Da Vinci Prior Authorization Support (PAS) FHIR IG
1.2.0-ballot - STU 1.2
US
Da Vinci Prior Authorization Support (PAS) FHIR IG
1.2.0-ballot - STU 1.2
US
This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v1.2.0-ballot: STU 1.2 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions 
| Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-encounter | Version: 1.2.0-ballot | |||
| Active as of 2022-02-17 | Computable Name: PASEncounter | |||
PAS constraints on the Encounter resource mandating support for elements relevant to details of a requested institutional stay on the prior authorization request
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreEncounterProfile
Summary
Must-Support: 3 elements
Fixed Value: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
This structure is derived from USCoreEncounterProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Encounter | 0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient | |
  Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
 extension-patientStatus | S | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-patientStatus Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/03/00/1352 (required): Codes indicating patient status as of the 'statement covers through date'. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. |
 extension-nursingHomeResidentialStatus | S | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus |
   valueCodeableConcept | 0..1 | CodeableConcept | Value of extension Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/04/00/1345 (required): Codes specifying the status of a nursing home resident at the time of service. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. | |
| status | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Fixed Value: planned | |
| type | 1..* | CodeableConcept | Specific type of encounter Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/01/00/1315 (required): Codes indicating the priority of this admission. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. | |
 subject | 1..1 | Reference(PAS Beneficiary Patient) | The patient or group present at the encounter | |
| hospitalization | ||||
 admitSource | S | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/02/00/1314 (required): Codes indicating the source of this admission. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. |
 location | ||||
 location | 1..1 | Reference(US Core Location Profile) | Location the encounter takes place | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter | 0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient | |
 id | Σ | 0..1 | string | Logical id of this artifact |
 meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: 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 | |
| extension-patientStatus | S | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-patientStatus Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/03/00/1352 (required): Codes indicating patient status as of the 'statement covers through date'. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. |
| extension-nursingHomeResidentialStatus | S | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus |
 id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus" | |
  Slices for value[x] | 0..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |
 value[x]:valueCodeableConcept | 0..1 | CodeableConcept | Value of extension Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/04/00/1345 (required): Codes specifying the status of a nursing home resident at the time of service. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. | |
 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 | |
| Slices for 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. Fixed Value: planned |
| 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: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/01/00/1315 (required): Codes indicating the priority of this admission. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. |
| serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. |
| priority | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter. | |
| subject | SΣ | 1..1 | Reference(PAS Beneficiary 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(ServiceRequest) | 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) | Persons involved in the encounter other than the patient |
| appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter |
| period | S | 0..1 | Period | The start and end time of the encounter |
| length | 0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |
| reasonCode | SΣ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. |
| reasonReference | Σ | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) |
| diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| condition | Σ | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter |
| use | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents. | |
| rank | 0..1 | positiveInt | Ranking of the diagnosis (for each role type) | |
| account | 0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter | |
| hospitalization | S | 0..1 | BackboneElement | Details about the admission to a healthcare service |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| preAdmissionIdentifier | 0..1 | Identifier | Pre-admission identifier | |
| origin | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission | |
| admitSource | S | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/02/00/1314 (required): Codes indicating the source of this admission. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. |
| 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: DischargeDisposition (example): Discharge Disposition. |
| 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(US Core Location Profile) | Location the encounter takes place |
| status | 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 | 0..1 | Period | Time period during which the patient was present at the location | |
| serviceProvider | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter | |
| partOf | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter | 0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient | |
| extension-patientStatus | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-patientStatus Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/03/00/1352 (required): Codes indicating patient status as of the 'statement covers through date'. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. | |
| extension-nursingHomeResidentialStatus | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus | |
| identifier | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known |
| system | Σ | 1..1 | uri | The namespace for the identifier value |
| value | Σ | 1..1 | string | The value that is unique |
| status | ?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. Fixed Value: planned |
| class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter. |
| type | Σ | 1..* | CodeableConcept | Specific type of encounter Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/01/00/1315 (required): Codes indicating the priority of this admission. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. |
| subject | Σ | 1..1 | Reference(PAS Beneficiary Patient) | The patient or group present at the encounter |
| participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter |
| type | Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. |
| period | 0..1 | Period | Period of time during the encounter that the participant participated | |
| individual | Σ | 0..1 | Reference(US Core Practitioner Profile) | Persons involved in the encounter other than the patient |
| period | 0..1 | Period | The start and end time of the encounter | |
| reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. |
| hospitalization | 0..1 | BackboneElement | Details about the admission to a healthcare service | |
| admitSource | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/02/00/1314 (required): Codes indicating the source of this admission. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. | |
| dischargeDisposition | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition. | |
| location | 0..* | BackboneElement | List of locations where the patient has been | |
| location | 1..1 | Reference(US Core Location Profile) | Location the encounter takes place | |
| Documentation for this format | ||||
This structure is derived from USCoreEncounterProfile
Summary
Must-Support: 3 elements
Fixed Value: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from USCoreEncounterProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter | 0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension-patientStatus | S | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-patientStatus Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/03/00/1352 (required): Codes indicating patient status as of the 'statement covers through date'. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. |
| extension-nursingHomeResidentialStatus | S | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus |
| valueCodeableConcept | 0..1 | CodeableConcept | Value of extension Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/04/00/1345 (required): Codes specifying the status of a nursing home resident at the time of service. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. | |
| status | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Fixed Value: planned | |
| type | 1..* | CodeableConcept | Specific type of encounter Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/01/00/1315 (required): Codes indicating the priority of this admission. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. | |
| subject | 1..1 | Reference(PAS Beneficiary Patient) | The patient or group present at the encounter | |
| hospitalization | ||||
| admitSource | S | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/02/00/1314 (required): Codes indicating the source of this admission. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. |
| location | ||||
| location | 1..1 | Reference(US Core Location Profile) | Location the encounter takes place | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter | 0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient | |
| id | Σ | 0..1 | string | Logical id of this artifact |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: 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 | |
| extension-patientStatus | S | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-patientStatus Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/03/00/1352 (required): Codes indicating patient status as of the 'statement covers through date'. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. |
| extension-nursingHomeResidentialStatus | S | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus" | |
| Slices for value[x] | 0..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueCodeableConcept | 0..1 | CodeableConcept | Value of extension Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/04/00/1345 (required): Codes specifying the status of a nursing home resident at the time of service. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. | |
| 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 | |
| Slices for 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. Fixed Value: planned |
| 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: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/01/00/1315 (required): Codes indicating the priority of this admission. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. |
| serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. |
| priority | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter. | |
| subject | SΣ | 1..1 | Reference(PAS Beneficiary 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(ServiceRequest) | 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) | Persons involved in the encounter other than the patient |
| appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter |
| period | S | 0..1 | Period | The start and end time of the encounter |
| length | 0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |
| reasonCode | SΣ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. |
| reasonReference | Σ | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) |
| diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| condition | Σ | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter |
| use | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents. | |
| rank | 0..1 | positiveInt | Ranking of the diagnosis (for each role type) | |
| account | 0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter | |
| hospitalization | S | 0..1 | BackboneElement | Details about the admission to a healthcare service |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| preAdmissionIdentifier | 0..1 | Identifier | Pre-admission identifier | |
| origin | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission | |
| admitSource | S | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/02/00/1314 (required): Codes indicating the source of this admission. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. |
| 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: DischargeDisposition (example): Discharge Disposition. |
| 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(US Core Location Profile) | Location the encounter takes place |
| status | 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 | 0..1 | Period | Time period during which the patient was present at the location | |
| serviceProvider | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter | |
| partOf | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |
| Documentation for this format | ||||
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet / Code |
| Encounter.language | preferred | CommonLanguages Max Binding: AllLanguages |
| Encounter.extension:nursingHomeResidentialStatus.value[x]:valueCodeableConcept | required | https://valueset.x12.org/x217/005010/request/2000E/CL1/1/04/00/1345 |
| Encounter.identifier.use | required | IdentifierUse |
| Encounter.identifier.type | extensible | Identifier Type Codes |
| Encounter.status | required | Fixed Value: planned |
| Encounter.statusHistory.status | required | EncounterStatus |
| Encounter.class | extensible | ActEncounterCode |
| Encounter.classHistory.class | extensible | ActEncounterCode |
| Encounter.type | required | https://valueset.x12.org/x217/005010/request/2000E/CL1/1/01/00/1315 |
| Encounter.serviceType | example | ServiceType |
| Encounter.priority | example | ActPriority |
| Encounter.participant.type | extensible | ParticipantType |
| Encounter.reasonCode | preferred | EncounterReasonCodes |
| Encounter.diagnosis.use | preferred | DiagnosisRole |
| Encounter.hospitalization.admitSource | required | https://valueset.x12.org/x217/005010/request/2000E/CL1/1/02/00/1314 |
| Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicator |
| Encounter.hospitalization.dietPreference | example | Diet |
| Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesy |
| Encounter.hospitalization.specialArrangement | preferred | SpecialArrangements |
| Encounter.hospitalization.dischargeDisposition | example | DischargeDisposition |
| Encounter.location.status | required | EncounterLocationStatus |
| Encounter.location.physicalType | example | LocationType |
IG © 2020+ HL7 International - Financial Management Work Group. Package hl7.fhir.us.davinci-pas#1.2.0-ballot based on FHIR 4.0.1. Generated 2022-02-17
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