QI-Core Implementation Guide
4.1.0 - release

This page is part of the Quality Improvement Core Framework (v4.1.0: STU 4) based on FHIR R4. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

Resource Profile: QICoreEncounter

Defining URL:http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Version:4.1.0
Name:QICoreEncounter
Status:Draft as of 8/22/18
Definition:

Profile of Encounter for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

Publisher:http://www.hl7.org/Special/committees/cqi/index.cfm
Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
Usage

The following example illustrates accessing an inpatient encounter:

define "Inpatient Encounter":
  [Encounter: "Encounter Inpatient"] EncounterInpatient
    where EncounterInpatient.status = 'finished'
      and "LengthInDays"(EncounterInpatient.period) <= 120
      and EncounterInpatient.period ends during "Measurement Period"

See the patterns page for implementation and usage patterns.

Examples

Inpatient Admission for Appendicitis

Formal Views of Profile Content

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

This structure is derived from USCoreEncounterProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*USCoreEncounterProfileAn interaction during which services are provided to the patient
... request-statusReason S0..1CodeableConceptReason for current status
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
Binding: (unbound) (example): Codes identifying the reason for the current state of an event.

... qicore-encounter-procedure S0..*(Complex)Encounter Procedure Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-procedure
... priority S0..1CodeableConceptIndicates the urgency of the encounter
Binding: SNOMED CT Priorities Codes (preferred): The priority of the encounter (e.g., Urgent, Normal, etc.)

... basedOn 0..*Reference(QICoreServiceRequest)The ServiceRequest that initiated this encounter
... participant S0..*BackboneElementList of participants involved in the encounter
.... individual S0..1Reference(QICorePractitioner)Persons involved in the encounter other than the patient
... length S0..1DurationQuantity of time the encounter lasted (less time absent)
... diagnosis S0..*BackboneElementThe list of diagnosis relevant to this encounter
.... qicore-encounter-diagnosisPresentOnAdmission S0..1CodeableConceptonAdmission
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-diagnosisPresentOnAdmission
Binding: QICore Present On Admission Codes (required): Indicator of whether the Encounter diagnosis was present at the time of admission

.... condition S1..1Reference(QICoreCondition | QICoreProcedure)The diagnosis or procedure relevant to the encounter
.... use S0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
.... rank S0..1positiveIntRanking of the diagnosis (for each role type)
... hospitalization S0..1BackboneElementDetails about the admission to a healthcare service
.... origin 0..1Reference(QICoreLocation)The location/organization from which the patient came before admission
.... admitSource S0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
.... reAdmission S0..1CodeableConceptThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
.... destination 0..1Reference(QICoreLocation)Location/organization to which the patient is discharged
.... dischargeDisposition S0..1CodeableConceptCategory or kind of location after discharge
... location S0..*BackboneElementList of locations where the patient has been
.... location S1..1Reference(QICoreLocation)Location the encounter takes place
.... period S0..1PeriodTime period during which the patient was present at the location
... serviceProvider S0..1Reference(QICoreOrganization)The organization (facility) responsible for this encounter
... partOf 0..1Reference(QICoreEncounter)Another Encounter this encounter is part of

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*USCoreEncounterProfileAn interaction during which services are provided to the patient
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... request-statusReason S0..1CodeableConceptReason for current status
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
Binding: (unbound) (example): Codes identifying the reason for the current state of an event.


... qicore-encounter-procedure S0..*(Complex)Encounter Procedure Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-procedure
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*IdentifierIdentifier(s) by which this encounter is known
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!SΣ1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

... statusHistory 0..*BackboneElementList of past encounter statuses
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... status 1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified status
... class SΣ1..1CodingClassification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.

... classHistory 0..*BackboneElementList of past encounter classes
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... class 1..1Codinginpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified class
... type SΣ1..*CodeableConceptSpecific type of encounter
Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type


... serviceType Σ0..1CodeableConceptSpecific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

... priority S0..1CodeableConceptIndicates the urgency of the encounter
Binding: SNOMED CT Priorities Codes (preferred): The priority of the encounter (e.g., Urgent, Normal, etc.)

... subject SΣ1..1Reference(QICorePatient)The patient or group present at the encounter
... episodeOfCare Σ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... basedOn 0..*Reference(QICoreServiceRequest)The ServiceRequest that initiated this encounter
... participant SΣ0..*BackboneElementList of participants involved in the encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type SΣ0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.


.... period S0..1PeriodPeriod of time during the encounter that the participant participated
.... individual SΣ0..1Reference(QICorePractitioner)Persons involved in the encounter other than the patient
... appointment Σ0..*Reference(Appointment)The appointment that scheduled this encounter
... period S0..1PeriodThe start and end time of the encounter
... length S0..1DurationQuantity of time the encounter lasted (less time absent)
... reasonCode SΣ0..*CodeableConceptCoded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference Σ0..*Reference(Condition | Procedure | Observation | ImmunizationRecommendation)Reason the encounter takes place (reference)
... diagnosis SΣ0..*BackboneElementThe list of diagnosis relevant to this encounter
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... qicore-encounter-diagnosisPresentOnAdmission S0..1CodeableConceptonAdmission
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-diagnosisPresentOnAdmission
Binding: QICore Present On Admission Codes (required): Indicator of whether the Encounter diagnosis was present at the time of admission


.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... condition SΣ1..1Reference(QICoreCondition | QICoreProcedure)The diagnosis or procedure relevant to the encounter
.... use S0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank S0..1positiveIntRanking of the diagnosis (for each role type)
... account 0..*Reference(Account)The set of accounts that may be used for billing for this Encounter
... hospitalization S0..1BackboneElementDetails about the admission to a healthcare service
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin 0..1Reference(QICoreLocation)The location/organization from which the patient came before admission
.... admitSource S0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.

.... reAdmission S0..1CodeableConceptThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.

.... dietPreference 0..*CodeableConceptDiet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.


.... specialCourtesy 0..*CodeableConceptSpecial courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.


.... specialArrangement 0..*CodeableConceptWheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.


.... destination 0..1Reference(QICoreLocation)Location/organization to which the patient is discharged
.... dischargeDisposition S0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

... location S0..*BackboneElementList of locations where the patient has been
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... location S1..1Reference(QICoreLocation)Location the encounter takes place
.... status 0..1codeplanned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

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

.... period S0..1PeriodTime period during which the patient was present at the location
... serviceProvider S0..1Reference(QICoreOrganization)The organization (facility) responsible for this encounter
... partOf 0..1Reference(QICoreEncounter)Another Encounter this encounter is part of

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*USCoreEncounterProfileAn interaction during which services are provided to the patient
... request-statusReason 0..1CodeableConceptReason for current status
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
Binding: (unbound) (example): Codes identifying the reason for the current state of an event.


... qicore-encounter-procedure 0..*(Complex)Encounter Procedure Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-procedure
... identifier Σ0..*IdentifierIdentifier(s) by which this encounter is known
.... system Σ1..1uriThe namespace for the identifier value
.... value Σ1..1stringThe value that is unique
... class Σ1..1CodingClassification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.

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


... priority 0..1CodeableConceptIndicates the urgency of the encounter
Binding: SNOMED CT Priorities Codes (preferred): The priority of the encounter (e.g., Urgent, Normal, etc.)

... subject Σ1..1Reference(QICorePatient)The patient or group present at the encounter
... participant Σ0..*BackboneElementList of participants involved in the encounter
.... type Σ0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.


.... period 0..1PeriodPeriod of time during the encounter that the participant participated
.... individual Σ0..1Reference(QICorePractitioner)Persons involved in the encounter other than the patient
... period 0..1PeriodThe start and end time of the encounter
... length 0..1DurationQuantity of time the encounter lasted (less time absent)
... reasonCode Σ0..*CodeableConceptCoded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... diagnosis Σ0..*BackboneElementThe list of diagnosis relevant to this encounter
.... qicore-encounter-diagnosisPresentOnAdmission 0..1CodeableConceptonAdmission
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-diagnosisPresentOnAdmission
Binding: QICore Present On Admission Codes (required): Indicator of whether the Encounter diagnosis was present at the time of admission


.... condition Σ1..1Reference(QICoreCondition | QICoreProcedure)The diagnosis or procedure relevant to the encounter
.... use 0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank 0..1positiveIntRanking of the diagnosis (for each role type)
... hospitalization 0..1BackboneElementDetails about the admission to a healthcare service
.... admitSource 0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.

.... reAdmission 0..1CodeableConceptThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.

.... dischargeDisposition 0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

... location 0..*BackboneElementList of locations where the patient has been
.... location 1..1Reference(QICoreLocation)Location the encounter takes place
.... period 0..1PeriodTime period during which the patient was present at the location
... serviceProvider 0..1Reference(QICoreOrganization)The organization (facility) responsible for this encounter

doco Documentation for this format

Differential View

This structure is derived from USCoreEncounterProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*USCoreEncounterProfileAn interaction during which services are provided to the patient
... request-statusReason S0..1CodeableConceptReason for current status
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
Binding: (unbound) (example): Codes identifying the reason for the current state of an event.

... qicore-encounter-procedure S0..*(Complex)Encounter Procedure Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-procedure
... priority S0..1CodeableConceptIndicates the urgency of the encounter
Binding: SNOMED CT Priorities Codes (preferred): The priority of the encounter (e.g., Urgent, Normal, etc.)

... basedOn 0..*Reference(QICoreServiceRequest)The ServiceRequest that initiated this encounter
... participant S0..*BackboneElementList of participants involved in the encounter
.... individual S0..1Reference(QICorePractitioner)Persons involved in the encounter other than the patient
... length S0..1DurationQuantity of time the encounter lasted (less time absent)
... diagnosis S0..*BackboneElementThe list of diagnosis relevant to this encounter
.... qicore-encounter-diagnosisPresentOnAdmission S0..1CodeableConceptonAdmission
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-diagnosisPresentOnAdmission
Binding: QICore Present On Admission Codes (required): Indicator of whether the Encounter diagnosis was present at the time of admission

.... condition S1..1Reference(QICoreCondition | QICoreProcedure)The diagnosis or procedure relevant to the encounter
.... use S0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
.... rank S0..1positiveIntRanking of the diagnosis (for each role type)
... hospitalization S0..1BackboneElementDetails about the admission to a healthcare service
.... origin 0..1Reference(QICoreLocation)The location/organization from which the patient came before admission
.... admitSource S0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
.... reAdmission S0..1CodeableConceptThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
.... destination 0..1Reference(QICoreLocation)Location/organization to which the patient is discharged
.... dischargeDisposition S0..1CodeableConceptCategory or kind of location after discharge
... location S0..*BackboneElementList of locations where the patient has been
.... location S1..1Reference(QICoreLocation)Location the encounter takes place
.... period S0..1PeriodTime period during which the patient was present at the location
... serviceProvider S0..1Reference(QICoreOrganization)The organization (facility) responsible for this encounter
... partOf 0..1Reference(QICoreEncounter)Another Encounter this encounter is part of

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*USCoreEncounterProfileAn interaction during which services are provided to the patient
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... request-statusReason S0..1CodeableConceptReason for current status
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
Binding: (unbound) (example): Codes identifying the reason for the current state of an event.


... qicore-encounter-procedure S0..*(Complex)Encounter Procedure Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-procedure
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*IdentifierIdentifier(s) by which this encounter is known
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!SΣ1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

... statusHistory 0..*BackboneElementList of past encounter statuses
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... status 1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified status
... class SΣ1..1CodingClassification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.

... classHistory 0..*BackboneElementList of past encounter classes
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... class 1..1Codinginpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified class
... type SΣ1..*CodeableConceptSpecific type of encounter
Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type


... serviceType Σ0..1CodeableConceptSpecific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

... priority S0..1CodeableConceptIndicates the urgency of the encounter
Binding: SNOMED CT Priorities Codes (preferred): The priority of the encounter (e.g., Urgent, Normal, etc.)

... subject SΣ1..1Reference(QICorePatient)The patient or group present at the encounter
... episodeOfCare Σ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... basedOn 0..*Reference(QICoreServiceRequest)The ServiceRequest that initiated this encounter
... participant SΣ0..*BackboneElementList of participants involved in the encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type SΣ0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.


.... period S0..1PeriodPeriod of time during the encounter that the participant participated
.... individual SΣ0..1Reference(QICorePractitioner)Persons involved in the encounter other than the patient
... appointment Σ0..*Reference(Appointment)The appointment that scheduled this encounter
... period S0..1PeriodThe start and end time of the encounter
... length S0..1DurationQuantity of time the encounter lasted (less time absent)
... reasonCode SΣ0..*CodeableConceptCoded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference Σ0..*Reference(Condition | Procedure | Observation | ImmunizationRecommendation)Reason the encounter takes place (reference)
... diagnosis SΣ0..*BackboneElementThe list of diagnosis relevant to this encounter
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... qicore-encounter-diagnosisPresentOnAdmission S0..1CodeableConceptonAdmission
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-diagnosisPresentOnAdmission
Binding: QICore Present On Admission Codes (required): Indicator of whether the Encounter diagnosis was present at the time of admission


.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... condition SΣ1..1Reference(QICoreCondition | QICoreProcedure)The diagnosis or procedure relevant to the encounter
.... use S0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank S0..1positiveIntRanking of the diagnosis (for each role type)
... account 0..*Reference(Account)The set of accounts that may be used for billing for this Encounter
... hospitalization S0..1BackboneElementDetails about the admission to a healthcare service
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin 0..1Reference(QICoreLocation)The location/organization from which the patient came before admission
.... admitSource S0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.

.... reAdmission S0..1CodeableConceptThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.

.... dietPreference 0..*CodeableConceptDiet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.


.... specialCourtesy 0..*CodeableConceptSpecial courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.


.... specialArrangement 0..*CodeableConceptWheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.


.... destination 0..1Reference(QICoreLocation)Location/organization to which the patient is discharged
.... dischargeDisposition S0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

... location S0..*BackboneElementList of locations where the patient has been
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... location S1..1Reference(QICoreLocation)Location the encounter takes place
.... status 0..1codeplanned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

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

.... period S0..1PeriodTime period during which the patient was present at the location
... serviceProvider S0..1Reference(QICoreOrganization)The organization (facility) responsible for this encounter
... partOf 0..1Reference(QICoreEncounter)Another Encounter this encounter is part of

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
Encounter.languagepreferredCommonLanguages
Max Binding: AllLanguages
Encounter.identifier.userequiredIdentifierUse
Encounter.identifier.typeextensibleIdentifier Type Codes
Encounter.statusrequiredEncounterStatus
Encounter.statusHistory.statusrequiredEncounterStatus
Encounter.classextensibleActEncounterCode
Encounter.classHistory.classextensibleActEncounterCode
Encounter.typeextensibleUSCoreEncounterType
Encounter.serviceTypeexampleServiceType
Encounter.prioritypreferredQICorePriority
Encounter.participant.typeextensibleParticipantType
Encounter.reasonCodepreferredEncounterReasonCodes
Encounter.diagnosis.usepreferredDiagnosisRole
Encounter.hospitalization.admitSourcepreferredAdmitSource
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
Encounter.hospitalization.dietPreferenceexampleDiet
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
Encounter.location.statusrequiredEncounterLocationStatus
Encounter.location.physicalTypeexampleLocationType

Constraints

IdGradePathDetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6Best PracticeEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1errorEncounter.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.extension:statusReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.extension:statusReasonMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.extension:procedureAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.extension:procedureMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.identifier.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.identifier.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier.assignerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.statusHistoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.statusHistory.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.statusHistory.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.statusHistory.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.statusHistory.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.statusHistory.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.statusHistory.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.classAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.classHistoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.classHistory.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.classHistory.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.classHistory.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.classHistory.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.classHistory.classAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.classHistory.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.serviceTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.priorityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.episodeOfCareAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.basedOnAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.participantAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.participant.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.participant.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.participant.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.participant.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.participant.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.participant.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.participant.individualAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.appointmentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.lengthAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.reasonCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.reasonReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.diagnosisAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.diagnosis.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.diagnosis.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.diagnosis.extension:diagnosisPresentOnAdmissionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.diagnosis.extension:diagnosisPresentOnAdmissionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.diagnosis.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.diagnosis.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.diagnosis.conditionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.diagnosis.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.diagnosis.rankAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.accountAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalizationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.hospitalization.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.hospitalization.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.hospitalization.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.hospitalization.preAdmissionIdentifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.originAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.admitSourceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.reAdmissionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.dietPreferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.specialCourtesyAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.specialArrangementAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.destinationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.dischargeDispositionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.locationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.location.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.location.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.location.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.location.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.location.locationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.location.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.location.physicalTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.location.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.serviceProviderAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.partOfAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())