HL7 FHIR Profile: Occupational Data for Health (ODH), Release 1 (Standard for Trial Use)

This page is part of the Occupational Data for Health (ODH) FHIR IG (v0.1.0: STU 1 Ballot 1) based on FHIR R3. The current version which supercedes this version is 1.2.0. For a full list of available versions, see the Directory of published versions

EncounterProfile


<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="cimi-encounter-Encounter"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
  <p><b>ODH Encounter Profile</b></p>
  <p>A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.</p>
  <p><b>ODH Mapping Summary</b></p>
  <p><pre>cimi.encounter.Encounter maps to Encounter:
  PersonOfRecord maps to subject
  EncounterType maps to type
  Status maps to status
  TimePeriod maps to period
</pre></p>
</div>
  </text>
  <url
       value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-encounter-Encounter"/>
  <identifier>
    <system value="http://hl7.org/fhir/us/odh"/>
    <value value="cimi.encounter.Encounter"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="EncounterProfile"/>
  <title value="ODH Encounter Profile"/>
  <status value="draft"/>
  <date value="2018-08-17T00:00:00+10:00"/>
  <publisher value="HL7"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://standardhealthrecord.org"/>
    </telecom>
  </contact>
  <description
               value="A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient."/>
  <fhirVersion value="3.0.1"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <mapping>
    <identity value="v2"/>
    <uri value="http://hl7.org/v2"/>
    <name value="HL7 v2 Mapping"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="Encounter"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="Encounter:cimi-encounter-Encounter">
      <path value="Encounter"/>
      <short value="ODH Encounter Profile"/>
      <definition
                  value="A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient."/>
      <alias value="Visit"/>
      <min value="0"/>
      <max value="*"/>
      <constraint>
        <key value="dom-2"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
        <expression value="contained.contained.empty()"/>
        <xpath value="not(parent::f:contained and f:contained)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-1"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
        <expression value="contained.text.empty()"/>
        <xpath value="not(parent::f:contained and f:text)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-4"/>
        <severity value="error"/>
        <human
               value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
        <expression
                    value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
        <xpath
               value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-3"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/>
        <expression
                    value="contained.where((&#39;#&#39;+id in %resource.descendants().reference).not()).empty()"/>
        <xpath
               value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat(&#39;#&#39;, $id))]))"/>
        <source value="DomainResource"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Encounter[@moodCode=&#39;EVN&#39;]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="workflow.encounter"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.id">
      <path value="Encounter.id"/>
      <short value="Logical id of this artifact"/>
      <definition
                  value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
      <comment
               value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.meta">
      <path value="Encounter.meta"/>
      <short value="Metadata about the resource"/>
      <definition
                  value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.implicitRules">
      <path value="Encounter.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition
                  value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
      <comment
               value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it&#39;s meaning or interpretation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.language">
      <path value="Encounter.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comment
               value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource  Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.text">
      <path value="Encounter.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition
                  value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
      <comment
               value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded in formation is added later."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.contained">
      <path value="Encounter.contained"/>
      <short value="Contained, inline Resources"/>
      <definition
                  value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
      <comment
               value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.extension">
      <path value="Encounter.extension"/>
      <slicing id="1">
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.extension:recorded">
      <path value="Encounter.extension"/>
      <sliceName value="recorded"/>
      <definition
                  value="The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-core-Recorded-extension"/>
      </type>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.extension:signed">
      <path value="Encounter.extension"/>
      <sliceName value="signed"/>
      <definition
                  value="Provenance information specific to the signing of the clinical statement."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-core-Signed-extension"/>
      </type>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.extension:additionaltext">
      <path value="Encounter.extension"/>
      <sliceName value="additionaltext"/>
      <definition
                  value="A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-core-AdditionalText-extension"/>
      </type>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.extension:encounterclass">
      <path value="Encounter.extension"/>
      <sliceName value="encounterclass"/>
      <definition
                  value="Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-encounter-EncounterClass-extension"/>
      </type>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.extension:partof">
      <path value="Encounter.extension"/>
      <sliceName value="partof"/>
      <definition
                  value="The larger entity that this is a portion of. For example, an organization might be part of a larger organization, or an encounter with a hospitalist might be part of a larger hospitalization encounter."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-element-PartOf-extension"/>
      </type>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.extension:partof.id">
      <path value="Encounter.extension.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.extension:partof.extension">
      <path value="Encounter.extension.extension"/>
      <slicing id="1">
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element
             id="Encounter:cimi-encounter-Encounter.extension:partof.extension:independent">
      <path value="Encounter.extension.extension"/>
      <sliceName value="independent"/>
      <definition
                  value="Base class for classes in CIMI that stand alone. Analogous to FHIR&#39;s DomainResource."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-core-Independent-extension"/>
      </type>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Encounter:cimi-encounter-Encounter.extension:partof.extension:independent.id">
      <path value="Encounter.extension.extension.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Encounter:cimi-encounter-Encounter.extension:partof.extension:independent.extension">
      <path value="Encounter.extension.extension.extension"/>
      <slicing id="1">
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element
             id="Encounter:cimi-encounter-Encounter.extension:partof.extension:independent.url">
      <path value="Encounter.extension.extension.url"/>
      <representation value="xmlAttr"/>
      <short value="identifies the meaning of the extension"/>
      <definition
                  value="Source of the definition for the extension code - a logical name or a URL."/>
      <comment
               value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.url"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri
                value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-core-Independent-extension"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Encounter:cimi-encounter-Encounter.extension:partof.extension:independent.value[x]">
      <path value="Encounter.extension.extension.value[x]"/>
      <short value="Value of extension"/>
      <definition
                  value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Extension.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="base64Binary"/>
      </type>
      <type>
        <code value="boolean"/>
      </type>
      <type>
        <code value="code"/>
      </type>
      <type>
        <code value="date"/>
      </type>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code value="decimal"/>
      </type>
      <type>
        <code value="id"/>
      </type>
      <type>
        <code value="instant"/>
      </type>
      <type>
        <code value="integer"/>
      </type>
      <type>
        <code value="markdown"/>
      </type>
      <type>
        <code value="oid"/>
      </type>
      <type>
        <code value="positiveInt"/>
      </type>
      <type>
        <code value="string"/>
      </type>
      <type>
        <code value="time"/>
      </type>
      <type>
        <code value="unsignedInt"/>
      </type>
      <type>
        <code value="uri"/>
      </type>
      <type>
        <code value="Address"/>
      </type>
      <type>
        <code value="Age"/>
      </type>
      <type>
        <code value="Annotation"/>
      </type>
      <type>
        <code value="Attachment"/>
      </type>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <type>
        <code value="Coding"/>
      </type>
      <type>
        <code value="ContactPoint"/>
      </type>
      <type>
        <code value="Count"/>
      </type>
      <type>
        <code value="Distance"/>
      </type>
      <type>
        <code value="Duration"/>
      </type>
      <type>
        <code value="HumanName"/>
      </type>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Money"/>
      </type>
      <type>
        <code value="Period"/>
      </type>
      <type>
        <code value="Quantity"/>
      </type>
      <type>
        <code value="Range"/>
      </type>
      <type>
        <code value="Ratio"/>
      </type>
      <type>
        <code value="Reference"/>
      </type>
      <type>
        <code value="SampledData"/>
      </type>
      <type>
        <code value="Signature"/>
      </type>
      <type>
        <code value="Timing"/>
      </type>
      <type>
        <code value="Meta"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.extension:partof.url">
      <path value="Encounter.extension.url"/>
      <representation value="xmlAttr"/>
      <short value="identifies the meaning of the extension"/>
      <definition
                  value="Source of the definition for the extension code - a logical name or a URL."/>
      <comment
               value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.url"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri
                value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-element-PartOf-extension"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.extension:partof.value[x]">
      <path value="Encounter.extension.value[x]"/>
      <short value="Value of extension"/>
      <definition
                  value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Extension.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="base64Binary"/>
      </type>
      <type>
        <code value="boolean"/>
      </type>
      <type>
        <code value="code"/>
      </type>
      <type>
        <code value="date"/>
      </type>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code value="decimal"/>
      </type>
      <type>
        <code value="id"/>
      </type>
      <type>
        <code value="instant"/>
      </type>
      <type>
        <code value="integer"/>
      </type>
      <type>
        <code value="markdown"/>
      </type>
      <type>
        <code value="oid"/>
      </type>
      <type>
        <code value="positiveInt"/>
      </type>
      <type>
        <code value="string"/>
      </type>
      <type>
        <code value="time"/>
      </type>
      <type>
        <code value="unsignedInt"/>
      </type>
      <type>
        <code value="uri"/>
      </type>
      <type>
        <code value="Address"/>
      </type>
      <type>
        <code value="Age"/>
      </type>
      <type>
        <code value="Annotation"/>
      </type>
      <type>
        <code value="Attachment"/>
      </type>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <type>
        <code value="Coding"/>
      </type>
      <type>
        <code value="ContactPoint"/>
      </type>
      <type>
        <code value="Count"/>
      </type>
      <type>
        <code value="Distance"/>
      </type>
      <type>
        <code value="Duration"/>
      </type>
      <type>
        <code value="HumanName"/>
      </type>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Money"/>
      </type>
      <type>
        <code value="Period"/>
      </type>
      <type>
        <code value="Quantity"/>
      </type>
      <type>
        <code value="Range"/>
      </type>
      <type>
        <code value="Ratio"/>
      </type>
      <type>
        <code value="Reference"/>
      </type>
      <type>
        <code value="SampledData"/>
      </type>
      <type>
        <code value="Signature"/>
      </type>
      <type>
        <code value="Timing"/>
      </type>
      <type>
        <code value="Meta"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.extension:diagnosis">
      <path value="Encounter.extension"/>
      <sliceName value="diagnosis"/>
      <definition
                  value="A diagnosis, which is a disease or injury determined to be present through evaluation of patient history, examination, and/or review of laboratory data."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-encounter-Diagnosis-extension"/>
      </type>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.extension:clinicalnote">
      <path value="Encounter.extension"/>
      <sliceName value="clinicalnote"/>
      <definition
                  value="An entry concerning a patient where the result is a narrative text."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-statement-ClinicalNote-extension"/>
      </type>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.modifierExtension">
      <path value="Encounter.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.identifier">
      <path value="Encounter.identifier"/>
      <short value="Identifier(s) by which this encounter is known"/>
      <definition value="Identifier(s) by which this encounter is known."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-19"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.status">
      <path value="Encounter.status"/>
      <short
             value="planned | arrived | triaged | in-progress | onleave | finished | cancelled +"/>
      <definition
                  value="planned | arrived | triaged | in-progress | onleave | finished | cancelled +."/>
      <comment
               value="Note that internal business rules will detemine the appropraite transitions that may occur between statuses (and also classes).

This element is labeled as a modifier because the status contains codes that mark the encounter as not currently valid."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="EncounterStatus"/>
        </extension>
        <strength value="required"/>
        <description value="Current state of the encounter"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/encounter-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map
             value="No clear equivalent in HL7 v2; active/finished could be inferred from PV1-44, PV1-45, PV2-24; inactive could be inferred from PV2-16"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".statusCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.statusHistory">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="StatusHistory"/>
      </extension>
      <path value="Encounter.statusHistory"/>
      <short value="List of past encounter statuses"/>
      <definition
                  value="The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them."/>
      <comment
               value="The current status is always found in the current version of the resource, not the status history."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.statusHistory.id">
      <path value="Encounter.statusHistory.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.statusHistory.extension">
      <path value="Encounter.statusHistory.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Encounter:cimi-encounter-Encounter.statusHistory.modifierExtension">
      <path value="Encounter.statusHistory.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.statusHistory.status">
      <path value="Encounter.statusHistory.status"/>
      <short
             value="planned | arrived | triaged | in-progress | onleave | finished | cancelled +"/>
      <definition
                  value="planned | arrived | triaged | in-progress | onleave | finished | cancelled +."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="EncounterStatus"/>
        </extension>
        <strength value="required"/>
        <description value="Current state of the encounter"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/encounter-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.statusHistory.period">
      <path value="Encounter.statusHistory.period"/>
      <short value="The time that the episode was in the specified status"/>
      <definition value="The time that the episode was in the specified status."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.class">
      <path value="Encounter.class"/>
      <short value="inpatient | outpatient | ambulatory | emergency +"/>
      <definition value="inpatient | outpatient | ambulatory | emergency +."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="EncounterClass"/>
        </extension>
        <strength value="extensible"/>
        <description value="Classification of the encounter"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v3-ActEncounterCode"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship[typeCode=SUBJ].source[classCode=LIST].code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.classHistory">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="ClassHistory"/>
      </extension>
      <path value="Encounter.classHistory"/>
      <short value="List of past encounter classes"/>
      <definition
                  value="The class history permits the tracking of the encounters transitions without needing to go  through the resource history.

This would be used for a case where an admission starts of as an emergency encounter, then transisions into an inpatient scenario. Doing this and not restarting a new encounter ensures that any lab/diagnostic results can more easily follow the patient and not require re-processing and not get lost or cancelled during a kindof discharge from emergency to inpatient."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.classHistory.id">
      <path value="Encounter.classHistory.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.classHistory.extension">
      <path value="Encounter.classHistory.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Encounter:cimi-encounter-Encounter.classHistory.modifierExtension">
      <path value="Encounter.classHistory.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.classHistory.class">
      <path value="Encounter.classHistory.class"/>
      <short value="inpatient | outpatient | ambulatory | emergency +"/>
      <definition value="inpatient | outpatient | ambulatory | emergency +."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="EncounterClass"/>
        </extension>
        <strength value="extensible"/>
        <description value="Classification of the encounter"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v3-ActEncounterCode"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.classHistory.period">
      <path value="Encounter.classHistory.period"/>
      <short value="The time that the episode was in the specified class"/>
      <definition value="The time that the episode was in the specified class."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.type">
      <path value="Encounter.type"/>
      <short value="Specific type of encounter"/>
      <definition
                  value="Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation)."/>
      <comment
               value="Since there are many ways to further classify encounters, this element is 0..*."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="extensible"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v3-ActEncounterCode"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-4 / PV1-18"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.priority">
      <path value="Encounter.priority"/>
      <short value="Indicates the urgency of the encounter"/>
      <definition value="Indicates the urgency of the encounter."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Priority"/>
        </extension>
        <strength value="example"/>
        <description value="Indicates the urgency of the encounter."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v3-ActPriority"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PV2-25"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".priorityCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="grade"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.subject">
      <path value="Encounter.subject"/>
      <short value="The patient ro group present at the encounter"/>
      <definition value="The patient ro group present at the encounter."/>
      <comment
               value="While the encounter is always about the patient, the patient may not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked)."/>
      <alias value="patient"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=SBJ]/role[classCode=PAT]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.episodeOfCare">
      <path value="Encounter.episodeOfCare"/>
      <short
             value="Episode(s) of care that this encounter should be recorded against"/>
      <definition
                  value="Where a specific encounter should be classified as a part of a specific episode(s) of care this field should be used. This association can facilitate grouping of related encounters together for a specific purpose, such as government reporting, issue tracking, association via a common problem.  The association is recorded on the encounter as these are typically created after the episode of care, and grouped on entry rather than editing the episode of care to append another encounter to it (the episode of care could span years)."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-54, PV1-53"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.incomingReferral">
      <path value="Encounter.incomingReferral"/>
      <short value="The ReferralRequest that initiated this encounter"/>
      <definition
                  value="The referral request this encounter satisfies (incoming referral)."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/ReferralRequest"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".reason.ClinicalDocument"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.participant">
      <path value="Encounter.participant"/>
      <short value="List of participants involved in the encounter"/>
      <definition
                  value="The list of people responsible for providing the service."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="ROL"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=PFM]"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.participant.id">
      <path value="Encounter.participant.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.participant.extension">
      <path value="Encounter.participant.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Encounter:cimi-encounter-Encounter.participant.modifierExtension">
      <path value="Encounter.participant.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.participant.type">
      <path value="Encounter.participant.type"/>
      <short value="Role of participant in encounter"/>
      <definition value="Role of participant in encounter."/>
      <comment
               value="The participant type indicates how an individual partitipates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ParticipantType"/>
        </extension>
        <strength value="extensible"/>
        <description value="Role of participant in encounter"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ValueSet/encounter-participant-type"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="ROL-3 (or maybe PRT-4)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".functionCode"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.participant.period">
      <path value="Encounter.participant.period"/>
      <short
             value="Period of time during the encounter that the participant participated"/>
      <definition
                  value="The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter&#39;s period."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="ROL-5, ROL-6 (or maybe PRT-5)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".time"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.participant.individual">
      <path value="Encounter.participant.individual"/>
      <short value="Persons involved in the encounter other than the patient"/>
      <definition
                  value="Persons involved in the encounter other than the patient."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="ROL-4"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.appointment">
      <path value="Encounter.appointment"/>
      <short value="The appointment that scheduled this encounter"/>
      <definition value="The appointment that scheduled this encounter."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Appointment"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="SCH-1 / SCH-2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=FLFS].target[classCode=ENC, moodCode=APT]"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.period">
      <path value="Encounter.period"/>
      <short value="The start and end time of the encounter"/>
      <definition value="The start and end time of the encounter."/>
      <comment value="If not (yet) known, the end of the Period may be omitted."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-44, PV1-45"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime (low &amp; high)"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.done"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.length">
      <path value="Encounter.length"/>
      <short value="Quantity of time the encounter lasted (less time absent)"/>
      <definition
                  value="Quantity of time the encounter lasted. This excludes the time during leaves of absence."/>
      <comment
               value="May differ from the time the Encounter.period lasted because of leave of absence."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Duration"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map
             value="(PV1-45 less PV1-44) iff ( (PV1-44 not empty) and (PV1-45 not empty) ); units in minutes"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".lengthOfStayQuantity"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.reason">
      <path value="Encounter.reason"/>
      <short value="Reason the encounter takes place (code)"/>
      <definition
                  value="Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis."/>
      <comment
               value="For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis)."/>
      <alias value="Indication"/>
      <alias value="Admission diagnosis"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="EncounterReason"/>
        </extension>
        <strength value="preferred"/>
        <description value="Reason why the encounter takes place."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/encounter-reason"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map
             value="EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".reasonCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="why"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.diagnosis">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Diagnosis"/>
      </extension>
      <path value="Encounter.diagnosis"/>
      <short value="The list of diagnosis relevant to this encounter"/>
      <definition value="The list of diagnosis relevant to this encounter."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=RSON]"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.diagnosis.id">
      <path value="Encounter.diagnosis.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.diagnosis.extension">
      <path value="Encounter.diagnosis.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.diagnosis.modifierExtension">
      <path value="Encounter.diagnosis.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.diagnosis.condition">
      <path value="Encounter.diagnosis.condition"/>
      <short value="Reason the encounter takes place (resource)"/>
      <definition
                  value="Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure."/>
      <comment
               value="For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis)."/>
      <alias value="Admission diagnosis"/>
      <alias value="discharge diagnosis"/>
      <alias value="indication"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map
             value="Resources that would commonly referenced at Encounter.indication would be Condition and/or Procedure. These most closely align with DG1/PRB and PR1 respectively."/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=RSON].target"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="why"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.diagnosis.role">
      <path value="Encounter.diagnosis.role"/>
      <short
             value="Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)"/>
      <definition
                  value="Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DiagnosisRole"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="preferred"/>
        <description value="The type of diagnosis this condition represents"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/diagnosis-role"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.diagnosis.rank">
      <path value="Encounter.diagnosis.rank"/>
      <short value="Ranking of the diagnosis (for each role type)"/>
      <definition value="Ranking of the diagnosis (for each role type)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=RSON].priority"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.account">
      <path value="Encounter.account"/>
      <short
             value="The set of accounts that may be used for billing for this Encounter"/>
      <definition
                  value="The set of accounts that may be used for billing for this Encounter."/>
      <comment
               value="The billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Account"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".pertains.A_Account"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.hospitalization">
      <path value="Encounter.hospitalization"/>
      <short value="Details about the admission to a healthcare service"/>
      <definition value="Details about the admission to a healthcare service."/>
      <comment
               value="An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included.

The duration recorded in the period of this encounter covers the entire scope of this hospitalization record."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP].target[classCode=ENC, moodCode=EVN]"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.hospitalization.id">
      <path value="Encounter.hospitalization.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.hospitalization.extension">
      <path value="Encounter.hospitalization.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Encounter:cimi-encounter-Encounter.hospitalization.modifierExtension">
      <path value="Encounter.hospitalization.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Encounter:cimi-encounter-Encounter.hospitalization.preAdmissionIdentifier">
      <path value="Encounter.hospitalization.preAdmissionIdentifier"/>
      <short value="Pre-admission identifier"/>
      <definition value="Pre-admission identifier."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-5"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.hospitalization.origin">
      <path value="Encounter.hospitalization.origin"/>
      <short value="The location from which the patient came before admission"/>
      <definition
                  value="The location from which the patient came before admission."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=ORG].role"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.hospitalization.admitSource">
      <path value="Encounter.hospitalization.admitSource"/>
      <short
             value="From where patient was admitted (physician referral, transfer)"/>
      <definition
                  value="From where patient was admitted (physician referral, transfer)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdmitSource"/>
        </extension>
        <strength value="preferred"/>
        <description value="From where the patient was admitted."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/encounter-admit-source"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-14"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".admissionReferralSourceCode"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.hospitalization.reAdmission">
      <path value="Encounter.hospitalization.reAdmission"/>
      <short
             value="The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission"/>
      <definition
                  value="Whether this hospitalization is a readmission and why if known."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ReAdmissionType"/>
        </extension>
        <strength value="example"/>
        <description
                     value="The reason for re-admission of this hospitalization encounter."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v2-0092"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-13"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Encounter:cimi-encounter-Encounter.hospitalization.dietPreference">
      <path value="Encounter.hospitalization.dietPreference"/>
      <short value="Diet preferences reported by the patient"/>
      <definition value="Diet preferences reported by the patient."/>
      <comment
               value="For example a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive)."/>
      <requirements
                    value="Used to track patient&#39;s diet restrictions and/or preference. For a complete description of the nutrition needs of a patient during their stay, one should use the nutritionOrder resource which links to Encounter."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="PatientDiet"/>
        </extension>
        <strength value="example"/>
        <description
                     value="Medical, cultural or ethical food preferences to help with catering requirements."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/encounter-diet"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-38"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=EVN, code=&quot;diet&quot;]"/>
      </mapping>
    </element>
    <element
             id="Encounter:cimi-encounter-Encounter.hospitalization.specialCourtesy">
      <path value="Encounter.hospitalization.specialCourtesy"/>
      <short value="Special courtesies (VIP, board member)"/>
      <definition value="Special courtesies (VIP, board member)."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Courtesies"/>
        </extension>
        <strength value="preferred"/>
        <description value="Special courtesies"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ValueSet/encounter-special-courtesy"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-16"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".specialCourtesiesCode"/>
      </mapping>
    </element>
    <element
             id="Encounter:cimi-encounter-Encounter.hospitalization.specialArrangement">
      <path value="Encounter.hospitalization.specialArrangement"/>
      <short value="Wheelchair, translator, stretcher, etc."/>
      <definition
                  value="Any special requests that have been made for this hospitalization encounter, such as the provision of specific equipment or other things."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Arrangements"/>
        </extension>
        <strength value="preferred"/>
        <description value="Special arrangements"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ValueSet/encounter-special-arrangements"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-15 / OBR-30 / OBR-43"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".specialArrangementCode"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.hospitalization.destination">
      <path value="Encounter.hospitalization.destination"/>
      <short value="Location to which the patient is discharged"/>
      <definition value="Location to which the patient is discharged."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-37"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=DST]"/>
      </mapping>
    </element>
    <element
             id="Encounter:cimi-encounter-Encounter.hospitalization.dischargeDisposition">
      <path value="Encounter.hospitalization.dischargeDisposition"/>
      <short value="Category or kind of location after discharge"/>
      <definition value="Category or kind of location after discharge."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DischargeDisp"/>
        </extension>
        <strength value="example"/>
        <description value="Discharge Disposition"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ValueSet/encounter-discharge-disposition"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-36"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".dischargeDispositionCode"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.location">
      <path value="Encounter.location"/>
      <short value="List of locations where the patient has been"/>
      <definition
                  value="List of locations where  the patient has been during this encounter."/>
      <comment
               value="Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type &quot;kind&quot; such as &quot;client&#39;s home&quot; and an encounter.class = &quot;virtual&quot;."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=LOC]"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.location.id">
      <path value="Encounter.location.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.location.extension">
      <path value="Encounter.location.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.location.modifierExtension">
      <path value="Encounter.location.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.location.location">
      <path value="Encounter.location.location"/>
      <short value="Location the encounter takes place"/>
      <definition value="The location where the encounter takes place."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-3 / PV1-6 / PV1-11 / PV1-42 / PV1-43"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="where"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.location.status">
      <path value="Encounter.location.status"/>
      <short value="planned | active | reserved | completed"/>
      <definition
                  value="The status of the participants&#39; presence at the specified location during the period specified. If the participant is is no longer at the location, then the period will have an end date/time."/>
      <comment
               value="When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="EncounterLocationStatus"/>
        </extension>
        <strength value="required"/>
        <description value="The status of the location."/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ValueSet/encounter-location-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".role.statusCode"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.location.period">
      <path value="Encounter.location.period"/>
      <short
             value="Time period during which the patient was present at the location"/>
      <definition
                  value="Time period during which the patient was present at the location."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".time"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.serviceProvider">
      <path value="Encounter.serviceProvider"/>
      <short value="The custodian organization of this Encounter record"/>
      <definition
                  value="An organization that is in charge of maintaining the information of this Encounter (e.g. who maintains the report or the master service catalog item, etc.). This MAY be the same as the organization on the Patient record, however it could be different. This MAY not be not the Service Delivery Location&#39;s Organization."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map
             value="PV1-10 / PL.6  &amp; PL.1  (note: HL7 v2 definition is &quot;the treatment or type of surgery that the patient is scheduled to receive&quot;; seems slightly out of alignment with the concept name &#39;hospital service&#39;. Would not trust that implementations apply this semantic by default)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".particiaption[typeCode=PFM].role"/>
      </mapping>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.partOf">
      <path value="Encounter.partOf"/>
      <short value="Another Encounter this encounter is part of"/>
      <definition
                  value="Another Encounter of which this encounter is a part of (administratively or in time)."/>
      <comment
               value="This is also used for associating a child&#39;s encounter back to the mother&#39;s encounter.

Refer to the Notes section in the Patient resource for further details."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship[typeCode=COMP].source[classCode=COMP, moodCode=EVN]"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="Encounter:cimi-encounter-Encounter">
      <path value="Encounter"/>
      <short value="ODH Encounter Profile"/>
      <definition
                  value="A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient."/>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.extension:recorded">
      <path value="Encounter.extension"/>
      <sliceName value="recorded"/>
      <definition
                  value="The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-core-Recorded-extension"/>
      </type>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.extension:signed">
      <path value="Encounter.extension"/>
      <sliceName value="signed"/>
      <definition
                  value="Provenance information specific to the signing of the clinical statement."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-core-Signed-extension"/>
      </type>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.extension:additionaltext">
      <path value="Encounter.extension"/>
      <sliceName value="additionaltext"/>
      <definition
                  value="A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-core-AdditionalText-extension"/>
      </type>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.extension:encounterclass">
      <path value="Encounter.extension"/>
      <sliceName value="encounterclass"/>
      <definition
                  value="Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-encounter-EncounterClass-extension"/>
      </type>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.extension:partof">
      <path value="Encounter.extension"/>
      <sliceName value="partof"/>
      <definition
                  value="The larger entity that this is a portion of. For example, an organization might be part of a larger organization, or an encounter with a hospitalist might be part of a larger hospitalization encounter."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-element-PartOf-extension"/>
      </type>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.extension:partof.extension">
      <path value="Encounter.extension.extension"/>
      <min value="1"/>
      <max value="*"/>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.extension:diagnosis">
      <path value="Encounter.extension"/>
      <sliceName value="diagnosis"/>
      <definition
                  value="A diagnosis, which is a disease or injury determined to be present through evaluation of patient history, examination, and/or review of laboratory data."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-encounter-Diagnosis-extension"/>
      </type>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.extension:clinicalnote">
      <path value="Encounter.extension"/>
      <sliceName value="clinicalnote"/>
      <definition
                  value="An entry concerning a patient where the result is a narrative text."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-statement-ClinicalNote-extension"/>
      </type>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.type">
      <path value="Encounter.type"/>
      <binding>
        <strength value="extensible"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v3-ActEncounterCode"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Encounter:cimi-encounter-Encounter.subject">
      <path value="Encounter.subject"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
      </type>
    </element>
  </differential>
</StructureDefinition>