Encounter - FHIR v0.0.82

This page is part of the FHIR Specification (v0.0.82: DSTU 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

5.9.8 Resource Encounter - Formal Definitions

Formal definitions for the elements in the Encounter resource.

Encounter
Definition	An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.
Control	1..1
Aliases	Visit
Encounter.identifier
Definition	Identifier(s) by which this encounter is known.
Control	0..*
Type	Identifier
Summary	true
Encounter.status
Definition	planned \| in progress \| onleave \| finished \| cancelled.
Control	1..1
Binding	EncounterState: Current state of the encounter (see http://hl7.org/fhir/encounter-state for values)
Type	code
Is Modifier	true
Summary	true
Encounter.class
Definition	inpatient \| outpatient \| ambulatory \| emergency +.
Control	1..1
Binding	EncounterClass: Classification of the encounter (see http://hl7.org/fhir/encounter-class for values)
Type	code
Is Modifier	true
Summary	true
Encounter.type
Definition	Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).
Control	0..*
Binding	EncounterType: A specific code indicating type of service provided (See http://hl7.org/fhir/vs/encounter-type)
Type	CodeableConcept
Summary	true
Comments	Since there are many ways to further classify encounters, this element is 0..*.
Encounter.subject
Definition	The patient present at the encounter.
Control	0..1
Type	Resource(Patient)
Aliases	patient
Summary	true
Comments	While the encounter is always about the patient, the patient may not actually be known in all contexts of use.
Encounter.participant
Definition	The main practitioner responsible for providing the service.
Control	0..*
Summary	true
Encounter.participant.type
Definition	Role of participant in encounter.
Control	0..*
Binding	ParticipantType: (See http://hl7.org/fhir/vs/encounter-participant-type)
Type	CodeableConcept
Summary	true
Encounter.participant.individual
Definition	Persons involved in the encounter other than the patient.
Control	0..1
Type	Resource(Practitioner \| RelatedPerson)
Summary	true
Encounter.period
Definition	The start and end time of the encounter.
Control	0..1
Type	Period
Comments	If not (yet) known, the end of the Period may be omitted.
Encounter.length
Definition	Quantity of time the encounter lasted. This excludes the time during leaves of absence.
Control	0..1
Type	Duration
Comments	May differ from the time the Encounter.period lasted because of leave of absence.
Encounter.reason
Definition	Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.
Control	0..1
Binding	EncounterReason: (See http://hl7.org/fhir/vs/encounter-reason)
Type	CodeableConcept
Summary	true
Encounter.indication
Definition	Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis.
Control	0..1
Type	Resource(Any)
Aliases	Admission diagnosis
Encounter.priority
Definition	Indicates the urgency of the encounter.
Control	0..1
Binding	Priority: (See http://hl7.org/fhir/vs/encounter-priority)
Type	CodeableConcept
Encounter.hospitalization
Definition	Details about an admission to a clinic.
Control	0..1
Encounter.hospitalization.preAdmissionIdentifier
Definition	Pre-admission identifier.
Control	0..1
Type	Identifier
Encounter.hospitalization.origin
Definition	The location from which the patient came before admission.
Control	0..1
Type	Resource(Location)
Encounter.hospitalization.admitSource
Definition	From where patient was admitted (physician referral, transfer).
Control	0..1
Binding	AdmitSource: (See http://hl7.org/fhir/vs/encounter-admit-source)
Type	CodeableConcept
Encounter.hospitalization.period
Definition	Period during which the patient was admitted.
Control	0..1
Type	Period
Comments	May differ from start + length, since length excludes leaves of absence.
Encounter.hospitalization.accomodation
Definition	Where the patient stays during this encounter.
Control	0..*
Encounter.hospitalization.accomodation.bed
Definition	The bed that is assigned to the patient.
Control	0..1
Type	Resource(Location)
Encounter.hospitalization.accomodation.period
Definition	Period during which the patient was assigned the bed.
Control	0..1
Type	Period
Encounter.hospitalization.diet
Definition	Dietary restrictions for the patient.
Control	0..1
Binding	PatientDiet: (See http://hl7.org/fhir/vs/encounter-diet)
Type	CodeableConcept
Requirements	Track patients reported dietary restrictions to help with catering requirements.
Encounter.hospitalization.specialCourtesy
Definition	Special courtesies (VIP, board member).
Control	0..*
Binding	Courtesies: (See http://hl7.org/fhir/vs/encounter-special-courtesy)
Type	CodeableConcept
Encounter.hospitalization.specialArrangement
Definition	Wheelchair, translator, stretcher, etc.
Control	0..*
Binding	Arrangements: (See http://hl7.org/fhir/vs/encounter-special-arrangements)
Type	CodeableConcept
Encounter.hospitalization.destination
Definition	Location to which the patient is discharged.
Control	0..1
Type	Resource(Location)
Encounter.hospitalization.dischargeDisposition
Definition	Category or kind of location after discharge.
Control	0..1
Binding	DischargeDisp: (See http://hl7.org/fhir/vs/encounter-discharge-disposition)
Type	CodeableConcept
Encounter.hospitalization.dischargeDiagnosis
Definition	The final diagnosis given a patient before release from the hospital after all testing, surgery, and workup are complete.
Control	0..1
Type	Resource(Any)
Encounter.hospitalization.reAdmission
Definition	Whether this hospitalization is a readmission.
Control	0..1
Type	boolean
To Do	Need a harmonization proposal for this.
Encounter.location
Definition	List of locations at which the patient has been.
Control	0..*
Encounter.location.location
Definition	The location where the encounter takes place.
Control	1..1
Type	Resource(Location)
Encounter.location.period
Definition	Time period during which the patient was present at the location.
Control	1..1
Type	Period
Encounter.serviceProvider
Definition	Department or team providing care.
Control	0..1
Type	Resource(Organization)
Encounter.partOf
Definition	Another Encounter of which this encounter is a part of (administratively or in time).
Control	0..1
Type	Resource(Encounter)