This page is part of the US Public Health Profiles Library (v2.0.0-ballot: STU 2 Ballot) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 1.0.0. For a full list of available versions, see the Directory of published versions
Official URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-encounter | Version: 2.0.0-ballot | |||
Standards status: Trial-use | Maturity Level: 3 | Computable Name: USPublicHealthEncounter | ||
Other Identifiers: OID:2.16.840.1.113883.4.642.40.58.42.23 |
This profile represents the encounter related to a public health event.
It is based on the US Core Encounter profile and further constrains it as follows:
Use Case | Data Class | Data Element Name |
---|---|---|
Case Reporting | Intake Assessment | Chief Complaint |
Case Reporting | Encounter Information | Admission Date/Time |
Case Reporting | Encounter Information | Encounter Diagnosis |
Case Reporting | Encounter Information | Encounter Disposition |
Case Reporting | Encounter Information | Encounter Identifier |
Case Reporting | Encounter Information | Encounter Location |
Case Reporting | Encounter Information | Encounter Status |
Case Reporting | Encounter Information | Encounter Type |
Case Reporting | Patient Demographics | Reason for the Encounter |
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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0..* | USCoreEncounterProfile | US Public Health Encounter | |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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SΣ | 0..* | Identifier | (USCDI+) Encounter Identifier |
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?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
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SΣ | 1..1 | uri | (USCDI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
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SΣ | 1..1 | string | (USCDI) The value that is unique Example General: 123456 |
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?!SΣ | 1..1 | code | (USCDI+) Encounter Status Binding: EncounterStatus (required): Current state of the encounter. |
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SΣ | 1..1 | Coding | (USCDI) Classification of patient encounter Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter. |
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SΣ | 1..* | CodeableConcept | (USCDI+) Encounter Type Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type |
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SΣ | 1..1 | Reference(US Public Health Patient) | (USCDI) The patient or group present at the encounter |
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SΣ | 0..* | BackboneElement | (USCDI) List of participants involved in the encounter Slice: Unordered, Open by type:type |
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Content/Rules for all slices | |||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SΣ | 0..* | CodeableConcept | (USCDI) Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. |
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S | 0..1 | Period | (USCDI) Period of time during the encounter that the participant participated |
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SΣ | 0..1 | Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | (USCDI) Persons involved in the encounter other than the patient |
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SΣ | 0..1 | BackboneElement | Responsible provider |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SΣ | 1..1 | CodeableConcept | (USCDI) Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: ATND | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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S | 0..1 | Period | (USCDI) Period of time during the encounter that the participant participated |
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SΣ | 1..1 | Reference(US Public Health PractitionerRole) | (USCDI) Persons involved in the encounter other than the patient |
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S | 0..1 | Period | (USCDI) The start and end time of the encounter |
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ΣC | 0..1 | dateTime | (USCDI+) Admission Date/Time (Visit Start Date/Time) |
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ΣC | 0..1 | dateTime | Discharge Date/Time (Visit End Date/Time) |
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SΣ | 0..* | CodeableConcept | (USCDI+) Reason for the Encounter Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. |
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SΣ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile S | US Core Condition Encounter Diagnosis Profile S | US Core Procedure Profile | Observation | ImmunizationRecommendation) | (USCDI+) Reason for the Encounter Slice: Unordered, Open by profile:$this.resolve() |
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SΣ | 0..1 | Reference(US Public Health Chief Complaint Observation) | (USCDI+) Chief Complaint |
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SΣ | 0..* | BackboneElement | (USCDI+) Encounter Diagnosis, (USCDI+) Chief Complaint (when diagnosis.use='CC') |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SΣ | 1..1 | Reference(US Public Health Condition Encounter Diagnosis) | The diagnosis or procedure relevant to the encounter |
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S | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents. |
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S | 0..1 | BackboneElement | (USCDI) Details about the admission to a healthcare service |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 0..1 | CodeableConcept | (USCDI+) Encounter Disposition Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17 |
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S | 1..* | BackboneElement | (USCDI) List of locations where the patient has been |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 1..1 | Reference(US Public Health Location) | (USCDI+) Encounter Location |
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S | 0..1 | Reference(US Public Health Organization) | (USCDI) The organization (facility) responsible for this encounter |
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Path | Conformance | ValueSet / Code | URI |
Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | |
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 From the FHIR Standard | |
Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0 | |
Encounter.type | extensible | USCoreEncounterTypehttp://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type | |
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard | |
Encounter.participant:responsibleProvider.type | extensible | Pattern Value: ATNDhttp://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard | |
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason From the FHIR Standard | |
Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role From the FHIR Standard | |
Encounter.hospitalization.dischargeDisposition | preferred | USCoreDischargeDisposition(a valid code from http://www.nubc.org/patient-discharge )http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from USCoreEncounterProfile
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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0..* | USCoreEncounterProfile | US Public Health Encounter | |
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0..* | Identifier | (USCDI+) Encounter Identifier | |
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1..1 | code | (USCDI+) Encounter Status | |
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1..* | CodeableConcept | (USCDI+) Encounter Type | |
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1..1 | Reference(US Public Health Patient) | (USCDI) The patient or group present at the encounter | |
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0..* | BackboneElement | (USCDI) List of participants involved in the encounter Slice: Unordered, Open by type:type | |
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S | 0..1 | BackboneElement | Responsible provider |
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1..1 | CodeableConcept | (USCDI) Role of participant in encounter Required Pattern: At least the following | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: ATND | |
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1..1 | Reference(US Public Health PractitionerRole) | (USCDI) Persons involved in the encounter other than the patient | |
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0..1 | dateTime | (USCDI+) Admission Date/Time (Visit Start Date/Time) | |
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0..1 | dateTime | Discharge Date/Time (Visit End Date/Time) | |
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0..* | CodeableConcept | (USCDI+) Reason for the Encounter | |
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0..* | Reference(US Core Condition Problems and Health Concerns Profile | US Core Condition Encounter Diagnosis Profile | US Core Procedure Profile | Observation | ImmunizationRecommendation) | (USCDI+) Reason for the Encounter Slice: Unordered, Open by profile:$this.resolve() | |
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S | 0..1 | Reference(US Public Health Chief Complaint Observation) | (USCDI+) Chief Complaint |
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S | 0..* | BackboneElement | (USCDI+) Encounter Diagnosis, (USCDI+) Chief Complaint (when diagnosis.use='CC') |
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S | 1..1 | Reference(US Public Health Condition Encounter Diagnosis) | The diagnosis or procedure relevant to the encounter |
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S | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) |
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0..1 | CodeableConcept | (USCDI+) Encounter Disposition | |
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1..* | BackboneElement | (USCDI) List of locations where the patient has been | |
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1..1 | Reference(US Public Health Location) | (USCDI+) Encounter Location | |
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0..1 | Reference(US Public Health Organization) | (USCDI) The organization (facility) responsible for this encounter | |
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Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
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0..* | USCoreEncounterProfile | US Public Health Encounter | |||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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SΣ | 0..* | Identifier | (USCDI+) Encounter Identifier | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
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Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
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SΣ | 1..1 | uri | (USCDI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
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SΣ | 1..1 | string | (USCDI) The value that is unique Example General: 123456 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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?!SΣ | 1..1 | code | (USCDI+) Encounter Status Binding: EncounterStatus (required): Current state of the encounter. | ||||
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0..* | BackboneElement | List of past encounter statuses | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | |||||
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1..1 | Period | The time that the episode was in the specified status | |||||
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SΣ | 1..1 | Coding | (USCDI) Classification of patient encounter Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter. | ||||
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0..* | BackboneElement | List of past encounter classes | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter. | |||||
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1..1 | Period | The time that the episode was in the specified class | |||||
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SΣ | 1..* | CodeableConcept | (USCDI+) Encounter Type Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type | ||||
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Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. | ||||
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0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (3.0.0) (example): Indicates the urgency of the encounter. | |||||
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SΣ | 1..1 | Reference(US Public Health Patient) | (USCDI) The patient or group present at the encounter | ||||
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Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against | ||||
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0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter | |||||
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SΣ | 0..* | BackboneElement | (USCDI) List of participants involved in the encounter Slice: Unordered, Open by type:type | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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SΣ | 0..* | CodeableConcept | (USCDI) Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | ||||
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S | 0..1 | Period | (USCDI) Period of time during the encounter that the participant participated | ||||
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SΣ | 0..1 | Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | (USCDI) Persons involved in the encounter other than the patient | ||||
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SΣ | 0..1 | BackboneElement | Responsible provider | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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SΣ | 1..1 | CodeableConcept | (USCDI) Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: ATND | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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S | 0..1 | Period | (USCDI) Period of time during the encounter that the participant participated | ||||
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SΣ | 1..1 | Reference(US Public Health PractitionerRole) | (USCDI) Persons involved in the encounter other than the patient | ||||
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Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | ||||
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S | 0..1 | Period | (USCDI) The start and end time of the encounter | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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ΣC | 0..1 | dateTime | (USCDI+) Admission Date/Time (Visit Start Date/Time) | ||||
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ΣC | 0..1 | dateTime | Discharge Date/Time (Visit End Date/Time) | ||||
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0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |||||
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SΣ | 0..* | CodeableConcept | (USCDI+) Reason for the Encounter Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | ||||
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SΣ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile S | US Core Condition Encounter Diagnosis Profile S | US Core Procedure Profile | Observation | ImmunizationRecommendation) | (USCDI+) Reason for the Encounter Slice: Unordered, Open by profile:$this.resolve() | ||||
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SΣ | 0..1 | Reference(US Public Health Chief Complaint Observation) | (USCDI+) Chief Complaint | ||||
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SΣ | 0..* | BackboneElement | (USCDI+) Encounter Diagnosis, (USCDI+) Chief Complaint (when diagnosis.use='CC') | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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SΣ | 1..1 | Reference(US Public Health Condition Encounter Diagnosis) | The diagnosis or procedure relevant to the encounter | ||||
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S | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents. | ||||
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0..1 | positiveInt | Ranking of the diagnosis (for each role type) | |||||
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0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter | |||||
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S | 0..1 | BackboneElement | (USCDI) Details about the admission to a healthcare service | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | Identifier | Pre-admission identifier | |||||
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0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission | |||||
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0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted. | |||||
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0..1 | CodeableConcept | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter. | |||||
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0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements. | |||||
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0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies. | |||||
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0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements. | |||||
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0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged | |||||
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S | 0..1 | CodeableConcept | (USCDI+) Encounter Disposition Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17 | ||||
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S | 1..* | BackboneElement | (USCDI) List of locations where the patient has been | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
S | 1..1 | Reference(US Public Health Location) | (USCDI+) Encounter Location | ||||
![]() ![]() ![]() ![]() |
0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location. | |||||
![]() ![]() ![]() ![]() |
0..1 | Period | Time period during which the patient was present at the location | |||||
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S | 0..1 | Reference(US Public Health Organization) | (USCDI) The organization (facility) responsible for this encounter | ||||
![]() ![]() ![]() |
0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |||||
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Path | Conformance | ValueSet / Code | URI | |||
Encounter.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages From the FHIR Standard
| ||||
Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | ||||
Encounter.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | ||||
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 From the FHIR Standard | ||||
Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 From the FHIR Standard | ||||
Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0 | ||||
Encounter.classHistory.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0 | ||||
Encounter.type | extensible | USCoreEncounterTypehttp://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type | ||||
Encounter.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-type From the FHIR Standard | ||||
Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority|3.0.0 | ||||
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard | ||||
Encounter.participant:responsibleProvider.type | extensible | Pattern Value: ATNDhttp://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard | ||||
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason From the FHIR Standard | ||||
Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role From the FHIR Standard | ||||
Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-source From the FHIR Standard | ||||
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-diet From the FHIR Standard | ||||
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesy From the FHIR Standard | ||||
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangements From the FHIR Standard | ||||
Encounter.hospitalization.dischargeDisposition | preferred | USCoreDischargeDisposition(a valid code from http://www.nubc.org/patient-discharge )http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition | ||||
Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 From the FHIR Standard | ||||
Encounter.location.physicalType | example | LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from USCoreEncounterProfile
Summary
Mandatory: 1 element(2 nested mandatory elements)
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 3
Key Elements View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | USCoreEncounterProfile | US Public Health Encounter | |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() |
SΣ | 0..* | Identifier | (USCDI+) Encounter Identifier |
![]() ![]() ![]() ![]() |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | (USCDI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
![]() ![]() ![]() ![]() |
SΣ | 1..1 | string | (USCDI) The value that is unique Example General: 123456 |
![]() ![]() ![]() |
?!SΣ | 1..1 | code | (USCDI+) Encounter Status Binding: EncounterStatus (required): Current state of the encounter. |
![]() ![]() ![]() |
SΣ | 1..1 | Coding | (USCDI) Classification of patient encounter Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter. |
![]() ![]() ![]() |
SΣ | 1..* | CodeableConcept | (USCDI+) Encounter Type Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type |
![]() ![]() ![]() |
SΣ | 1..1 | Reference(US Public Health Patient) | (USCDI) The patient or group present at the encounter |
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SΣ | 0..* | BackboneElement | (USCDI) List of participants involved in the encounter Slice: Unordered, Open by type:type |
![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() ![]() |
SΣ | 0..* | CodeableConcept | (USCDI) Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. |
![]() ![]() ![]() ![]() ![]() |
S | 0..1 | Period | (USCDI) Period of time during the encounter that the participant participated |
![]() ![]() ![]() ![]() ![]() |
SΣ | 0..1 | Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | (USCDI) Persons involved in the encounter other than the patient |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | BackboneElement | Responsible provider |
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | (USCDI) Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: ATND | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |
![]() ![]() ![]() ![]() ![]() |
S | 0..1 | Period | (USCDI) Period of time during the encounter that the participant participated |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | Reference(US Public Health PractitionerRole) | (USCDI) Persons involved in the encounter other than the patient |
![]() ![]() ![]() |
S | 0..1 | Period | (USCDI) The start and end time of the encounter |
![]() ![]() ![]() ![]() |
ΣC | 0..1 | dateTime | (USCDI+) Admission Date/Time (Visit Start Date/Time) |
![]() ![]() ![]() ![]() |
ΣC | 0..1 | dateTime | Discharge Date/Time (Visit End Date/Time) |
![]() ![]() ![]() |
SΣ | 0..* | CodeableConcept | (USCDI+) Reason for the Encounter Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. |
![]() ![]() ![]() |
SΣ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile S | US Core Condition Encounter Diagnosis Profile S | US Core Procedure Profile | Observation | ImmunizationRecommendation) | (USCDI+) Reason for the Encounter Slice: Unordered, Open by profile:$this.resolve() |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | Reference(US Public Health Chief Complaint Observation) | (USCDI+) Chief Complaint |
![]() ![]() ![]() |
SΣ | 0..* | BackboneElement | (USCDI+) Encounter Diagnosis, (USCDI+) Chief Complaint (when diagnosis.use='CC') |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
SΣ | 1..1 | Reference(US Public Health Condition Encounter Diagnosis) | The diagnosis or procedure relevant to the encounter |
![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents. |
![]() ![]() ![]() |
S | 0..1 | BackboneElement | (USCDI) Details about the admission to a healthcare service |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | (USCDI+) Encounter Disposition Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17 |
![]() ![]() ![]() |
S | 1..* | BackboneElement | (USCDI) List of locations where the patient has been |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
S | 1..1 | Reference(US Public Health Location) | (USCDI+) Encounter Location |
![]() ![]() ![]() |
S | 0..1 | Reference(US Public Health Organization) | (USCDI) The organization (facility) responsible for this encounter |
![]() |
Path | Conformance | ValueSet / Code | URI |
Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | |
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 From the FHIR Standard | |
Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0 | |
Encounter.type | extensible | USCoreEncounterTypehttp://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type | |
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard | |
Encounter.participant:responsibleProvider.type | extensible | Pattern Value: ATNDhttp://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard | |
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason From the FHIR Standard | |
Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role From the FHIR Standard | |
Encounter.hospitalization.dischargeDisposition | preferred | USCoreDischargeDisposition(a valid code from http://www.nubc.org/patient-discharge )http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Differential View
This structure is derived from USCoreEncounterProfile
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | USCoreEncounterProfile | US Public Health Encounter | |
![]() ![]() ![]() |
0..* | Identifier | (USCDI+) Encounter Identifier | |
![]() ![]() ![]() |
1..1 | code | (USCDI+) Encounter Status | |
![]() ![]() ![]() |
1..* | CodeableConcept | (USCDI+) Encounter Type | |
![]() ![]() ![]() |
1..1 | Reference(US Public Health Patient) | (USCDI) The patient or group present at the encounter | |
![]() ![]() ![]() |
0..* | BackboneElement | (USCDI) List of participants involved in the encounter Slice: Unordered, Open by type:type | |
![]() ![]() ![]() ![]() |
S | 0..1 | BackboneElement | Responsible provider |
![]() ![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | (USCDI) Role of participant in encounter Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: ATND | |
![]() ![]() ![]() ![]() ![]() |
1..1 | Reference(US Public Health PractitionerRole) | (USCDI) Persons involved in the encounter other than the patient | |
![]() ![]() ![]() |
||||
![]() ![]() ![]() ![]() |
0..1 | dateTime | (USCDI+) Admission Date/Time (Visit Start Date/Time) | |
![]() ![]() ![]() ![]() |
0..1 | dateTime | Discharge Date/Time (Visit End Date/Time) | |
![]() ![]() ![]() |
0..* | CodeableConcept | (USCDI+) Reason for the Encounter | |
![]() ![]() ![]() |
0..* | Reference(US Core Condition Problems and Health Concerns Profile | US Core Condition Encounter Diagnosis Profile | US Core Procedure Profile | Observation | ImmunizationRecommendation) | (USCDI+) Reason for the Encounter Slice: Unordered, Open by profile:$this.resolve() | |
![]() ![]() ![]() ![]() |
S | 0..1 | Reference(US Public Health Chief Complaint Observation) | (USCDI+) Chief Complaint |
![]() ![]() ![]() |
S | 0..* | BackboneElement | (USCDI+) Encounter Diagnosis, (USCDI+) Chief Complaint (when diagnosis.use='CC') |
![]() ![]() ![]() ![]() |
S | 1..1 | Reference(US Public Health Condition Encounter Diagnosis) | The diagnosis or procedure relevant to the encounter |
![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) |
![]() ![]() ![]() |
||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | (USCDI+) Encounter Disposition | |
![]() ![]() ![]() |
1..* | BackboneElement | (USCDI) List of locations where the patient has been | |
![]() ![]() ![]() ![]() |
1..1 | Reference(US Public Health Location) | (USCDI+) Encounter Location | |
![]() ![]() ![]() |
0..1 | Reference(US Public Health Organization) | (USCDI) The organization (facility) responsible for this encounter | |
![]() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
0..* | USCoreEncounterProfile | US Public Health Encounter | |||||
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
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0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() |
SΣ | 0..* | Identifier | (USCDI+) Encounter Identifier | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | (USCDI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
![]() ![]() ![]() ![]() |
SΣ | 1..1 | string | (USCDI) The value that is unique Example General: 123456 | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
![]() ![]() ![]() |
?!SΣ | 1..1 | code | (USCDI+) Encounter Status Binding: EncounterStatus (required): Current state of the encounter. | ||||
![]() ![]() ![]() |
0..* | BackboneElement | List of past encounter statuses | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | |||||
![]() ![]() ![]() ![]() |
1..1 | Period | The time that the episode was in the specified status | |||||
![]() ![]() ![]() |
SΣ | 1..1 | Coding | (USCDI) Classification of patient encounter Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter. | ||||
![]() ![]() ![]() |
0..* | BackboneElement | List of past encounter classes | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter. | |||||
![]() ![]() ![]() ![]() |
1..1 | Period | The time that the episode was in the specified class | |||||
![]() ![]() ![]() |
SΣ | 1..* | CodeableConcept | (USCDI+) Encounter Type Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type | ||||
![]() ![]() ![]() |
Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. | ||||
![]() ![]() ![]() |
0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (3.0.0) (example): Indicates the urgency of the encounter. | |||||
![]() ![]() ![]() |
SΣ | 1..1 | Reference(US Public Health Patient) | (USCDI) The patient or group present at the encounter | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against | ||||
![]() ![]() ![]() |
0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter | |||||
![]() ![]() ![]() |
SΣ | 0..* | BackboneElement | (USCDI) List of participants involved in the encounter Slice: Unordered, Open by type:type | ||||
![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 0..* | CodeableConcept | (USCDI) Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | ||||
![]() ![]() ![]() ![]() ![]() |
S | 0..1 | Period | (USCDI) Period of time during the encounter that the participant participated | ||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 0..1 | Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | (USCDI) Persons involved in the encounter other than the patient | ||||
![]() ![]() ![]() ![]() |
SΣ | 0..1 | BackboneElement | Responsible provider | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | (USCDI) Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: ATND | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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S | 0..1 | Period | (USCDI) Period of time during the encounter that the participant participated | ||||
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SΣ | 1..1 | Reference(US Public Health PractitionerRole) | (USCDI) Persons involved in the encounter other than the patient | ||||
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Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | ||||
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S | 0..1 | Period | (USCDI) The start and end time of the encounter | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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ΣC | 0..1 | dateTime | (USCDI+) Admission Date/Time (Visit Start Date/Time) | ||||
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ΣC | 0..1 | dateTime | Discharge Date/Time (Visit End Date/Time) | ||||
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0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |||||
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SΣ | 0..* | CodeableConcept | (USCDI+) Reason for the Encounter Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | ||||
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SΣ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile S | US Core Condition Encounter Diagnosis Profile S | US Core Procedure Profile | Observation | ImmunizationRecommendation) | (USCDI+) Reason for the Encounter Slice: Unordered, Open by profile:$this.resolve() | ||||
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SΣ | 0..1 | Reference(US Public Health Chief Complaint Observation) | (USCDI+) Chief Complaint | ||||
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SΣ | 0..* | BackboneElement | (USCDI+) Encounter Diagnosis, (USCDI+) Chief Complaint (when diagnosis.use='CC') | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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SΣ | 1..1 | Reference(US Public Health Condition Encounter Diagnosis) | The diagnosis or procedure relevant to the encounter | ||||
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S | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents. | ||||
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0..1 | positiveInt | Ranking of the diagnosis (for each role type) | |||||
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0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter | |||||
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S | 0..1 | BackboneElement | (USCDI) Details about the admission to a healthcare service | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | Identifier | Pre-admission identifier | |||||
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0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission | |||||
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0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted. | |||||
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0..1 | CodeableConcept | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter. | |||||
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0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements. | |||||
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0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies. | |||||
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0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements. | |||||
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0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged | |||||
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S | 0..1 | CodeableConcept | (USCDI+) Encounter Disposition Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17 | ||||
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S | 1..* | BackboneElement | (USCDI) List of locations where the patient has been | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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S | 1..1 | Reference(US Public Health Location) | (USCDI+) Encounter Location | ||||
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0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. | |||||
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0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location. | |||||
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0..1 | Period | Time period during which the patient was present at the location | |||||
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S | 0..1 | Reference(US Public Health Organization) | (USCDI) The organization (facility) responsible for this encounter | ||||
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0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |||||
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Path | Conformance | ValueSet / Code | URI | |||
Encounter.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages From the FHIR Standard
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Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | ||||
Encounter.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | ||||
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 From the FHIR Standard | ||||
Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 From the FHIR Standard | ||||
Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0 | ||||
Encounter.classHistory.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0 | ||||
Encounter.type | extensible | USCoreEncounterTypehttp://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type | ||||
Encounter.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-type From the FHIR Standard | ||||
Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority|3.0.0 | ||||
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard | ||||
Encounter.participant:responsibleProvider.type | extensible | Pattern Value: ATNDhttp://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard | ||||
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason From the FHIR Standard | ||||
Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role From the FHIR Standard | ||||
Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-source From the FHIR Standard | ||||
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-diet From the FHIR Standard | ||||
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesy From the FHIR Standard | ||||
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangements From the FHIR Standard | ||||
Encounter.hospitalization.dischargeDisposition | preferred | USCoreDischargeDisposition(a valid code from http://www.nubc.org/patient-discharge )http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition | ||||
Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 From the FHIR Standard | ||||
Encounter.location.physicalType | example | LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from USCoreEncounterProfile
Summary
Mandatory: 1 element(2 nested mandatory elements)
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 3
Other representations of profile: CSV, Excel, Schematron