Birth And Fetal Death (BFDR) FHIR Implementation Guide
2.0.0 - STU2
Birth And Fetal Death (BFDR) FHIR Implementation Guide
2.0.0 - STU2
This page is part of the Vital Records Birth and Fetal Death Reporting (v2.0.0: STU2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Encounter-maternity | Version: 2.0.0 | |||
| Active as of 2024-10-15 | Computable Name: EncounterMaternity | |||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.13.42.28 | ||||
This Encounter profile represents the mother's maternity encounter.
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.
| Use Case | # | Description | IJE Name | Field | Type | Value Set/Comments |
|---|---|---|---|---|---|---|
| Natality | 125 | Mother Transferred? | TRAN | hospitalization.admitSource = "hosp-trans" | codeable | HL7EncounterAdmitSourceVS, See note on patient transfers |
| Use Case | # | Description | IJE Name | Field | Type | Value Set/Comments |
|---|---|---|---|---|---|---|
| Fetal Death | 11 | Place Where Delivery Occurred | DPLACE | location.physicalType | codeable | BirthDeliveryOccurredVS |
| Fetal Death | 347 | Date Signed by Certifier--Year | CERTIFIED_YR | participant:certifier.period.start | dateTime | See PartialDatesAndTimes |
| Fetal Death | 348 | Date Signed by Certifier--Month | CERTIFIED_MO | participant:certifier.period.start | dateTime | See PartialDatesAndTimes |
| Fetal Death | 349 | Date Signed by Certifier--Day | CERTIFIED_DY | participant:certifier.period.start | dateTime | See PartialDatesAndTimes |
| Item # | Form Field | FHIR Profile Field | Reference |
|---|---|---|---|
| 28 | Mother Transferred for Maternal Medical or Fetal Indications for Delivery? | hospitalization.admitSource (Y if present, N if not present) | Certificate of Live Birth |
| 23 | Was the mother transferred to this facility for maternal medical or fetal indications for delivery? | hospitalization.admitSource (Y if present, N if not present) | Facility Worksheet for the Live Birth Certificate |
| 7 | Place Where Delivery Occurred | location.physicalType | Report of Fetal Death |
| 7.3 | Home Birth: Planned to deliver at home? | location.physicalType | Report of Fetal Death |
| 5 | Place of delivery | location.physicalType | Facility Worksheet for the Report of Fetal Death |
| 5.3 | Planned to deliver at home | location.physicalType | Facility Worksheet for the Report of Fetal Death |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreEncounterProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Encounter |
USCoreEncounterProfile | |||
  Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
   role |
1..1 | (Complex) | Differentiates Birth and Maternity Encounters. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role | |
   value[x] |
1..1 | CodeableConcept | Value set used to indicate father or mother. Required Pattern: At least the following | |
  coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
 system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode | |
 code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: MTH | |
 subject |
1..1 | Reference(Patient - Mother Vital Records) | The patient or group present at the encounter | |
 Slices for participant |
0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by value:type | |
 participant:attendant |
0..* | BackboneElement | The person responsible for delivering the child/fetus. | |
  type |
1..1 | CodeableConcept | Birth attendant [Extended Identifier] Required Pattern: At least the following | |
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 87286-1 | |
 individual |
1..1 | Reference(Practitioner - Birth Attendant) | Persons involved in the encounter other than the patient | |
| participant:certifier |
0..* | BackboneElement | The individual who certifies to the fact that the birth occurred. | |
| type |
1..1 | CodeableConcept | Birth certifier [Extended Identifier] Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 87287-9 | |
| period |
||||
| start |
0..1 | dateTime | Date certified | |
| individual |
1..1 | Reference(Practitioner - Birth Certifier) | Persons involved in the encounter other than the patient | |
| hospitalization |
||||
| origin |
0..1 | Reference(Birth and Fetal Death Location) | If mother transferred, facility transferred from | |
| admitSource |
0..1 | CodeableConcept | If mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital) from codesystem http://terminology.hl7.org/CodeSystem/admit-source. | |
| location |
0..* | BackboneElement | Information about the location of delivery | |
| location |
1..1 | Reference(Birth and Fetal Death Location) | Facility name (if not institution, give street and number) | |
| id |
0..1 | string | Facility ID | |
| identifier |
0..1 | Identifier | Facility ID (state-assigned) | |
| physicalType |
0..1 | CodeableConcept | The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Encounter.location.physicalType | preferred | BirthDeliveryOccurredVShttp://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-birth-delivery-occurredfrom this IG |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter |
0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient | |
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| role |
1..1 | (Complex) | Differentiates Birth and Maternity Encounters. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role | |
 extension |
0..0 | |||
| url |
1..1 | uri | "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role" | |
 value[x] |
1..1 | CodeableConcept | Value set used to indicate father or mother. Binding: Value Set - Role Vital Records (extensible): Parental Role Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: MTH | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
SΣ | 0..* | Identifier | Identifier(s) by which this encounter is known |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system |
SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
| value |
SΣ | 1..1 | string | The value that is unique Example General: 123456 |
| status |
?!SΣ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. |
| class |
SΣ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter. |
| type |
SΣ | 1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type |
| subject |
SΣ | 1..1 | Reference(Patient - Mother Vital Records) | The patient or group present at the encounter |
| Slices for participant |
SΣ | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by value:type |
| participant:All Slices |
Content/Rules for all slices | |||
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| type |
SΣ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. |
| period |
S | 0..1 | Period | Period of time during the encounter that the participant participated |
 individual |
SΣ | 0..1 | Reference(US Core Practitioner Profile) | Persons involved in the encounter other than the patient |
| participant:attendant |
SΣ | 0..* | BackboneElement | The person responsible for delivering the child/fetus. |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| type |
SΣ | 1..1 | CodeableConcept | Birth attendant [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 87286-1 | |
| period |
S | 0..1 | Period | Period of time during the encounter that the participant participated |
| individual |
SΣ | 1..1 | Reference(Practitioner - Birth Attendant) | Persons involved in the encounter other than the patient |
| participant:certifier |
SΣ | 0..* | BackboneElement | The individual who certifies to the fact that the birth occurred. |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| type |
SΣ | 1..1 | CodeableConcept | Birth certifier [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 87287-9 | |
| period |
S | 0..1 | Period | Period of time during the encounter that the participant participated |
| start |
ΣC | 0..1 | dateTime | Date certified |
| individual |
SΣ | 1..1 | Reference(Practitioner - Birth Certifier) | Persons involved in the encounter other than the patient |
| period |
S | 0..1 | Period | The start and end time of the encounter |
| reasonCode |
SΣ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. |
| reasonReference |
SΣ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile | US Core Condition Encounter Diagnosis Profile) | Reason the encounter takes place (reference) |
| hospitalization |
S | 0..1 | BackboneElement | Details about the admission to a healthcare service |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| origin |
0..1 | Reference(Birth and Fetal Death Location) | If mother transferred, facility transferred from | |
| admitSource |
0..1 | CodeableConcept | If mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital) from codesystem http://terminology.hl7.org/CodeSystem/admit-source. Binding: AdmitSource (preferred): From where the patient was admitted. | |
| dischargeDisposition |
S | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17 |
| location |
S | 0..* | BackboneElement | Information about the location of delivery |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| location |
S | 1..1 | Reference(Birth and Fetal Death Location) | Facility name (if not institution, give street and number) |
| id |
0..1 | string | Facility ID | |
| identifier |
Σ | 0..1 | Identifier | Facility ID (state-assigned) |
| physicalType |
0..1 | CodeableConcept | The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS) | |
| serviceProvider |
S | 0..1 | Reference(US Core Organization Profile) | The organization (facility) responsible for this encounter |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Encounter.extension:role.value[x] | extensible | Pattern: MTHhttp://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-role-vr | |
| Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1from the FHIR Standard | |
| Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
| Encounter.type | extensible | USCoreEncounterTypehttp://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type | |
| Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-typefrom the FHIR Standard | |
| Encounter.participant:attendant.type | extensible | Pattern: LOINC Code 87286-1http://hl7.org/fhir/ValueSet/encounter-participant-typefrom the FHIR Standard | |
| Encounter.participant:certifier.type | extensible | Pattern: LOINC Code 87287-9http://hl7.org/fhir/ValueSet/encounter-participant-typefrom the FHIR Standard | |
| Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reasonfrom the FHIR Standard | |
| Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-sourcefrom the FHIR Standard | |
| Encounter.hospitalization.dischargeDisposition | preferred | USCoreDischargeDisposition (a valid code from http://www.nubc.org/patient-discharge)http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition | |
| Encounter.location.physicalType | preferred | BirthDeliveryOccurredVShttp://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-birth-delivery-occurredfrom this IG |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Encounter |
0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| role |
1..1 | (Complex) | Differentiates Birth and Maternity Encounters. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role" | |||||
| value[x] |
1..1 | CodeableConcept | Value set used to indicate father or mother. Binding: Value Set - Role Vital Records (extensible): Parental Role Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: MTH | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
SΣ | 0..* | Identifier | Identifier(s) by which this encounter is known | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 0..1 | CodeableConcept | Description 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 |
SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value |
SΣ | 1..1 | string | The value that is unique Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| status |
?!SΣ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | ||||
| statusHistory |
0..* | BackboneElement | List of past encounter statuses | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| status |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | |||||
| period |
1..1 | Period | The time that the episode was in the specified status | |||||
| class |
SΣ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter. | ||||
| classHistory |
0..* | BackboneElement | List of past encounter classes | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| class |
1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter. | |||||
| period |
1..1 | Period | The time that the episode was in the specified class | |||||
| type |
SΣ | 1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type | ||||
| serviceType |
Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. | ||||
| priority |
0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter. | |||||
| subject |
SΣ | 1..1 | Reference(Patient - Mother Vital Records) | The patient or group present at the encounter | ||||
| episodeOfCare |
Σ | 0..* | 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 |
SΣ | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by value:type | ||||
| participant:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type |
SΣ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | ||||
| period |
S | 0..1 | Period | Period of time during the encounter that the participant participated | ||||
| individual |
SΣ | 0..1 | Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | Persons involved in the encounter other than the patient | ||||
| participant:attendant |
SΣ | 0..* | BackboneElement | The person responsible for delivering the child/fetus. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type |
SΣ | 1..1 | CodeableConcept | Birth attendant [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 87286-1 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| period |
S | 0..1 | Period | Period of time during the encounter that the participant participated | ||||
| individual |
SΣ | 1..1 | Reference(Practitioner - Birth Attendant) | Persons involved in the encounter other than the patient | ||||
| participant:certifier |
SΣ | 0..* | BackboneElement | The individual who certifies to the fact that the birth occurred. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type |
SΣ | 1..1 | CodeableConcept | Birth certifier [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 87287-9 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| period |
S | 0..1 | Period | Period of time during the encounter that the participant participated | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| start |
ΣC | 0..1 | dateTime | Date certified | ||||
| end |
ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
| individual |
SΣ | 1..1 | Reference(Practitioner - Birth Certifier) | Persons involved in the encounter other than the patient | ||||
| appointment |
Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | ||||
| period |
S | 0..1 | Period | The start and end time of the encounter | ||||
| length |
0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |||||
| reasonCode |
SΣ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | ||||
| reasonReference |
SΣ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile S | US Core Condition Encounter Diagnosis Profile S | US Core Procedure Profile | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) | ||||
| diagnosis |
Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| condition |
Σ | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter | ||||
| use |
0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents. | |||||
| rank |
0..1 | positiveInt | Ranking 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 |
S | 0..1 | BackboneElement | Details about the admission to a healthcare service | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| preAdmissionIdentifier |
0..1 | Identifier | Pre-admission identifier | |||||
| origin |
0..1 | Reference(Birth and Fetal Death Location) | If mother transferred, facility transferred from | |||||
| admitSource |
0..1 | CodeableConcept | If mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital) from codesystem http://terminology.hl7.org/CodeSystem/admit-source. Binding: AdmitSource (preferred): From where the patient was admitted. | |||||
| reAdmission |
0..1 | CodeableConcept | The 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..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements. | |||||
| specialCourtesy |
0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies. | |||||
| specialArrangement |
0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements. | |||||
| destination |
0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged | |||||
| dischargeDisposition |
S | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17 | ||||
| location |
S | 0..* | BackboneElement | Information about the location of delivery | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| location |
S | 1..1 | Reference(Birth and Fetal Death Location) | Facility name (if not institution, give street and number) | ||||
| id |
0..1 | string | Facility ID | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Facility ID (state-assigned) | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| status |
0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. | |||||
| physicalType |
0..1 | CodeableConcept | The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS) | |||||
| period |
0..1 | Period | Time period during which the patient was present at the location | |||||
| serviceProvider |
S | 0..1 | Reference(US Core Organization Profile) | The organization (facility) responsible for this encounter | ||||
| partOf |
0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Encounter.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Encounter.extension:role.value[x] | extensible | Pattern: MTHhttp://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-role-vr | ||||
| Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| Encounter.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1from the FHIR Standard | ||||
| Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1from the FHIR Standard | ||||
| Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
| Encounter.classHistory.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
| Encounter.type | extensible | USCoreEncounterTypehttp://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type | ||||
| Encounter.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-typefrom the FHIR Standard | ||||
| Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | ||||
| Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-typefrom the FHIR Standard | ||||
| Encounter.participant:attendant.type | extensible | Pattern: LOINC Code 87286-1http://hl7.org/fhir/ValueSet/encounter-participant-typefrom the FHIR Standard | ||||
| Encounter.participant:certifier.type | extensible | Pattern: LOINC Code 87287-9http://hl7.org/fhir/ValueSet/encounter-participant-typefrom the FHIR Standard | ||||
| Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reasonfrom the FHIR Standard | ||||
| Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-rolefrom the FHIR Standard | ||||
| Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-sourcefrom the FHIR Standard | ||||
| Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
| Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-dietfrom the FHIR Standard | ||||
| Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesyfrom the FHIR Standard | ||||
| Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangementsfrom the FHIR Standard | ||||
| Encounter.hospitalization.dischargeDisposition | preferred | USCoreDischargeDisposition (a valid code from http://www.nubc.org/patient-discharge)http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition | ||||
| Encounter.location.location.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1from the FHIR Standard | ||||
| Encounter.location.physicalType | preferred | BirthDeliveryOccurredVShttp://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-birth-delivery-occurredfrom this IG |
This structure is derived from USCoreEncounterProfile
Summary
Mandatory: 2 elements(4 nested mandatory elements)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from USCoreEncounterProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter |
USCoreEncounterProfile | |||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| role |
1..1 | (Complex) | Differentiates Birth and Maternity Encounters. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role | |
| value[x] |
1..1 | CodeableConcept | Value set used to indicate father or mother. Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: MTH | |
| subject |
1..1 | Reference(Patient - Mother Vital Records) | The patient or group present at the encounter | |
| Slices for participant |
0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by value:type | |
| participant:attendant |
0..* | BackboneElement | The person responsible for delivering the child/fetus. | |
| type |
1..1 | CodeableConcept | Birth attendant [Extended Identifier] Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 87286-1 | |
| individual |
1..1 | Reference(Practitioner - Birth Attendant) | Persons involved in the encounter other than the patient | |
| participant:certifier |
0..* | BackboneElement | The individual who certifies to the fact that the birth occurred. | |
| type |
1..1 | CodeableConcept | Birth certifier [Extended Identifier] Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 87287-9 | |
| period |
||||
| start |
0..1 | dateTime | Date certified | |
| individual |
1..1 | Reference(Practitioner - Birth Certifier) | Persons involved in the encounter other than the patient | |
| hospitalization |
||||
| origin |
0..1 | Reference(Birth and Fetal Death Location) | If mother transferred, facility transferred from | |
| admitSource |
0..1 | CodeableConcept | If mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital) from codesystem http://terminology.hl7.org/CodeSystem/admit-source. | |
| location |
0..* | BackboneElement | Information about the location of delivery | |
| location |
1..1 | Reference(Birth and Fetal Death Location) | Facility name (if not institution, give street and number) | |
| id |
0..1 | string | Facility ID | |
| identifier |
0..1 | Identifier | Facility ID (state-assigned) | |
| physicalType |
0..1 | CodeableConcept | The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Encounter.location.physicalType | preferred | BirthDeliveryOccurredVShttp://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-birth-delivery-occurredfrom this IG |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter |
0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| role |
1..1 | (Complex) | Differentiates Birth and Maternity Encounters. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role | |
| extension |
0..0 | |||
| url |
1..1 | uri | "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role" | |
| value[x] |
1..1 | CodeableConcept | Value set used to indicate father or mother. Binding: Value Set - Role Vital Records (extensible): Parental Role Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: MTH | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
SΣ | 0..* | Identifier | Identifier(s) by which this encounter is known |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system |
SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
| value |
SΣ | 1..1 | string | The value that is unique Example General: 123456 |
| status |
?!SΣ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. |
| class |
SΣ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter. |
| type |
SΣ | 1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type |
| subject |
SΣ | 1..1 | Reference(Patient - Mother Vital Records) | The patient or group present at the encounter |
| Slices for participant |
SΣ | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by value:type |
| participant:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| type |
SΣ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. |
| period |
S | 0..1 | Period | Period of time during the encounter that the participant participated |
| individual |
SΣ | 0..1 | Reference(US Core Practitioner Profile) | Persons involved in the encounter other than the patient |
| participant:attendant |
SΣ | 0..* | BackboneElement | The person responsible for delivering the child/fetus. |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| type |
SΣ | 1..1 | CodeableConcept | Birth attendant [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 87286-1 | |
| period |
S | 0..1 | Period | Period of time during the encounter that the participant participated |
| individual |
SΣ | 1..1 | Reference(Practitioner - Birth Attendant) | Persons involved in the encounter other than the patient |
| participant:certifier |
SΣ | 0..* | BackboneElement | The individual who certifies to the fact that the birth occurred. |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| type |
SΣ | 1..1 | CodeableConcept | Birth certifier [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 87287-9 | |
| period |
S | 0..1 | Period | Period of time during the encounter that the participant participated |
| start |
ΣC | 0..1 | dateTime | Date certified |
| individual |
SΣ | 1..1 | Reference(Practitioner - Birth Certifier) | Persons involved in the encounter other than the patient |
| period |
S | 0..1 | Period | The start and end time of the encounter |
| reasonCode |
SΣ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. |
| reasonReference |
SΣ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile | US Core Condition Encounter Diagnosis Profile) | Reason the encounter takes place (reference) |
| hospitalization |
S | 0..1 | BackboneElement | Details about the admission to a healthcare service |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| origin |
0..1 | Reference(Birth and Fetal Death Location) | If mother transferred, facility transferred from | |
| admitSource |
0..1 | CodeableConcept | If mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital) from codesystem http://terminology.hl7.org/CodeSystem/admit-source. Binding: AdmitSource (preferred): From where the patient was admitted. | |
| dischargeDisposition |
S | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17 |
| location |
S | 0..* | BackboneElement | Information about the location of delivery |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| location |
S | 1..1 | Reference(Birth and Fetal Death Location) | Facility name (if not institution, give street and number) |
| id |
0..1 | string | Facility ID | |
| identifier |
Σ | 0..1 | Identifier | Facility ID (state-assigned) |
| physicalType |
0..1 | CodeableConcept | The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS) | |
| serviceProvider |
S | 0..1 | Reference(US Core Organization Profile) | The organization (facility) responsible for this encounter |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Encounter.extension:role.value[x] | extensible | Pattern: MTHhttp://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-role-vr | |
| Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1from the FHIR Standard | |
| Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
| Encounter.type | extensible | USCoreEncounterTypehttp://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type | |
| Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-typefrom the FHIR Standard | |
| Encounter.participant:attendant.type | extensible | Pattern: LOINC Code 87286-1http://hl7.org/fhir/ValueSet/encounter-participant-typefrom the FHIR Standard | |
| Encounter.participant:certifier.type | extensible | Pattern: LOINC Code 87287-9http://hl7.org/fhir/ValueSet/encounter-participant-typefrom the FHIR Standard | |
| Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reasonfrom the FHIR Standard | |
| Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-sourcefrom the FHIR Standard | |
| Encounter.hospitalization.dischargeDisposition | preferred | USCoreDischargeDisposition (a valid code from http://www.nubc.org/patient-discharge)http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition | |
| Encounter.location.physicalType | preferred | BirthDeliveryOccurredVShttp://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-birth-delivery-occurredfrom this IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Encounter |
0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| role |
1..1 | (Complex) | Differentiates Birth and Maternity Encounters. URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-role" | |||||
| value[x] |
1..1 | CodeableConcept | Value set used to indicate father or mother. Binding: Value Set - Role Vital Records (extensible): Parental Role Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: MTH | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
SΣ | 0..* | Identifier | Identifier(s) by which this encounter is known | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 0..1 | CodeableConcept | Description 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 |
SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value |
SΣ | 1..1 | string | The value that is unique Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| status |
?!SΣ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | ||||
| statusHistory |
0..* | BackboneElement | List of past encounter statuses | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| status |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | |||||
| period |
1..1 | Period | The time that the episode was in the specified status | |||||
| class |
SΣ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter. | ||||
| classHistory |
0..* | BackboneElement | List of past encounter classes | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| class |
1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter. | |||||
| period |
1..1 | Period | The time that the episode was in the specified class | |||||
| type |
SΣ | 1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type | ||||
| serviceType |
Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. | ||||
| priority |
0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter. | |||||
| subject |
SΣ | 1..1 | Reference(Patient - Mother Vital Records) | The patient or group present at the encounter | ||||
| episodeOfCare |
Σ | 0..* | 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 |
SΣ | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by value:type | ||||
| participant:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type |
SΣ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | ||||
| period |
S | 0..1 | Period | Period of time during the encounter that the participant participated | ||||
| individual |
SΣ | 0..1 | Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | Persons involved in the encounter other than the patient | ||||
| participant:attendant |
SΣ | 0..* | BackboneElement | The person responsible for delivering the child/fetus. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type |
SΣ | 1..1 | CodeableConcept | Birth attendant [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 87286-1 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| period |
S | 0..1 | Period | Period of time during the encounter that the participant participated | ||||
| individual |
SΣ | 1..1 | Reference(Practitioner - Birth Attendant) | Persons involved in the encounter other than the patient | ||||
| participant:certifier |
SΣ | 0..* | BackboneElement | The individual who certifies to the fact that the birth occurred. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type |
SΣ | 1..1 | CodeableConcept | Birth certifier [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 87287-9 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| period |
S | 0..1 | Period | Period of time during the encounter that the participant participated | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| start |
ΣC | 0..1 | dateTime | Date certified | ||||
| end |
ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
| individual |
SΣ | 1..1 | Reference(Practitioner - Birth Certifier) | Persons involved in the encounter other than the patient | ||||
| appointment |
Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | ||||
| period |
S | 0..1 | Period | The start and end time of the encounter | ||||
| length |
0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |||||
| reasonCode |
SΣ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | ||||
| reasonReference |
SΣ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile S | US Core Condition Encounter Diagnosis Profile S | US Core Procedure Profile | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) | ||||
| diagnosis |
Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| condition |
Σ | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter | ||||
| use |
0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents. | |||||
| rank |
0..1 | positiveInt | Ranking 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 |
S | 0..1 | BackboneElement | Details about the admission to a healthcare service | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| preAdmissionIdentifier |
0..1 | Identifier | Pre-admission identifier | |||||
| origin |
0..1 | Reference(Birth and Fetal Death Location) | If mother transferred, facility transferred from | |||||
| admitSource |
0..1 | CodeableConcept | If mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital) from codesystem http://terminology.hl7.org/CodeSystem/admit-source. Binding: AdmitSource (preferred): From where the patient was admitted. | |||||
| reAdmission |
0..1 | CodeableConcept | The 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..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements. | |||||
| specialCourtesy |
0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies. | |||||
| specialArrangement |
0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements. | |||||
| destination |
0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged | |||||
| dischargeDisposition |
S | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17 | ||||
| location |
S | 0..* | BackboneElement | Information about the location of delivery | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| location |
S | 1..1 | Reference(Birth and Fetal Death Location) | Facility name (if not institution, give street and number) | ||||
| id |
0..1 | string | Facility ID | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Facility ID (state-assigned) | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| status |
0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. | |||||
| physicalType |
0..1 | CodeableConcept | The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS) | |||||
| period |
0..1 | Period | Time period during which the patient was present at the location | |||||
| serviceProvider |
S | 0..1 | Reference(US Core Organization Profile) | The organization (facility) responsible for this encounter | ||||
| partOf |
0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Encounter.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Encounter.extension:role.value[x] | extensible | Pattern: MTHhttp://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-role-vr | ||||
| Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| Encounter.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1from the FHIR Standard | ||||
| Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1from the FHIR Standard | ||||
| Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
| Encounter.classHistory.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
| Encounter.type | extensible | USCoreEncounterTypehttp://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type | ||||
| Encounter.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-typefrom the FHIR Standard | ||||
| Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | ||||
| Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-typefrom the FHIR Standard | ||||
| Encounter.participant:attendant.type | extensible | Pattern: LOINC Code 87286-1http://hl7.org/fhir/ValueSet/encounter-participant-typefrom the FHIR Standard | ||||
| Encounter.participant:certifier.type | extensible | Pattern: LOINC Code 87287-9http://hl7.org/fhir/ValueSet/encounter-participant-typefrom the FHIR Standard | ||||
| Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reasonfrom the FHIR Standard | ||||
| Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-rolefrom the FHIR Standard | ||||
| Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-sourcefrom the FHIR Standard | ||||
| Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
| Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-dietfrom the FHIR Standard | ||||
| Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesyfrom the FHIR Standard | ||||
| Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangementsfrom the FHIR Standard | ||||
| Encounter.hospitalization.dischargeDisposition | preferred | USCoreDischargeDisposition (a valid code from http://www.nubc.org/patient-discharge)http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition | ||||
| Encounter.location.location.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1from the FHIR Standard | ||||
| Encounter.location.physicalType | preferred | BirthDeliveryOccurredVShttp://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-birth-delivery-occurredfrom this IG |
This structure is derived from USCoreEncounterProfile
Summary
Mandatory: 2 elements(4 nested mandatory elements)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2023+ HL7 International / Public Health. Package hl7.fhir.us.bfdr#2.0.0 based on FHIR 4.0.1. Generated 2024-10-15
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