Vital Records Birth and Fetal Death Reporting
1.0.0 - STU 1

This page is part of the Vital Records Birth and Fetal Death Reporting (v1.0.0: STU 1 on FHIR R4) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

Resource Profile: Encounter - Maternity

Defining URL:http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-maternity
Version:1.0.0
Name:Encounter_Maternity
Title:Encounter - Maternity
Status:Active as of 2021-10-22T14:57:04+00:00
Definition:

This Encounter profile represents the mother's maternity encounter.

Publisher:HL7 International - Public Health Work Group
Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-maternity

After the child is born, an Encounter record will be created for the child (Encounter-Birth) and will reference this encounter using the partOf property.

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from USCoreEncounterProfile

Summary

Mandatory: 1 element (4 nested mandatory elements)
Must-Support: 19 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Encounter.participant is sliced based on the value of value:type

This structure is derived from USCoreEncounterProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*USCoreEncounterProfileAn interaction during which services are provided to the patient
... identifier S0..*IdentifierIdentifier(s) by which this encounter is known
... status S1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
... class S1..1CodingClassification of patient encounter
... Slices for participant S0..*BackboneElementList of participants involved in the encounter
Slice: Unordered, Open by value:type
.... participant:attendant S0..*BackboneElementThe person responsible for delivering the child/fetus.
..... type S1..*CodeableConceptBirth attendant [Extended Identifier]
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 87286-1
..... individual S1..1Reference(Practitioner - VitalRecords)Persons involved in the encounter other than the patient
.... participant:certifier S0..*BackboneElementThe individual who certifies to the fact that the birth occurred.
..... type S1..*CodeableConceptBirth certifier [Extended Identifier]
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 87287-9
..... period 0..1PeriodPeriod of time during the encounter that the participant participated
...... start S0..1dateTimeDate certified
..... individual S1..1Reference(Practitioner - VitalRecords)Persons involved in the encounter other than the patient
... period S0..1PeriodThe start and end time of the encounter
... hospitalization S0..1BackboneElementDetails about the admission to a healthcare service
.... origin S0..1Reference(US Core Location Profile)If mother transferred, facility transferred from
.... admitSource S0..1CodeableConceptIf mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital)
... location S0..*BackboneElementInformation about the location of delivery
.... location S1..1Reference(US Core Location Profile)Facility name (if not institution, give street and number)
.... physicalType S0..1CodeableConceptThe value set contains the list of values used to indicate the type of place where birth or delivery occurred.
Binding: Birth or Delivery Occurred (NCHS) (preferred): Birth or Delivery Occurred (NCHS)


doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*USCoreEncounterProfileAn interaction during which services are provided to the patient
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*IdentifierIdentifier(s) by which this encounter is known
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!SΣ1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

... statusHistory 0..*BackboneElementList of past encounter statuses
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... status 1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified status
... class SΣ1..1CodingClassification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.

... classHistory 0..*BackboneElementList of past encounter classes
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... class 1..1Codinginpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified class
... type SΣ1..*CodeableConceptSpecific type of encounter
Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type


... serviceType Σ0..1CodeableConceptSpecific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

... priority 0..1CodeableConceptIndicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... subject SΣ1..1Reference(Patient - Mother)The patient or group present at the encounter
... episodeOfCare Σ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... basedOn 0..*Reference(ServiceRequest)The ServiceRequest that initiated this encounter
... Slices for participant SΣ0..*BackboneElementList of participants involved in the encounter
Slice: Unordered, Open by value:type
.... participant:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... type SΣ0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.


..... period S0..1PeriodPeriod of time during the encounter that the participant participated
..... individual SΣ0..1Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | RelatedPerson)Persons involved in the encounter other than the patient
.... participant:attendant SΣ0..*BackboneElementThe person responsible for delivering the child/fetus.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... type SΣ1..*CodeableConceptBirth attendant [Extended Identifier]
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 87286-1
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... period S0..1PeriodPeriod of time during the encounter that the participant participated
..... individual SΣ1..1Reference(Practitioner - VitalRecords)Persons involved in the encounter other than the patient
.... participant:certifier SΣ0..*BackboneElementThe individual who certifies to the fact that the birth occurred.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... type SΣ1..*CodeableConceptBirth certifier [Extended Identifier]
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 87287-9
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... period S0..1PeriodPeriod of time during the encounter that the participant participated
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... start SΣI0..1dateTimeDate certified
...... end ΣI0..1dateTimeEnd time with inclusive boundary, if not ongoing
..... individual SΣ1..1Reference(Practitioner - VitalRecords)Persons involved in the encounter other than the patient
... appointment Σ0..*Reference(Appointment)The appointment that scheduled this encounter
... period S0..1PeriodThe start and end time of the encounter
... length 0..1DurationQuantity of time the encounter lasted (less time absent)
... reasonCode SΣ0..*CodeableConceptCoded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference SΣ0..1Reference(US Core Condition Profile S | US Core Procedure Profile | Observation | ImmunizationRecommendation)Reason the encounter takes place (reference)
... diagnosis Σ0..*BackboneElementThe list of diagnosis relevant to this encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... condition Σ1..1Reference(Condition | Procedure)The diagnosis or procedure relevant to the encounter
.... use 0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank 0..1positiveIntRanking of the diagnosis (for each role type)
... account 0..*Reference(Account)The set of accounts that may be used for billing for this Encounter
... hospitalization S0..1BackboneElementDetails about the admission to a healthcare service
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin S0..1Reference(US Core Location Profile)If mother transferred, facility transferred from
.... admitSource S0..1CodeableConceptIf mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital)
Binding: AdmitSource (preferred): From where the patient was admitted.

.... reAdmission 0..1CodeableConceptThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.

.... dietPreference 0..*CodeableConceptDiet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.


.... specialCourtesy 0..*CodeableConceptSpecial courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.


.... specialArrangement 0..*CodeableConceptWheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.


.... destination 0..1Reference(Location | Organization)Location/organization to which the patient is discharged
.... dischargeDisposition S0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

... location S0..*BackboneElementInformation about the location of delivery
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... location S1..1Reference(US Core Location Profile)Facility name (if not institution, give street and number)
.... status 0..1codeplanned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... physicalType S0..1CodeableConceptThe value set contains the list of values used to indicate the type of place where birth or delivery occurred.
Binding: Birth or Delivery Occurred (NCHS) (preferred): Birth or Delivery Occurred (NCHS)

.... period 0..1PeriodTime period during which the patient was present at the location
... serviceProvider S0..1Reference(US Core Organization Profile)The organization (facility) responsible for this encounter
... partOf 0..1Reference(Encounter)Another Encounter this encounter is part of

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*USCoreEncounterProfileAn interaction during which services are provided to the patient
... identifier Σ0..*IdentifierIdentifier(s) by which this encounter is known
.... system Σ1..1uriThe namespace for the identifier value
.... value Σ1..1stringThe value that is unique
... status ?!Σ1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

... class Σ1..1CodingClassification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.

... subject Σ1..1Reference(Patient - Mother)The patient or group present at the encounter
... Slices for participant Σ0..*BackboneElementList of participants involved in the encounter
Slice: Unordered, Open by value:type
.... participant:All Slices Content/Rules for all slices
..... type Σ0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.


..... period 0..1PeriodPeriod of time during the encounter that the participant participated
..... individual Σ0..1Reference(US Core Practitioner Profile)Persons involved in the encounter other than the patient
.... participant:attendant Σ0..*BackboneElementThe person responsible for delivering the child/fetus.
..... type Σ1..*CodeableConceptBirth attendant [Extended Identifier]
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 87286-1
..... period 0..1PeriodPeriod of time during the encounter that the participant participated
..... individual Σ1..1Reference(Practitioner - VitalRecords)Persons involved in the encounter other than the patient
.... participant:certifier Σ0..*BackboneElementThe individual who certifies to the fact that the birth occurred.
..... type Σ1..*CodeableConceptBirth certifier [Extended Identifier]
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 87287-9
..... period 0..1PeriodPeriod of time during the encounter that the participant participated
...... start ΣI0..1dateTimeDate certified
..... individual Σ1..1Reference(Practitioner - VitalRecords)Persons involved in the encounter other than the patient
... period 0..1PeriodThe start and end time of the encounter
... reasonCode Σ0..*CodeableConceptCoded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference Σ0..1Reference(US Core Condition Profile)Reason the encounter takes place (reference)
... hospitalization 0..1BackboneElementDetails about the admission to a healthcare service
.... origin 0..1Reference(US Core Location Profile)If mother transferred, facility transferred from
.... admitSource 0..1CodeableConceptIf mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital)
Binding: AdmitSource (preferred): From where the patient was admitted.

.... dischargeDisposition 0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

... location 0..*BackboneElementInformation about the location of delivery
.... location 1..1Reference(US Core Location Profile)Facility name (if not institution, give street and number)
.... physicalType 0..1CodeableConceptThe value set contains the list of values used to indicate the type of place where birth or delivery occurred.
Binding: Birth or Delivery Occurred (NCHS) (preferred): Birth or Delivery Occurred (NCHS)

... serviceProvider 0..1Reference(US Core Organization Profile)The organization (facility) responsible for this encounter

doco Documentation for this format

This structure is derived from USCoreEncounterProfile

Summary

Mandatory: 1 element (4 nested mandatory elements)
Must-Support: 19 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Encounter.participant is sliced based on the value of value:type

Differential View

This structure is derived from USCoreEncounterProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*USCoreEncounterProfileAn interaction during which services are provided to the patient
... identifier S0..*IdentifierIdentifier(s) by which this encounter is known
... status S1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
... class S1..1CodingClassification of patient encounter
... Slices for participant S0..*BackboneElementList of participants involved in the encounter
Slice: Unordered, Open by value:type
.... participant:attendant S0..*BackboneElementThe person responsible for delivering the child/fetus.
..... type S1..*CodeableConceptBirth attendant [Extended Identifier]
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 87286-1
..... individual S1..1Reference(Practitioner - VitalRecords)Persons involved in the encounter other than the patient
.... participant:certifier S0..*BackboneElementThe individual who certifies to the fact that the birth occurred.
..... type S1..*CodeableConceptBirth certifier [Extended Identifier]
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 87287-9
..... period 0..1PeriodPeriod of time during the encounter that the participant participated
...... start S0..1dateTimeDate certified
..... individual S1..1Reference(Practitioner - VitalRecords)Persons involved in the encounter other than the patient
... period S0..1PeriodThe start and end time of the encounter
... hospitalization S0..1BackboneElementDetails about the admission to a healthcare service
.... origin S0..1Reference(US Core Location Profile)If mother transferred, facility transferred from
.... admitSource S0..1CodeableConceptIf mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital)
... location S0..*BackboneElementInformation about the location of delivery
.... location S1..1Reference(US Core Location Profile)Facility name (if not institution, give street and number)
.... physicalType S0..1CodeableConceptThe value set contains the list of values used to indicate the type of place where birth or delivery occurred.
Binding: Birth or Delivery Occurred (NCHS) (preferred): Birth or Delivery Occurred (NCHS)


doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*USCoreEncounterProfileAn interaction during which services are provided to the patient
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*IdentifierIdentifier(s) by which this encounter is known
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!SΣ1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

... statusHistory 0..*BackboneElementList of past encounter statuses
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... status 1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified status
... class SΣ1..1CodingClassification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.

... classHistory 0..*BackboneElementList of past encounter classes
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... class 1..1Codinginpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified class
... type SΣ1..*CodeableConceptSpecific type of encounter
Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type


... serviceType Σ0..1CodeableConceptSpecific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

... priority 0..1CodeableConceptIndicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... subject SΣ1..1Reference(Patient - Mother)The patient or group present at the encounter
... episodeOfCare Σ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... basedOn 0..*Reference(ServiceRequest)The ServiceRequest that initiated this encounter
... Slices for participant SΣ0..*BackboneElementList of participants involved in the encounter
Slice: Unordered, Open by value:type
.... participant:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... type SΣ0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.


..... period S0..1PeriodPeriod of time during the encounter that the participant participated
..... individual SΣ0..1Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | RelatedPerson)Persons involved in the encounter other than the patient
.... participant:attendant SΣ0..*BackboneElementThe person responsible for delivering the child/fetus.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... type SΣ1..*CodeableConceptBirth attendant [Extended Identifier]
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 87286-1
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... period S0..1PeriodPeriod of time during the encounter that the participant participated
..... individual SΣ1..1Reference(Practitioner - VitalRecords)Persons involved in the encounter other than the patient
.... participant:certifier SΣ0..*BackboneElementThe individual who certifies to the fact that the birth occurred.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... type SΣ1..*CodeableConceptBirth certifier [Extended Identifier]
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 87287-9
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... period S0..1PeriodPeriod of time during the encounter that the participant participated
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... start SΣI0..1dateTimeDate certified
...... end ΣI0..1dateTimeEnd time with inclusive boundary, if not ongoing
..... individual SΣ1..1Reference(Practitioner - VitalRecords)Persons involved in the encounter other than the patient
... appointment Σ0..*Reference(Appointment)The appointment that scheduled this encounter
... period S0..1PeriodThe start and end time of the encounter
... length 0..1DurationQuantity of time the encounter lasted (less time absent)
... reasonCode SΣ0..*CodeableConceptCoded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference SΣ0..1Reference(US Core Condition Profile S | US Core Procedure Profile | Observation | ImmunizationRecommendation)Reason the encounter takes place (reference)
... diagnosis Σ0..*BackboneElementThe list of diagnosis relevant to this encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... condition Σ1..1Reference(Condition | Procedure)The diagnosis or procedure relevant to the encounter
.... use 0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank 0..1positiveIntRanking of the diagnosis (for each role type)
... account 0..*Reference(Account)The set of accounts that may be used for billing for this Encounter
... hospitalization S0..1BackboneElementDetails about the admission to a healthcare service
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin S0..1Reference(US Core Location Profile)If mother transferred, facility transferred from
.... admitSource S0..1CodeableConceptIf mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital)
Binding: AdmitSource (preferred): From where the patient was admitted.

.... reAdmission 0..1CodeableConceptThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.

.... dietPreference 0..*CodeableConceptDiet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.


.... specialCourtesy 0..*CodeableConceptSpecial courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.


.... specialArrangement 0..*CodeableConceptWheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.


.... destination 0..1Reference(Location | Organization)Location/organization to which the patient is discharged
.... dischargeDisposition S0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

... location S0..*BackboneElementInformation about the location of delivery
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... location S1..1Reference(US Core Location Profile)Facility name (if not institution, give street and number)
.... status 0..1codeplanned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... physicalType S0..1CodeableConceptThe value set contains the list of values used to indicate the type of place where birth or delivery occurred.
Binding: Birth or Delivery Occurred (NCHS) (preferred): Birth or Delivery Occurred (NCHS)

.... period 0..1PeriodTime period during which the patient was present at the location
... serviceProvider S0..1Reference(US Core Organization Profile)The organization (facility) responsible for this encounter
... partOf 0..1Reference(Encounter)Another Encounter this encounter is part of

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
Encounter.languagepreferredCommonLanguages
Max Binding: AllLanguages
Encounter.identifier.userequiredIdentifierUse
Encounter.identifier.typeextensibleIdentifier Type Codes
Encounter.statusrequiredEncounterStatus
Encounter.statusHistory.statusrequiredEncounterStatus
Encounter.classextensibleActEncounterCode
Encounter.classHistory.classextensibleActEncounterCode
Encounter.typeextensibleUSCoreEncounterType
Encounter.serviceTypeexampleServiceType
Encounter.priorityexampleActPriority
Encounter.participant.typeextensibleParticipantType
Encounter.participant:attendant.typeextensiblePattern: LOINC code 87286-1
Encounter.participant:certifier.typeextensiblePattern: LOINC code 87287-9
Encounter.reasonCodepreferredEncounterReasonCodes
Encounter.diagnosis.usepreferredDiagnosisRole
Encounter.hospitalization.admitSourcepreferredAdmitSource
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
Encounter.hospitalization.dietPreferenceexampleDiet
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
Encounter.location.statusrequiredEncounterLocationStatus
Encounter.location.physicalTypepreferredPHVS_BirthDeliveryOccurred_NCHS

Constraints

IdPathDetailsRequirements
dom-2EncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3EncounterIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4EncounterIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5EncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6EncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1Encounter.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.identifier.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.identifier.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.identifier.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.identifier.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.identifier.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.identifier.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.identifier.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.identifier.assignerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.statusHistoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.statusHistory.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.statusHistory.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.statusHistory.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.statusHistory.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.statusHistory.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.statusHistory.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.classAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.classHistoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.classHistory.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.classHistory.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.classHistory.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.classHistory.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.classHistory.classAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.classHistory.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.serviceTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.priorityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.episodeOfCareAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.basedOnAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.participantAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.participant.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.participant.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.participant.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.participant.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.participant.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.participant.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.participant.individualAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.participant:attendantAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.participant:attendant.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.participant:attendant.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.participant:attendant.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.participant:attendant.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.participant:attendant.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.participant:attendant.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.participant:attendant.individualAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.participant:certifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.participant:certifier.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.participant:certifier.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.participant:certifier.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.participant:certifier.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.participant:certifier.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.participant:certifier.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.participant:certifier.period.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.participant:certifier.period.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.participant:certifier.period.startAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.participant:certifier.period.endAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.participant:certifier.individualAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.appointmentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.lengthAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.reasonCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.reasonReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.diagnosisAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.diagnosis.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.diagnosis.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.diagnosis.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.diagnosis.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.diagnosis.conditionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.diagnosis.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.diagnosis.rankAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.accountAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.hospitalizationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.hospitalization.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.hospitalization.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.hospitalization.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.hospitalization.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.hospitalization.preAdmissionIdentifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.hospitalization.originAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.hospitalization.admitSourceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.hospitalization.reAdmissionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.hospitalization.dietPreferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.hospitalization.specialCourtesyAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.hospitalization.specialArrangementAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.hospitalization.destinationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.hospitalization.dischargeDispositionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.locationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.location.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.location.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.location.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.location.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.location.locationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.location.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.location.physicalTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.location.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.serviceProviderAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.partOfAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())