Common Data Models Harmonization
1.0.0 - STU 1 Publication

This page is part of the Common Data Models Harmonization FHIR IG (v1.0.0: STU 1) based on FHIR 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

Resource Profile: CdmhEncounter

Defining URL:http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-encounter
Version:1.0.0
Name:CdmhEncounter
Title:CDMH Encounter
Status:Draft as of 9/1/19
Definition:

This is the Encounter Resource profile for the IG.

Publisher:HL7 International - Biomedical Research and Regulation Work Group
Copyright:

Used by permission of HL7, all rights reserved Creative Commons License

Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-encounter

Formal Views of Profile Content

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

This structure is derived from USCoreEncounterProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*USCoreEncounterProfileCDMH Encounter
... cdmh-pcornet-drg-group S0..1codeDRG Group
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-drg-group
... cdmh-pcornet-drg-group-version S0..1codePCORNet DRG Group Version
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-drg-group-version
Binding: PCORNet DRG Group Version (extensible): Diagnosis Related Group Version codes for PCORNet data marts

... class S1..1CodingClassification of patient encounter
Binding: PCORNet Encounter Type (extensible): Encounter type

... period
.... start S0..1dateTimeStarting time with inclusive boundary
.... end S0..1dateTimeEnd time with inclusive boundary, if not ongoing
... diagnosis S0..*BackboneElementThe list of diagnosis relevant to this encounter
.... cdmh-pcornet-diagnosis-origin S0..1codePCORNet Diagnosis Classification
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-diagnosis-origin
Binding: PCORNet Information Source HC Subtype (extensible): From where did the diagnosis information come from within the healthcare organization

.... condition S1..1Reference(CDMH Condition)The diagnosis or procedure relevant to the encounter
.... use S0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: PCORNet Diagnosis Classification (extensible): Diagnosis Classification codes for PCORNet Data Marts.

.... rank S0..1positiveIntRanking of the diagnosis (for each role type)
... hospitalization S0..1BackboneElementDetails about the admission to a healthcare service
.... cdmh-pcornet-admitting-source-facility-type S0..1codePCORNet Admitting Source Facility Type
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-admitting-source-facility-type
Binding: PCORNet Admitting Source Facility Type (extensible): Admitting Source Facility Type for Inpatient Stays

.... cdmh-pcornet-discharge-status S0..1codePCORNet Discharge Status
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-discharge-status
Binding: PCORNet Discharge Status (extensible): Discharge Status of the Patient for Inpatient stays

.... origin S0..1Reference(CDMH Location)The location/organization from which the patient came before admission
.... dischargeDisposition S0..1CodeableConceptCategory or kind of location after discharge
Binding: PCORNet Discharge Disposition (extensible): where the patient left the hospital

... location S0..*BackboneElementList of locations where the patient has been
.... location S1..1Reference(CDMH Location)Location the encounter takes place

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*USCoreEncounterProfileCDMH Encounter
... 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
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... cdmh-pcornet-drg-group S0..1codeDRG Group
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-drg-group
... cdmh-pcornet-drg-group-version S0..1codePCORNet DRG Group Version
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-drg-group-version
Binding: PCORNet DRG Group Version (extensible): Diagnosis Related Group Version codes for PCORNet data marts


... 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: PCORNet Encounter Type (extensible): Encounter type

... 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(CDMH Patient)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
... participant SΣ0..*BackboneElementList of participants involved in the 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
.... 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
... appointment Σ0..*Reference(Appointment)The appointment that scheduled this encounter
... period S0..1PeriodThe start and end time of the encounter
.... 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..1dateTimeStarting time with inclusive boundary
.... end SΣI0..1dateTimeEnd time with inclusive boundary, if not ongoing
... 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 SΣ0..*BackboneElementThe list of diagnosis relevant to this encounter
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... cdmh-pcornet-diagnosis-origin S0..1codePCORNet Diagnosis Classification
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-diagnosis-origin
Binding: PCORNet Information Source HC Subtype (extensible): From where did the diagnosis information come from within the healthcare organization


.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... condition SΣ1..1Reference(CDMH Condition)The diagnosis or procedure relevant to the encounter
.... use S0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: PCORNet Diagnosis Classification (extensible): Diagnosis Classification codes for PCORNet Data Marts.

.... rank S0..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
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... cdmh-pcornet-admitting-source-facility-type S0..1codePCORNet Admitting Source Facility Type
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-admitting-source-facility-type
Binding: PCORNet Admitting Source Facility Type (extensible): Admitting Source Facility Type for Inpatient Stays


.... cdmh-pcornet-discharge-status S0..1codePCORNet Discharge Status
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-discharge-status
Binding: PCORNet Discharge Status (extensible): Discharge Status of the Patient for Inpatient stays


.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin S0..1Reference(CDMH Location)The location/organization from which the patient came before admission
.... admitSource 0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
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: PCORNet Discharge Disposition (extensible): where the patient left the hospital

... location S0..*BackboneElementList of locations where the patient has been
.... 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(CDMH Location)Location the encounter takes place
.... status 0..1codeplanned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... physicalType 0..1CodeableConceptThe physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.

.... 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..*USCoreEncounterProfileCDMH Encounter
... cdmh-pcornet-drg-group 0..1codeDRG Group
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-drg-group
... cdmh-pcornet-drg-group-version 0..1codePCORNet DRG Group Version
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-drg-group-version
Binding: PCORNet DRG Group Version (extensible): Diagnosis Related Group Version codes for PCORNet data marts


... 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
... class Σ1..1CodingClassification of patient encounter
Binding: PCORNet Encounter Type (extensible): Encounter type

... type Σ1..*CodeableConceptSpecific type of encounter
Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type


... subject Σ1..1Reference(CDMH Patient)The patient or group present at the encounter
... participant Σ0..*BackboneElementList of participants involved in the encounter
.... 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
... period 0..1PeriodThe start and end time of the encounter
.... start ΣI0..1dateTimeStarting time with inclusive boundary
.... end ΣI0..1dateTimeEnd time with inclusive boundary, if not ongoing
... 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)
... diagnosis Σ0..*BackboneElementThe list of diagnosis relevant to this encounter
.... cdmh-pcornet-diagnosis-origin 0..1codePCORNet Diagnosis Classification
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-diagnosis-origin
Binding: PCORNet Information Source HC Subtype (extensible): From where did the diagnosis information come from within the healthcare organization


.... condition Σ1..1Reference(CDMH Condition)The diagnosis or procedure relevant to the encounter
.... use 0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: PCORNet Diagnosis Classification (extensible): Diagnosis Classification codes for PCORNet Data Marts.

.... rank 0..1positiveIntRanking of the diagnosis (for each role type)
... hospitalization 0..1BackboneElementDetails about the admission to a healthcare service
.... cdmh-pcornet-admitting-source-facility-type 0..1codePCORNet Admitting Source Facility Type
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-admitting-source-facility-type
Binding: PCORNet Admitting Source Facility Type (extensible): Admitting Source Facility Type for Inpatient Stays


.... cdmh-pcornet-discharge-status 0..1codePCORNet Discharge Status
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-discharge-status
Binding: PCORNet Discharge Status (extensible): Discharge Status of the Patient for Inpatient stays


.... origin 0..1Reference(CDMH Location)The location/organization from which the patient came before admission
.... dischargeDisposition 0..1CodeableConceptCategory or kind of location after discharge
Binding: PCORNet Discharge Disposition (extensible): where the patient left the hospital

... location 0..*BackboneElementList of locations where the patient has been
.... location 1..1Reference(CDMH Location)Location the encounter takes place
... serviceProvider 0..1Reference(US Core Organization Profile)The organization (facility) responsible for this encounter

doco Documentation for this format

Differential View

This structure is derived from USCoreEncounterProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*USCoreEncounterProfileCDMH Encounter
... cdmh-pcornet-drg-group S0..1codeDRG Group
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-drg-group
... cdmh-pcornet-drg-group-version S0..1codePCORNet DRG Group Version
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-drg-group-version
Binding: PCORNet DRG Group Version (extensible): Diagnosis Related Group Version codes for PCORNet data marts

... class S1..1CodingClassification of patient encounter
Binding: PCORNet Encounter Type (extensible): Encounter type

... period
.... start S0..1dateTimeStarting time with inclusive boundary
.... end S0..1dateTimeEnd time with inclusive boundary, if not ongoing
... diagnosis S0..*BackboneElementThe list of diagnosis relevant to this encounter
.... cdmh-pcornet-diagnosis-origin S0..1codePCORNet Diagnosis Classification
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-diagnosis-origin
Binding: PCORNet Information Source HC Subtype (extensible): From where did the diagnosis information come from within the healthcare organization

.... condition S1..1Reference(CDMH Condition)The diagnosis or procedure relevant to the encounter
.... use S0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: PCORNet Diagnosis Classification (extensible): Diagnosis Classification codes for PCORNet Data Marts.

.... rank S0..1positiveIntRanking of the diagnosis (for each role type)
... hospitalization S0..1BackboneElementDetails about the admission to a healthcare service
.... cdmh-pcornet-admitting-source-facility-type S0..1codePCORNet Admitting Source Facility Type
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-admitting-source-facility-type
Binding: PCORNet Admitting Source Facility Type (extensible): Admitting Source Facility Type for Inpatient Stays

.... cdmh-pcornet-discharge-status S0..1codePCORNet Discharge Status
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-discharge-status
Binding: PCORNet Discharge Status (extensible): Discharge Status of the Patient for Inpatient stays

.... origin S0..1Reference(CDMH Location)The location/organization from which the patient came before admission
.... dischargeDisposition S0..1CodeableConceptCategory or kind of location after discharge
Binding: PCORNet Discharge Disposition (extensible): where the patient left the hospital

... location S0..*BackboneElementList of locations where the patient has been
.... location S1..1Reference(CDMH Location)Location the encounter takes place

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*USCoreEncounterProfileCDMH Encounter
... 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
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... cdmh-pcornet-drg-group S0..1codeDRG Group
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-drg-group
... cdmh-pcornet-drg-group-version S0..1codePCORNet DRG Group Version
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-drg-group-version
Binding: PCORNet DRG Group Version (extensible): Diagnosis Related Group Version codes for PCORNet data marts


... 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: PCORNet Encounter Type (extensible): Encounter type

... 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(CDMH Patient)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
... participant SΣ0..*BackboneElementList of participants involved in the 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
.... 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
... appointment Σ0..*Reference(Appointment)The appointment that scheduled this encounter
... period S0..1PeriodThe start and end time of the encounter
.... 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..1dateTimeStarting time with inclusive boundary
.... end SΣI0..1dateTimeEnd time with inclusive boundary, if not ongoing
... 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 SΣ0..*BackboneElementThe list of diagnosis relevant to this encounter
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... cdmh-pcornet-diagnosis-origin S0..1codePCORNet Diagnosis Classification
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-diagnosis-origin
Binding: PCORNet Information Source HC Subtype (extensible): From where did the diagnosis information come from within the healthcare organization


.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... condition SΣ1..1Reference(CDMH Condition)The diagnosis or procedure relevant to the encounter
.... use S0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: PCORNet Diagnosis Classification (extensible): Diagnosis Classification codes for PCORNet Data Marts.

.... rank S0..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
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... cdmh-pcornet-admitting-source-facility-type S0..1codePCORNet Admitting Source Facility Type
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-admitting-source-facility-type
Binding: PCORNet Admitting Source Facility Type (extensible): Admitting Source Facility Type for Inpatient Stays


.... cdmh-pcornet-discharge-status S0..1codePCORNet Discharge Status
URL: http://hl7.org/fhir/us/cdmh/StructureDefinition/cdmh-pcornet-discharge-status
Binding: PCORNet Discharge Status (extensible): Discharge Status of the Patient for Inpatient stays


.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin S0..1Reference(CDMH Location)The location/organization from which the patient came before admission
.... admitSource 0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
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: PCORNet Discharge Disposition (extensible): where the patient left the hospital

... location S0..*BackboneElementList of locations where the patient has been
.... 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(CDMH Location)Location the encounter takes place
.... status 0..1codeplanned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... physicalType 0..1CodeableConceptThe physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.

.... 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
Encounter.languagepreferredCommonLanguages
Max Binding: AllLanguages
Encounter.identifier.userequiredIdentifierUse
Encounter.identifier.typeextensibleIdentifier Type Codes
Encounter.statusrequiredEncounterStatus
Encounter.statusHistory.statusrequiredEncounterStatus
Encounter.classextensiblePCORNetEncounterType
Encounter.classHistory.classextensibleActEncounterCode
Encounter.typeextensibleUSCoreEncounterType
Encounter.serviceTypeexampleServiceType
Encounter.priorityexampleActPriority
Encounter.participant.typeextensibleParticipantType
Encounter.reasonCodepreferredEncounterReasonCodes
Encounter.diagnosis.useextensiblePCORNetDiagnosisClassification
Encounter.hospitalization.admitSourcepreferredAdmitSource
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
Encounter.hospitalization.dietPreferenceexampleDiet
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
Encounter.hospitalization.dischargeDispositionextensiblePCORNetDischargeDisposition
Encounter.location.statusrequiredEncounterLocationStatus
Encounter.location.physicalTypeexampleLocationType

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.extension:pcornet-drg-groupAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.extension:pcornet-drg-groupMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.extension:pcornet-drg-group-versionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.extension:pcornet-drg-group-versionMust 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.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.period.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.period.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.period.startAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Encounter.period.endAll 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.extension:pcornet-diagnosis-originAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.diagnosis.extension:pcornet-diagnosis-originMust 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.extension:pcornet-admitting-source-facility-typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.hospitalization.extension:pcornet-admitting-source-facility-typeMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.hospitalization.extension:pcornet-discharge-statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Encounter.hospitalization.extension:pcornet-discharge-statusMust 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())