupport": true,
"binding": {
"strength": "example",
"description": "The reason for re-admission of this hospitalization encounter."
},
"mapping": [
{
"identity": "v2",
"map": "PV1-13"
},
{
"identity": "rim",
"map": "Propose at harmonization"
}
]
},
{
"path": "Encounter.hospitalization.dietPreference",
"short": "Diet preferences reported by the patient",
"definition": "Diet preferences reported by the patient.",
"comments": "For example a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive).",
"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.",
"min": 0,
"max": "*",
"base": {
"path": "Encounter.hospitalization.dietPreference",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "Medical, cultural or ethical food preferences to help with catering requirements.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/encounter-diet"
}
},
"mapping": [
{
"identity": "v2",
"map": "PV1-38"
},
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=EVN, code=\"diet\"]"
}
]
},
{
"path": "Encounter.hospitalization.specialCourtesy",
"short": "Special courtesies (VIP, board member)",
"definition": "Special courtesies (VIP, board member).",
"min": 0,
"max": "*",
"base": {
"path": "Encounter.hospitalization.specialCourtesy",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "preferred",
"description": "A set of codes that describe the kind of courtesies to be extended to the patient during the encounter",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v3-EncounterSpecialCourtesy"
}
},
"mapping": [
{
"identity": "v2",
"map": "PV1-16"
},
{
"identity": "rim",
"map": ".specialCourtesiesCode"
}
]
},
{
"path": "Encounter.hospitalization.specialArrangement",
"short": "Wheelchair, translator, stretcher, etc.",
"definition": "Wheelchair, translator, stretcher, etc.",
"min": 0,
"max": "*",
"base": {
"path": "Encounter.hospitalization.specialArrangement",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "preferred",
"description": "A set of codes that describe any particular needs for a patient regarding this encounter.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-specialArrangement"
}
},
"mapping": [
{
"identity": "v2",
"map": "PV1-15 / OBR-30 / OBR-43"
},
{
"identity": "rim",
"map": ".specialArrangementCode"
}
]
},
{
"path": "Encounter.hospitalization.destination",
"short": "Location to which the patient is discharged",
"definition": "Location to which the patient is discharged.",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.hospitalization.destination",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-location"
]
}
],
"mapping": [
{
"identity": "v2",
"map": "PV1-37"
},
{
"identity": "rim",
"map": ".participation[typeCode=DST]"
}
]
},
{
"path": "Encounter.hospitalization.dischargeDisposition",
"short": "Category or kind of location after discharge",
"definition": "Category or kind of location after discharge.",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.hospitalization.dischargeDisposition",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mustSupport": true,
"binding": {
"strength": "preferred",
"description": "Discharge Disposition",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/encounter-discharge-disposition"
}
},
"mapping": [
{
"identity": "v2",
"map": "PV1-36"
},
{
"identity": "rim",
"map": ".dischargeDispositionCode"
},
{
"identity": "qdm",
"map": "discharge status"
}
]
},
{
"path": "Encounter.hospitalization.dischargeDiagnosis",
"short": "The final diagnosis given a patient before release from the hospital after all testing, surgery, and workup are complete",
"definition": "The final diagnosis given a patient before release from the hospital after all testing, surgery, and workup are complete.",
"min": 0,
"max": "*",
"base": {
"path": "Encounter.hospitalization.dischargeDiagnosis",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Condition"
]
}
],
"mustSupport": true,
"mapping": [
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=OUT].target[classCode=OBS, moodCode=EVN, code=ASSERTION].value"
}
]
},
{
"path": "Encounter.location",
"slicing": {
"discriminator": [
"Encounter.location.location"
],
"ordered": false,
"rules": "open"
},
"short": "List of locations where the patient has been",
"definition": "List of locations where the patient has been during this encounter.",
"comments": "Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type \"kind\" such as \"client's home\" and an encounter.class = \"virtual\".",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.location",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=LOC]"
}
]
},
{
"path": "Encounter.location",
"name": "AssignedParticipatingLocation",
"short": "List of locations where the patient has been",
"definition": "List of locations where the patient has been during this encounter.",
"comments": "Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type \"kind\" such as \"client's home\" and an encounter.class = \"virtual\".",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.location",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=LOC]"
}
]
},
{
"path": "Encounter.location.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references).",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "*"
},
"type": [
{
"code": "id"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Encounter.location.extension",
"name": "PatientArrivalStatus",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-PatientArrivalStatus"
]
}
],
"binding": {
"strength": "preferred",
"description": "The codes that describe whether or not the patient has arrived at the specified location for the encounter",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-arrivalStatus"
}
}
},
{
"path": "Encounter.location.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Encounter.location.location",
"short": "Location the encounter takes place",
"definition": "The location where the encounter takes place.",
"min": 1,
"max": "1",
"base": {
"path": "Encounter.location.location",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-location"
]
}
],
"mapping": [
{
"identity": "v2",
"map": "PV1-3 / PV1-6 / PV1-11 / PV1-42 / PV1-43"
},
{
"identity": "rim",
"map": ".role"
},
{
"identity": "w5",
"map": "where"
}
]
},
{
"path": "Encounter.location.status",
"short": "planned | active | reserved | completed",
"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.",
"comments": "When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.location.status",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"binding": {
"strength": "required",
"description": "The status of the location.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/encounter-location-status"
}
}
},
{
"path": "Encounter.location.period",
"short": "Time period during which the patient was present at the location",
"definition": "Time period during which the patient was present at the location.",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.location.period",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Period"
}
],
"mapping": [
{
"identity": "rim",
"map": ".time"
},
{
"identity": "qdm",
"map": "start datetime, stop datetime"
}
]
},
{
"path": "Encounter.location",
"name": "ServiceDeliveryLocation",
"short": "List of locations where the patient has been",
"definition": "List of locations where the patient has been during this encounter.",
"comments": "Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type \"kind\" such as \"client's home\" and an encounter.class = \"virtual\".",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.location",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=LOC]"
}
]
},
{
"path": "Encounter.location.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references).",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "*"
},
"type": [
{
"code": "id"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Encounter.location.extension",
"name": "ServiceDeliveryLocationCondition",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-ServiceDeliveryLocationCondition"
]
}
],
"binding": {
"strength": "preferred",
"description": "The codes that describe the state of readiness of the encounter location",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-locationCondition"
}
}
},
{
"path": "Encounter.location.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Encounter.location.location",
"short": "Location the encounter takes place",
"definition": "The location where the encounter takes place.",
"min": 1,
"max": "1",
"base": {
"path": "Encounter.location.location",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-location"
]
}
],
"mapping": [
{
"identity": "v2",
"map": "PV1-3 / PV1-6 / PV1-11 / PV1-42 / PV1-43"
},
{
"identity": "rim",
"map": ".role"
},
{
"identity": "w5",
"map": "where"
}
]
},
{
"path": "Encounter.location.status",
"short": "planned | active | reserved | completed",
"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.",
"comments": "When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.location.status",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"binding": {
"strength": "required",
"description": "The status of the location.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/encounter-location-status"
}
}
},
{
"path": "Encounter.location.period",
"short": "Time period during which the patient was present at the location",
"definition": "Time period during which the patient was present at the location.",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.location.period",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Period"
}
],
"mapping": [
{
"identity": "rim",
"map": ".time"
},
{
"identity": "qdm",
"map": "start datetime, stop datetime"
}
]
},
{
"path": "Encounter.serviceProvider",
"short": "The custodian organization of this Encounter record",
"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.",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.serviceProvider",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-organization"
]
}
],
"mustSupport": true,
"mapping": [
{
"identity": "v2",
"map": "PV1-10 / PL.6 & PL.1 (note: HL7 v2 definition is \"the treatment or type of surgery that the patient is scheduled to receive\"; seems slightly out of alignment with the concept name 'hospital service'. Would not trust that implementations apply this semantic by default)"
},
{
"identity": "rim",
"map": ".particiaption[typeCode=PFM].role"
}
]
},
{
"path": "Encounter.partOf",
"short": "Another Encounter this encounter is part of",
"definition": "Another Encounter of which this encounter is a part of (administratively or in time).",
"min": 0,
"max": "1",
"base": {
"path": "Encounter.partOf",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-encounter"
]
}
],
"mapping": [
{
"identity": "rim",
"map": ".inboundRelationship[typeCode=COMP].source[classCode=COMP, moodCode=EVN]"
}
]
}
]
},
"differential": {
"element": [
{
"path": "Encounter",
"name": "HSPC-opencounter",
"min": 0,
"max": "*",
"type": [
{
"code": "Encounter"
}
],
"mapping": [
{
"identity": "qdm",
"map": "Patient Characteristic"
}
]
},
{
"path": "Encounter.encounter-reasonCancelled",
"binding": {
"strength": "preferred",
"description": "A set of codes that describe why an individual's encounter has been done away with.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-reasonCancelled"
}
}
},
{
"path": "Encounter.extension",
"name": "Confidentiality",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-extensionsconfidentiality"
]
}
],
"binding": {
"strength": "preferred",
"description": "The set of values that describe the level of confidentiality for the patient encounter.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v2-0907"
}
}
},
{
"path": "Encounter.extension",
"name": "HospitalService",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-hospitalService"
]
}
],
"binding": {
"strength": "preferred",
"description": "The particular healthcare specialty or care group responsible for the care of the patient during the encounter",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-practitioner-providerPractitionerSpecialty"
}
}
},
{
"path": "Encounter.extension",
"name": "VipLevel",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-VipLevel"
]
}
],
"binding": {
"strength": "preferred",
"description": "A set of codes that describe the sensitivity level of a patient's information",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-hspc-viplevel"
}
}
},
{
"path": "Encounter.extension",
"name": "AmbulatoryStatus",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-AmbulatoryStatus"
]
}
],
"binding": {
"strength": "preferred",
"description": "The codes that describe a patient's current level of ability to ambulate.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v2-0009"
}
}
},
{
"path": "Encounter.extension",
"name": "DepartedByTransportation",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-TransportationMode"
]
}
],
"binding": {
"strength": "preferred",
"description": "A set of codes that describe various means of transportation used to leave a location",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-departureTransportMode"
}
}
},
{
"path": "Encounter.extension.extension",
"name": "Confidentiality",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-extensionsconfidentiality"
]
}
],
"binding": {
"strength": "preferred",
"description": "The set of values that describe the level of confidentiality for the patient encounter.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v2-0907"
}
}
},
{
"path": "Encounter.extension.extension",
"name": "TransportationDescription",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-TransportationDescription"
]
}
]
},
{
"path": "Encounter.extension.extension",
"name": "TransportPriority",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-extensionspriority"
]
}
],
"binding": {
"strength": "preferred",
"description": "A set of codes that describe the urgency level.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-transportPriority"
}
}
},
{
"path": "Encounter.extension.extension",
"name": "Period",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-Period"
]
}
]
},
{
"path": "Encounter.extension",
"name": "ArrivedByTransportation",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-TransportationMode"
]
}
],
"binding": {
"strength": "preferred",
"description": "A set of codes that describe various means of transportation used to arrive at a location",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-arrivalTransportMode"
}
}
},
{
"path": "Encounter.extension.extension",
"name": "Confidentiality",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-extensionsconfidentiality"
]
}
],
"binding": {
"strength": "preferred",
"description": "The set of values that describe the level of confidentiality for the patient encounter.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v2-0907"
}
}
},
{
"path": "Encounter.extension.extension",
"name": "TransportationDescription",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-TransportationDescription"
]
}
]
},
{
"path": "Encounter.extension.extension",
"name": "TransportPriority",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-extensionspriority"
]
}
],
"binding": {
"strength": "preferred",
"description": "A set of codes that describe the urgency level.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-transportPriority"
}
}
},
{
"path": "Encounter.extension.extension",
"name": "Period",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-Period"
]
}
]
},
{
"path": "Encounter.extension",
"name": "AdmitMedicationId",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-AdmitMedicationId"
]
}
]
},
{
"path": "Encounter.extension",
"name": "DischargeMedicationId",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-DischargeMedicationId"
]
}
]
},
{
"path": "Encounter.extension",
"name": "AdministrativeEncounterId",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-AdministrativeEncounterId"
]
}
]
},
{
"path": "Encounter.class",
"type": [
{
"code": "code"
}
],
"fixedCode": "outpatient"
},
{
"path": "Encounter.priority",
"min": 0,
"max": "1",
"binding": {
"strength": "preferred",
"description": "The priority level of the encounter",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-encounterPriority"
}
}
},
{
"path": "Encounter.participant"
},
{
"path": "Encounter.participant.extension",
"name": "ProviderService",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-ProviderService"
]
}
],
"binding": {
"strength": "preferred",
"description": "The codes that represent the particular specialty or practice group that a provider is affiliated with for the given encounter",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-practitioner-providerPractitionerSpecialty"
}
}
},
{
"path": "Encounter.participant.type",
"binding": {
"strength": "preferred",
"description": "A set of codes that are used to describe how an entity participates in an encounter",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v3-ParticipationType"
}
}
},
{
"path": "Encounter.length",
"name": "LengthOfStay",
"min": 0,
"max": "1"
},
{
"path": "Encounter.length.system",
"type": [
{
"code": "uri"
}
],
"fixedUri": "http://unitsofmeasure.org"
},
{
"path": "Encounter.length.code",
"type": [
{
"code": "code"
}
],
"fixedCode": "d"
},
{
"path": "Encounter.reason",
"min": 0,
"max": "*",
"binding": {
"strength": "example",
"description": "A set of codes that describe why an act was performed",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-encounterReason"
}
}
},
{
"path": "Encounter.indication",
"name": "VisitDiagnosis",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-condition"
]
}
]
},
{
"path": "Encounter.indication.extension",
"name": "VisitDiagnosisPrimaryIndicator",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-extensionsprimaryIndicator"
]
}
],
"binding": {
"strength": "preferred",
"description": "The set of values to indicate affirmative or negative",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v2-0136"
}
}
},
{
"path": "Encounter.hospitalization"
},
{
"path": "Encounter.hospitalization.extension",
"name": "PreAdmitTestIndicator",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-PreAdmitTestInd"
]
}
],
"binding": {
"strength": "preferred",
"description": "The set of values to indicate affirmative or negative",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v2-0136"
}
}
},
{
"path": "Encounter.hospitalization.extension",
"name": "ReAdmitIndicator",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-ReAdmitInd"
]
}
],
"binding": {
"strength": "preferred",
"description": "The set of values to indicate affirmative or negative",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v2-0136"
}
}
},
{
"path": "Encounter.hospitalization.admitSource",
"binding": {
"strength": "example",
"description": "The set of codes that describe where a patient came from for the current admission.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-admissionSource"
}
}
},
{
"path": "Encounter.hospitalization.specialCourtesy",
"binding": {
"strength": "preferred",
"description": "A set of codes that describe the kind of courtesies to be extended to the patient during the encounter",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v3-EncounterSpecialCourtesy"
}
}
},
{
"path": "Encounter.hospitalization.specialArrangement",
"binding": {
"strength": "preferred",
"description": "A set of codes that describe any particular needs for a patient regarding this encounter.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-specialArrangement"
}
}
},
{
"path": "Encounter.location",
"slicing": {
"discriminator": [
"Encounter.location.location"
],
"ordered": false,
"rules": "open"
},
"max": "1"
},
{
"path": "Encounter.location",
"name": "AssignedParticipatingLocation",
"min": 0,
"max": "1"
},
{
"path": "Encounter.location.extension",
"name": "PatientArrivalStatus",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-PatientArrivalStatus"
]
}
],
"binding": {
"strength": "preferred",
"description": "The codes that describe whether or not the patient has arrived at the specified location for the encounter",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-arrivalStatus"
}
}
},
{
"path": "Encounter.location",
"name": "ServiceDeliveryLocation",
"min": 0,
"max": "1"
},
{
"path": "Encounter.location.address"
},
{
"path": "Encounter.location.address.extension",
"name": "PrimaryIndicator",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-extensionsprimaryIndicator"
]
}
],
"binding": {
"strength": "preferred",
"description": "The set of values to indicate affirmative or negative",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v2-0136"
}
}
},
{
"path": "Encounter.location.telecom"
},
{
"path": "Encounter.location.telecom.extension",
"name": "PreferenceIndicator",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-extensionspreferenceIndicator"
]
}
],
"binding": {
"strength": "preferred",
"description": "The set of values to indicate affirmative or negative",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v2-0136"
}
}
},
{
"path": "Encounter.location.extension",
"name": "ServiceDeliveryLocationCondition",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/hspc-opencounter-ServiceDeliveryLocationCondition"
]
}
],
"binding": {
"strength": "preferred",
"description": "The codes that describe the state of readiness of the encounter location",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/hspc-locationCondition"
}
}
}
]
}
}
© HL7.org 2011+. FHIR STU3 Candidate (v1.4.0-8139) generated on Thu, Mar 31, 2016 08:11+1100. QA Page
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