This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v2.1.0: STU 2.1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Official URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-encounter | Version: 2.1.0 | |||
Standards status: Trial-use | Maturity Level: 3 | Computable Name: CRDEncounter | ||
Other Identifiers: OID:2.16.840.1.113883.4.642.40.18.42.10 |
This profile specifies additional extensions and constraints on the US Core Encounter profile to support coverage requirements discovery.
CRD Clients SHALL use this profile to resolve references to Encounter resources passed to CRD Servers, including encounterId
context references when invoking the following CDS Hooks:
Information provided in Must Support elements will commonly be required for CRD Servers to perform coverage requirements discovery.
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(7.0.0) | This profile also complies with the profiles US Core Encounter Profile (6.1.0) and US Core Encounter Profile (3.1.1) | ||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
Coverage-Information | S | 0..* | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information |
serviceType | S | 0..1 | CodeableConcept | Specific type of service |
subject | 1..1 | Reference(CRD Patient) | The patient or group present at the encounter | |
basedOn | 0..* | Reference(CRD Service Request) | The ServiceRequest that initiated this encounter | |
participant | ||||
individual | 0..1 | Reference(US Core Practitioner Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | US Core RelatedPerson Profile(7.0.0)) | Persons involved in the encounter other than the patient | |
appointment | S | 0..* | Reference(CRDAppointmentWithOrder | CRDAppointmentNoOrder) | The appointment that scheduled this encounter |
length | S | 0..1 | Duration | Quantity of time the encounter lasted (less time absent) |
diagnosis | S | 0..* | BackboneElement | The list of diagnosis relevant to this encounter |
condition | S | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter |
location | ||||
location | 1..1 | Reference(CRD Location) | Location the encounter takes place | |
status | S | 0..1 | code | planned | active | reserved | completed |
period | S | 0..1 | Period | Time period during which the patient was present at the location |
partOf | 0..1 | Reference(CRD Encounter) | Another Encounter this encounter is part of | |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | 0..* | USCoreEncounterProfile(7.0.0) | An interaction during which services are provided to the patient This profile also complies with the profiles US Core Encounter Profile (6.1.0) and US Core Encounter Profile (3.1.1) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
meta | SΣ | 0..1 | Meta | Metadata about the resource ele-1: All FHIR elements must have a @value or children |
lastUpdated | SΣ | 0..1 | instant | When the resource last changed ele-1: All FHIR elements must have a @value or children |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
Coverage-Information | SC | 0..* | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both crd-ci-q1: Questionnaire is only allowed when doc-needed exists crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' must not exist. crd-ci-q3: 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. crd-ci-q6: If 'info-needed' is Other, then reason must be specified crd-ci-q7: If reason.coding is present and is not from the extensible value set, then reason.text must be present |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
identifier | SΣ | 0..* | Identifier | Identifier(s) by which this encounter is known ele-1: All FHIR elements must have a @value or children |
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children |
system | SΣ | 1..1 | uri | The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient |
value | SΣ | 1..1 | string | The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456 |
status | ?!SΣ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. ele-1: All FHIR elements must have a @value or children |
class | SΣ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter. ele-1: All FHIR elements must have a @value or children |
type | SΣ | 1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type ele-1: All FHIR elements must have a @value or children |
serviceType | SΣ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. ele-1: All FHIR elements must have a @value or children |
subject | SΣ | 1..1 | Reference(CRD Patient) | The patient or group present at the encounter ele-1: All FHIR elements must have a @value or children |
basedOn | 0..* | Reference(CRD Service Request) | The ServiceRequest that initiated this encounter ele-1: All FHIR elements must have a @value or children | |
participant | SΣ | 0..* | BackboneElement | List of participants involved in the encounter ele-1: All FHIR elements must have a @value or children |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
type | SΣ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. ele-1: All FHIR elements must have a @value or children |
period | S | 0..1 | Period | Period of time during the encounter that the participant participated ele-1: All FHIR elements must have a @value or children |
individual | SΣ | 0..1 | Reference(US Core Practitioner Profile(7.0.0)) | Persons involved in the encounter other than the patient ele-1: All FHIR elements must have a @value or children |
appointment | SΣ | 0..* | Reference(CRDAppointmentWithOrder | CRDAppointmentNoOrder) | The appointment that scheduled this encounter ele-1: All FHIR elements must have a @value or children |
period | S | 0..1 | Period | The start and end time of the encounter ele-1: All FHIR elements must have a @value or children |
length | S | 0..1 | Duration | Quantity of time the encounter lasted (less time absent) ele-1: All FHIR elements must have a @value or children |
reasonCode | SΣ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. ele-1: All FHIR elements must have a @value or children |
reasonReference | SΣ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0)) | Reason the encounter takes place (reference) ele-1: All FHIR elements must have a @value or children |
diagnosis | SΣ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter ele-1: All FHIR elements must have a @value or children |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
condition | SΣ | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter ele-1: All FHIR elements must have a @value or children |
hospitalization | S | 0..1 | BackboneElement | Details about the admission to a healthcare service ele-1: All FHIR elements must have a @value or children |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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 ele-1: All FHIR elements must have a @value or children |
location | S | 0..* | BackboneElement | List of locations where the patient has been ele-1: All FHIR elements must have a @value or children |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
location | S | 1..1 | Reference(CRD Location) | Location the encounter takes place ele-1: All FHIR elements must have a @value or children |
status | S | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. ele-1: All FHIR elements must have a @value or children |
period | S | 0..1 | Period | Time period during which the patient was present at the location ele-1: All FHIR elements must have a @value or children |
serviceProvider | S | 0..1 | Reference(US Core Organization Profile(7.0.0)) | The organization (facility) responsible for this encounter ele-1: All FHIR elements must have a @value or children |
partOf | 0..1 | Reference(CRD Encounter) | Another Encounter this encounter is part of ele-1: All FHIR elements must have a @value or children | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | |
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from 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.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-type from the FHIR Standard | |
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | |
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard | |
Encounter.hospitalization.dischargeDisposition | preferred | USCoreDischargeDispositionhttp://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition | |
Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
crd-ci-q1 | error | Encounter.extension:Coverage-Information | Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists() | |
crd-ci-q2 | error | Encounter.extension:Coverage-Information | If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not() | |
crd-ci-q3 | error | Encounter.extension:Coverage-Information | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists() | |
crd-ci-q4 | error | Encounter.extension:Coverage-Information | If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa') | |
crd-ci-q5 | error | Encounter.extension:Coverage-Information | 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists() | |
crd-ci-q6 | error | Encounter.extension:Coverage-Information | If 'info-needed' is Other, then reason must be specified : extension.where(url = 'info-needed' and value = 'Other').exists() implies extension.where(url = 'reason').exists() | |
crd-ci-q7 | error | Encounter.extension:Coverage-Information | If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons') | |
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Encounter | If 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-4 | error | Encounter | If 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-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Encounter | 0..* | USCoreEncounterProfile(7.0.0) | An interaction during which services are provided to the patient This profile also complies with the profiles US Core Encounter Profile (6.1.0) and US Core Encounter Profile (3.1.1) | |||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | SΣ | 0..1 | Meta | Metadata about the resource | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
versionId | Σ | 0..1 | id | Version specific identifier | ||||
lastUpdated | SΣ | 0..1 | instant | When the resource last changed | ||||
source | Σ | 0..1 | uri | Identifies where the resource comes from | ||||
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
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 | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
Coverage-Information | SC | 0..* | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information crd-ci-q1: Questionnaire is only allowed when doc-needed exists crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' must not exist. crd-ci-q3: 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. crd-ci-q6: If 'info-needed' is Other, then reason must be specified crd-ci-q7: If reason.coding is present and is not from the extensible value set, then reason.text must be present | ||||
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 | SΣ | 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(CRD Patient) | 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(CRD Service Request) | The ServiceRequest that initiated this encounter | |||||
participant | SΣ | 0..* | BackboneElement | List of participants involved in the 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 | ||||
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(7.0.0) S | US Core PractitionerRole Profile(7.0.0) | US Core RelatedPerson Profile(7.0.0)) | Persons involved in the encounter other than the patient | ||||
appointment | SΣ | 0..* | Reference(CRDAppointmentWithOrder | CRDAppointmentNoOrder) | The appointment that scheduled this encounter | ||||
period | S | 0..1 | Period | The start and end time of the encounter | ||||
length | S | 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(7.0.0) S | US Core Condition Encounter Diagnosis Profile(7.0.0) S | US Core Procedure Profile(7.0.0) | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) | ||||
diagnosis | SΣ | 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 | SΣ | 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(Location | Organization) | The location/organization from which the patient came before admission | |||||
admitSource | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) 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 | List of locations where the patient has been | ||||
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(CRD Location) | Location the encounter takes place | ||||
status | S | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. | ||||
physicalType | 0..1 | CodeableConcept | The 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 | S | 0..1 | Period | Time period during which the patient was present at the location | ||||
serviceProvider | S | 0..1 | Reference(US Core Organization Profile(7.0.0)) | The organization (facility) responsible for this encounter | ||||
partOf | 0..1 | Reference(CRD Encounter) | Another Encounter this encounter is part of | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Encounter.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard | ||||
Encounter.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard | ||||
Encounter.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Encounter.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from 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-type from the FHIR Standard | ||||
Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | ||||
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | ||||
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard | ||||
Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard | ||||
Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard | ||||
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard | ||||
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard | ||||
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard | ||||
Encounter.hospitalization.dischargeDisposition | preferred | USCoreDischargeDispositionhttp://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition | ||||
Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard | ||||
Encounter.location.physicalType | example | LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
crd-ci-q1 | error | Encounter.extension:Coverage-Information | Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists() | |
crd-ci-q2 | error | Encounter.extension:Coverage-Information | If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not() | |
crd-ci-q3 | error | Encounter.extension:Coverage-Information | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists() | |
crd-ci-q4 | error | Encounter.extension:Coverage-Information | If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa') | |
crd-ci-q5 | error | Encounter.extension:Coverage-Information | 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists() | |
crd-ci-q6 | error | Encounter.extension:Coverage-Information | If 'info-needed' is Other, then reason must be specified : extension.where(url = 'info-needed' and value = 'Other').exists() implies extension.where(url = 'reason').exists() | |
crd-ci-q7 | error | Encounter.extension:Coverage-Information | If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons') | |
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Encounter | If 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-4 | error | Encounter | If 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-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from USCoreEncounterProfile
Summary
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 3
Differential View
This structure is derived from USCoreEncounterProfile
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | USCoreEncounterProfile(7.0.0) | This profile also complies with the profiles US Core Encounter Profile (6.1.0) and US Core Encounter Profile (3.1.1) | ||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
Coverage-Information | S | 0..* | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information |
serviceType | S | 0..1 | CodeableConcept | Specific type of service |
subject | 1..1 | Reference(CRD Patient) | The patient or group present at the encounter | |
basedOn | 0..* | Reference(CRD Service Request) | The ServiceRequest that initiated this encounter | |
participant | ||||
individual | 0..1 | Reference(US Core Practitioner Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | US Core RelatedPerson Profile(7.0.0)) | Persons involved in the encounter other than the patient | |
appointment | S | 0..* | Reference(CRDAppointmentWithOrder | CRDAppointmentNoOrder) | The appointment that scheduled this encounter |
length | S | 0..1 | Duration | Quantity of time the encounter lasted (less time absent) |
diagnosis | S | 0..* | BackboneElement | The list of diagnosis relevant to this encounter |
condition | S | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter |
location | ||||
location | 1..1 | Reference(CRD Location) | Location the encounter takes place | |
status | S | 0..1 | code | planned | active | reserved | completed |
period | S | 0..1 | Period | Time period during which the patient was present at the location |
partOf | 0..1 | Reference(CRD Encounter) | Another Encounter this encounter is part of | |
Documentation for this format |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | 0..* | USCoreEncounterProfile(7.0.0) | An interaction during which services are provided to the patient This profile also complies with the profiles US Core Encounter Profile (6.1.0) and US Core Encounter Profile (3.1.1) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
meta | SΣ | 0..1 | Meta | Metadata about the resource ele-1: All FHIR elements must have a @value or children |
lastUpdated | SΣ | 0..1 | instant | When the resource last changed ele-1: All FHIR elements must have a @value or children |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
Coverage-Information | SC | 0..* | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both crd-ci-q1: Questionnaire is only allowed when doc-needed exists crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' must not exist. crd-ci-q3: 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. crd-ci-q6: If 'info-needed' is Other, then reason must be specified crd-ci-q7: If reason.coding is present and is not from the extensible value set, then reason.text must be present |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
identifier | SΣ | 0..* | Identifier | Identifier(s) by which this encounter is known ele-1: All FHIR elements must have a @value or children |
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children |
system | SΣ | 1..1 | uri | The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient |
value | SΣ | 1..1 | string | The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456 |
status | ?!SΣ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. ele-1: All FHIR elements must have a @value or children |
class | SΣ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter. ele-1: All FHIR elements must have a @value or children |
type | SΣ | 1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type ele-1: All FHIR elements must have a @value or children |
serviceType | SΣ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. ele-1: All FHIR elements must have a @value or children |
subject | SΣ | 1..1 | Reference(CRD Patient) | The patient or group present at the encounter ele-1: All FHIR elements must have a @value or children |
basedOn | 0..* | Reference(CRD Service Request) | The ServiceRequest that initiated this encounter ele-1: All FHIR elements must have a @value or children | |
participant | SΣ | 0..* | BackboneElement | List of participants involved in the encounter ele-1: All FHIR elements must have a @value or children |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
type | SΣ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. ele-1: All FHIR elements must have a @value or children |
period | S | 0..1 | Period | Period of time during the encounter that the participant participated ele-1: All FHIR elements must have a @value or children |
individual | SΣ | 0..1 | Reference(US Core Practitioner Profile(7.0.0)) | Persons involved in the encounter other than the patient ele-1: All FHIR elements must have a @value or children |
appointment | SΣ | 0..* | Reference(CRDAppointmentWithOrder | CRDAppointmentNoOrder) | The appointment that scheduled this encounter ele-1: All FHIR elements must have a @value or children |
period | S | 0..1 | Period | The start and end time of the encounter ele-1: All FHIR elements must have a @value or children |
length | S | 0..1 | Duration | Quantity of time the encounter lasted (less time absent) ele-1: All FHIR elements must have a @value or children |
reasonCode | SΣ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. ele-1: All FHIR elements must have a @value or children |
reasonReference | SΣ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0)) | Reason the encounter takes place (reference) ele-1: All FHIR elements must have a @value or children |
diagnosis | SΣ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter ele-1: All FHIR elements must have a @value or children |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
condition | SΣ | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter ele-1: All FHIR elements must have a @value or children |
hospitalization | S | 0..1 | BackboneElement | Details about the admission to a healthcare service ele-1: All FHIR elements must have a @value or children |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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 ele-1: All FHIR elements must have a @value or children |
location | S | 0..* | BackboneElement | List of locations where the patient has been ele-1: All FHIR elements must have a @value or children |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
location | S | 1..1 | Reference(CRD Location) | Location the encounter takes place ele-1: All FHIR elements must have a @value or children |
status | S | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. ele-1: All FHIR elements must have a @value or children |
period | S | 0..1 | Period | Time period during which the patient was present at the location ele-1: All FHIR elements must have a @value or children |
serviceProvider | S | 0..1 | Reference(US Core Organization Profile(7.0.0)) | The organization (facility) responsible for this encounter ele-1: All FHIR elements must have a @value or children |
partOf | 0..1 | Reference(CRD Encounter) | Another Encounter this encounter is part of ele-1: All FHIR elements must have a @value or children | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | |
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from 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.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-type from the FHIR Standard | |
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | |
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard | |
Encounter.hospitalization.dischargeDisposition | preferred | USCoreDischargeDispositionhttp://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition | |
Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
crd-ci-q1 | error | Encounter.extension:Coverage-Information | Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists() | |
crd-ci-q2 | error | Encounter.extension:Coverage-Information | If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not() | |
crd-ci-q3 | error | Encounter.extension:Coverage-Information | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists() | |
crd-ci-q4 | error | Encounter.extension:Coverage-Information | If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa') | |
crd-ci-q5 | error | Encounter.extension:Coverage-Information | 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists() | |
crd-ci-q6 | error | Encounter.extension:Coverage-Information | If 'info-needed' is Other, then reason must be specified : extension.where(url = 'info-needed' and value = 'Other').exists() implies extension.where(url = 'reason').exists() | |
crd-ci-q7 | error | Encounter.extension:Coverage-Information | If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons') | |
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Encounter | If 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-4 | error | Encounter | If 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-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Encounter | 0..* | USCoreEncounterProfile(7.0.0) | An interaction during which services are provided to the patient This profile also complies with the profiles US Core Encounter Profile (6.1.0) and US Core Encounter Profile (3.1.1) | |||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | SΣ | 0..1 | Meta | Metadata about the resource | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
versionId | Σ | 0..1 | id | Version specific identifier | ||||
lastUpdated | SΣ | 0..1 | instant | When the resource last changed | ||||
source | Σ | 0..1 | uri | Identifies where the resource comes from | ||||
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
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 | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
Coverage-Information | SC | 0..* | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information crd-ci-q1: Questionnaire is only allowed when doc-needed exists crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' must not exist. crd-ci-q3: 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. crd-ci-q6: If 'info-needed' is Other, then reason must be specified crd-ci-q7: If reason.coding is present and is not from the extensible value set, then reason.text must be present | ||||
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 | SΣ | 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(CRD Patient) | 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(CRD Service Request) | The ServiceRequest that initiated this encounter | |||||
participant | SΣ | 0..* | BackboneElement | List of participants involved in the 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 | ||||
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(7.0.0) S | US Core PractitionerRole Profile(7.0.0) | US Core RelatedPerson Profile(7.0.0)) | Persons involved in the encounter other than the patient | ||||
appointment | SΣ | 0..* | Reference(CRDAppointmentWithOrder | CRDAppointmentNoOrder) | The appointment that scheduled this encounter | ||||
period | S | 0..1 | Period | The start and end time of the encounter | ||||
length | S | 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(7.0.0) S | US Core Condition Encounter Diagnosis Profile(7.0.0) S | US Core Procedure Profile(7.0.0) | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) | ||||
diagnosis | SΣ | 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 | SΣ | 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(Location | Organization) | The location/organization from which the patient came before admission | |||||
admitSource | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) 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 | List of locations where the patient has been | ||||
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(CRD Location) | Location the encounter takes place | ||||
status | S | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. | ||||
physicalType | 0..1 | CodeableConcept | The 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 | S | 0..1 | Period | Time period during which the patient was present at the location | ||||
serviceProvider | S | 0..1 | Reference(US Core Organization Profile(7.0.0)) | The organization (facility) responsible for this encounter | ||||
partOf | 0..1 | Reference(CRD Encounter) | Another Encounter this encounter is part of | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Encounter.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard | ||||
Encounter.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard | ||||
Encounter.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Encounter.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from 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-type from the FHIR Standard | ||||
Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | ||||
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | ||||
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard | ||||
Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard | ||||
Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard | ||||
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard | ||||
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard | ||||
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard | ||||
Encounter.hospitalization.dischargeDisposition | preferred | USCoreDischargeDispositionhttp://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition | ||||
Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard | ||||
Encounter.location.physicalType | example | LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
crd-ci-q1 | error | Encounter.extension:Coverage-Information | Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists() | |
crd-ci-q2 | error | Encounter.extension:Coverage-Information | If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not() | |
crd-ci-q3 | error | Encounter.extension:Coverage-Information | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists() | |
crd-ci-q4 | error | Encounter.extension:Coverage-Information | If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa') | |
crd-ci-q5 | error | Encounter.extension:Coverage-Information | 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists() | |
crd-ci-q6 | error | Encounter.extension:Coverage-Information | If 'info-needed' is Other, then reason must be specified : extension.where(url = 'info-needed' and value = 'Other').exists() implies extension.where(url = 'reason').exists() | |
crd-ci-q7 | error | Encounter.extension:Coverage-Information | If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons') | |
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Encounter | If 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-4 | error | Encounter | If 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-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from USCoreEncounterProfile
Summary
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 3
Other representations of profile: CSV, Excel, Schematron