Profile_R4_Encounter_R5 - Extensions for Using Data Elements from FHIR R4 in FHIR R5 v0.1.0

Logical id of this artifact

Meta

Metadata about the resource

implicitRules

?!Σ

0..1

uri

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional Bindings

Purpose

CommonLanguages

Starter

text

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

contained

0..*

Resource

Contained, inline Resources

0..*

Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

extension:statusHistory

0..*

(Complex)

R4: List of past encounter statuses (new)
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.statusHistory
Constraints: ext-1

extension:classHistory

0..*

(Complex)

R4: List of past encounter classes (new)
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.classHistory
Constraints: ext-1

?!Σ

0..*

Extensions that cannot be ignored
Constraints: ext-1

identifier

Σ

0..*

Identifier(s) by which this encounter is known

?!Σ

1..1

(required): Current state of the encounter.

id

0..1

xml:id (or equivalent in JSON)

0..*

Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

extension:status

0..1

0..1

Primitive value for code

class

Σ

0..*

Classification of patient encounter context - e.g. Inpatient, outpatient
Binding: EncounterClass (2.0.1) (preferred): Classification of the encounter.

priority

0..1

Indicates the urgency of the encounter
Binding: ActPriority (3.0.0) (example): Indicates the urgency of the encounter.

Σ

0..*

CodeableReference(HealthcareService)

Specific type of encounter (e.g. e-mail consultation, surgical day-care, ...)
Binding: EncounterType (example): A specific code indicating type of service provided

serviceType

Σ

0..*

Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

subject

Σ

0..1

Reference(Patient | Group)

The patient or group related to this encounter

subjectStatus

0..1

The current status of the subject in relation to the Encounter
Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter.

episodeOfCare

Σ

0..*

Reference(EpisodeOfCare)

Episode(s) of care that this encounter should be recorded against

basedOn

0..*

Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest)

The request that initiated this encounter

careTeam

0..*

Reference(CareTeam)

The group(s) that are allocated to participate in this encounter

partOf

0..1

Reference(Encounter)

Another Encounter this encounter is part of

serviceProvider

0..1

Reference(Organization)

The organization (facility) responsible for this encounter

participant

ΣC

0..*

List of participants involved in the encounter
Constraints: enc-1, enc-2

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Constraints: ext-1

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized
Constraints: ext-1

ΣC

0..*

Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.

0..1

Period of time during the encounter that the participant participated

actor

ΣC

0..1

The individual, device, or service participating in the encounter

appointment

Σ

0..*

Reference(Appointment)

The appointment that scheduled this encounter

virtualService

0..*

VirtualServiceDetail

Connection details of a virtual service (e.g. conference call)

actualPeriod

0..1

The actual start and end time of the encounter

plannedStartDate

0..1

The planned start date/time (or admission date) of the encounter

plannedEndDate

0..1

The planned end date/time (or discharge date) of the encounter

length

0..1

Duration

Actual quantity of time the encounter lasted (less time absent)

reason

Σ

0..*

The list of medical reasons that are expected to be addressed during the episode of care

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Constraints: ext-1

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized
Constraints: ext-1

use

Σ

0..*

What the reason value should be used for/as
Binding: EncounterReasonUse (example)

Σ

0..*

CodeableReference(Condition | DiagnosticReport | Observation | ImmunizationRecommendation | Procedure)

Reason the encounter takes place (core or reference)
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.

id

0..1

Unique id for inter-element referencing

0..*

extension:reasonReference

Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

0..*

Reference(Cross-version Profile for R4.Procedure for use in FHIR R5(0.1.0) | Procedure | Cross-version Profile for R4.Observation for use in FHIR R5(0.1.0) | Observation | Cross-version Profile for R4.ImmunizationRecommendation for use in FHIR R5(0.1.0) | ImmunizationRecommendation)

R4: Reason the encounter takes place (reference) additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.reasonReference
Constraints: ext-1

Σ

0..1

Reference to a concept (by class)

Σ

0..1

Reference to a resource (by instance)

diagnosis

Σ

0..*

The list of diagnosis relevant to this encounter

id

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

extension:rank

0..1

positiveInt

R4: Ranking of the diagnosis (for each role type) (new)
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.diagnosis.rank
Constraints: ext-1

?!Σ

0..*

CodeableReference(Condition)

Extensions that cannot be ignored even if unrecognized
Constraints: ext-1

condition

Σ

0..*

The diagnosis relevant to the encounter
Binding: ConditionProblemDiagnosisCodes (example)

id

0..1

Unique id for inter-element referencing

1..*

Reference(Cross-version Profile for R4.Procedure for use in FHIR R5(0.1.0) | Procedure)

Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

extension:condition

1..1

R4: The diagnosis or procedure relevant to the encounter additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.diagnosis.condition
Constraints: ext-1

Σ

0..1

Reference to a concept (by class)

Σ

0..1

Reference to a resource (by instance)

use

0..*

Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.

account

0..*

Reference(Account)

The set of accounts that may be used for billing for this Encounter

dietPreference

0..*

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

specialArrangement

0..*

Wheelchair, translator, stretcher, etc
Binding: SpecialArrangements (preferred): Special arrangements.

specialCourtesy

0..*

Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.

admission

0..1

Details about the admission to a healthcare service

id

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

extension:dietPreference

0..*

extension:specialCourtesy

R4: Diet preferences reported by the patient (new)
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.hospitalization.dietPreference
Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements.
Constraints: ext-1

0..*

extension:specialArrangement

R4: Special courtesies (VIP, board member) (new)
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.hospitalization.specialCourtesy
Binding: SpecialCourtesy (preferred): Special courtesies.
Constraints: ext-1

0..*

R4: Wheelchair, translator, stretcher, etc. (new)
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.hospitalization.specialArrangement
Binding: SpecialArrangements (preferred): Special arrangements.
Constraints: ext-1

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized
Constraints: ext-1

preAdmissionIdentifier

0..1

Pre-admission identifier

origin

0..1

The location/organization from which the patient came before admission

admitSource

0..1

From where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.

reAdmission

0..1

Indicates that the patient is being re-admitted
Binding: Hl7VSReAdmissionIndicator (3.0.0) (example): The reason for re-admission of this admission encounter.

destination

0..1

Location/organization to which the patient is discharged

dischargeDisposition

0..1

Category or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

0..*

List of locations where the patient has been

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Constraints: ext-1

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized
Constraints: ext-1

1..1

Reference(Location)

Location the encounter takes place

0..1

planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

form

0..1

The physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.)
Binding: LocationForm (example): Physical form of the location.

0..1

Documentation for this format

Time period during which the patient was present at the location

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Encounter.status	Base	required	Encounter Status	📍5.0.0	tx.fhir.org
Encounter.class	Base	preferred	Encounter class	📍2.0.1	THO v7.1
Encounter.priority	Base	example	ActPriority	📍3.0.0	THO v7.1
Encounter.type	Base	example	Encounter Type	📍5.0.0	FHIR Std.
Encounter.serviceType	Base	example	Service Type	📍5.0.0	FHIR Std.
Encounter.subjectStatus	Base	example	Encounter Subject Status	📍5.0.0	FHIR Std.
Encounter.participant.type	Base	extensible	Participant Type	📍5.0.0	FHIR Std.
Encounter.reason.use	Base	example	Encounter Reason Use	📍5.0.0	FHIR Std.
Encounter.reason.value	Base	preferred	Encounter Reason Codes	📍5.0.0	FHIR Std.
Encounter.diagnosis.condition	Base	example	Condition/Problem/Diagnosis Codes	📍5.0.0	FHIR Std.
Encounter.diagnosis.use	Base	preferred	Encounter Diagnosis Use	📍5.0.0	FHIR Std.
Encounter.dietPreference	Base	example	Diet	📍5.0.0	FHIR Std.
Encounter.specialArrangement	Base	preferred	Special Arrangements	📍5.0.0	FHIR Std.
Encounter.specialCourtesy	Base	preferred	Special Courtesy	📍5.0.0	FHIR Std.
Encounter.admission.admitSource	Base	preferred	Admit Source	📍5.0.0	FHIR Std.
Encounter.admission.reAdmission	Base	example	hl7VS-re-admissionIndicator	📍3.0.0	THO v7.1
Encounter.admission.dischargeDisposition	Base	example	Discharge Disposition	📍5.0.0	FHIR Std.
Encounter.location.status	Base	required	Encounter Location Status	📍5.0.0	FHIR Std.
Encounter.location.form	Base	example	Location Form	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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().ofType(canonical) \| %resource.descendants().ofType(uri) \| %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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	Encounter.meta, Encounter.implicitRules, Encounter.language, Encounter.text, Encounter.extension, Encounter.extension:statusHistory, Encounter.extension:classHistory, Encounter.modifierExtension, Encounter.identifier, Encounter.status, Encounter.status.extension, Encounter.status.extension:status, Encounter.class, Encounter.priority, Encounter.type, Encounter.serviceType, Encounter.subject, Encounter.subjectStatus, Encounter.episodeOfCare, Encounter.basedOn, Encounter.careTeam, Encounter.partOf, Encounter.serviceProvider, Encounter.participant, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.participant.type, Encounter.participant.period, Encounter.participant.actor, Encounter.appointment, Encounter.virtualService, Encounter.actualPeriod, Encounter.plannedStartDate, Encounter.plannedEndDate, Encounter.length, Encounter.reason, Encounter.reason.extension, Encounter.reason.modifierExtension, Encounter.reason.use, Encounter.reason.value, Encounter.reason.value.extension, Encounter.reason.value.extension:reasonReference, Encounter.reason.value.concept, Encounter.reason.value.reference, Encounter.diagnosis, Encounter.diagnosis.extension, Encounter.diagnosis.extension:rank, Encounter.diagnosis.modifierExtension, Encounter.diagnosis.condition, Encounter.diagnosis.condition.extension, Encounter.diagnosis.condition.extension:condition, Encounter.diagnosis.condition.concept, Encounter.diagnosis.condition.reference, Encounter.diagnosis.use, Encounter.account, Encounter.dietPreference, Encounter.specialArrangement, Encounter.specialCourtesy, Encounter.admission, Encounter.admission.extension, Encounter.admission.extension:dietPreference, Encounter.admission.extension:specialCourtesy, Encounter.admission.extension:specialArrangement, Encounter.admission.modifierExtension, Encounter.admission.preAdmissionIdentifier, Encounter.admission.origin, Encounter.admission.admitSource, Encounter.admission.reAdmission, Encounter.admission.destination, Encounter.admission.dischargeDisposition, Encounter.location, Encounter.location.extension, Encounter.location.modifierExtension, Encounter.location.location, Encounter.location.status, Encounter.location.form, Encounter.location.period	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
enc-1	error	Encounter.participant	A type must be provided when no explicit actor is specified	`actor.exists() or type.exists()`
enc-2	error	Encounter.participant	A type cannot be provided for a patient or group participant	`actor.exists(resolve() is Patient or resolve() is Group) implies type.exists().not()`
ext-1	error	Encounter.extension, Encounter.extension:statusHistory, Encounter.extension:classHistory, Encounter.modifierExtension, Encounter.status.extension, Encounter.status.extension:status, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.reason.extension, Encounter.reason.modifierExtension, Encounter.reason.value.extension, Encounter.reason.value.extension:reasonReference, Encounter.diagnosis.extension, Encounter.diagnosis.extension:rank, Encounter.diagnosis.modifierExtension, Encounter.diagnosis.condition.extension, Encounter.diagnosis.condition.extension:condition, Encounter.admission.extension, Encounter.admission.extension:dietPreference, Encounter.admission.extension:specialCourtesy, Encounter.admission.extension:specialArrangement, Encounter.admission.modifierExtension, Encounter.location.extension, Encounter.location.modifierExtension	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`

This structure is derived from Encounter

Summary

Mandatory: 0 element(2 nested mandatory elements)

Extensions

This structure refers to these extensions:

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter(5.0.0)	An interaction during which services are provided to the patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:statusHistory		0..*	(Complex)	R4: List of past encounter statuses (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.statusHistory Constraints: ext-1
extension:classHistory		0..*	(Complex)	R4: List of past encounter classes (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.classHistory Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!Σ	1..1	code	planned \| in-progress \| on-hold \| discharged \| completed \| cancelled \| discontinued \| entered-in-error \| unknown Binding: EncounterStatus (required): Current state of the encounter.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:status		0..1	code	R4: planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled + URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.status Binding: R4EncounterStatusForR5 (0.1.0) (required): Current state of the encounter. Constraints: ext-1
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.status	Base	required	Encounter Status	📍5.0.0	tx.fhir.org

Constraints

Id	Grade	Path(s)	Description	Expression
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().ofType(canonical) \| %resource.descendants().ofType(uri) \| %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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	Encounter.implicitRules, Encounter.extension, Encounter.extension:statusHistory, Encounter.extension:classHistory, Encounter.modifierExtension, Encounter.status, Encounter.status.extension, Encounter.status.extension:status	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	Encounter.extension, Encounter.extension:statusHistory, Encounter.extension:classHistory, Encounter.modifierExtension, Encounter.status.extension, Encounter.status.extension:status	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`

Differential View

This structure is derived from Encounter

Name	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Encounter	0..*	Encounter(5.0.0)	An interaction during which services are provided to the patient
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:statusHistory	0..*	(Complex)	R4: List of past encounter statuses (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.statusHistory
extension:classHistory	0..*	(Complex)	R4: List of past encounter classes (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.classHistory
status
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:status	0..1	code	R4: planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled + URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.status Binding: R4EncounterStatusForR5 (0.1.0) (required): Current state of the encounter.
reason
value
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:reasonReference	0..*	Reference(Cross-version Profile for R4.Procedure for use in FHIR R5(0.1.0) \| Procedure \| Cross-version Profile for R4.Observation for use in FHIR R5(0.1.0) \| Observation \| Cross-version Profile for R4.ImmunizationRecommendation for use in FHIR R5(0.1.0) \| ImmunizationRecommendation)	R4: Reason the encounter takes place (reference) additional types URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.reasonReference
diagnosis
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:rank	0..1	positiveInt	R4: Ranking of the diagnosis (for each role type) (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.diagnosis.rank
condition
Slices for extension	1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:condition	1..1	Reference(Cross-version Profile for R4.Procedure for use in FHIR R5(0.1.0) \| Procedure)	R4: The diagnosis or procedure relevant to the encounter additional types URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.diagnosis.condition
admission
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:dietPreference	0..*	CodeableConcept	R4: Diet preferences reported by the patient (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.hospitalization.dietPreference Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements.
extension:specialCourtesy	0..*	CodeableConcept	R4: Special courtesies (VIP, board member) (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.hospitalization.specialCourtesy Binding: SpecialCourtesy (preferred): Special courtesies.
extension:specialArrangement	0..*	CodeableConcept	R4: Wheelchair, translator, stretcher, etc. (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.hospitalization.specialArrangement Binding: SpecialArrangements (preferred): Special arrangements.
Documentation for this format

Snapshot View

Description & Constraints Filter: Filters

Encounter

0..*

Encounter(5.0.0)

An interaction during which services are provided to the patient

id

Σ

0..1

Logical id of this artifact

Meta

Metadata about the resource

implicitRules

?!Σ

0..1

uri

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional Bindings

Purpose

CommonLanguages

Starter

text

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

contained

0..*

Resource

Contained, inline Resources

0..*

Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

extension:statusHistory

0..*

(Complex)

R4: List of past encounter statuses (new)
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.statusHistory
Constraints: ext-1

extension:classHistory

0..*

(Complex)

R4: List of past encounter classes (new)
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.classHistory
Constraints: ext-1

?!Σ

0..*

Extensions that cannot be ignored
Constraints: ext-1

identifier

Σ

0..*

Identifier(s) by which this encounter is known

?!Σ

1..1

(required): Current state of the encounter.

id

0..1

xml:id (or equivalent in JSON)

0..*

Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

extension:status

0..1

0..1

Primitive value for code

class

Σ

0..*

Classification of patient encounter context - e.g. Inpatient, outpatient
Binding: EncounterClass (2.0.1) (preferred): Classification of the encounter.

priority

0..1

Indicates the urgency of the encounter
Binding: ActPriority (3.0.0) (example): Indicates the urgency of the encounter.

Σ

0..*

CodeableReference(HealthcareService)

Specific type of encounter (e.g. e-mail consultation, surgical day-care, ...)
Binding: EncounterType (example): A specific code indicating type of service provided

serviceType

Σ

0..*

Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

subject

Σ

0..1

Reference(Patient | Group)

The patient or group related to this encounter

subjectStatus

0..1

The current status of the subject in relation to the Encounter
Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter.

episodeOfCare

Σ

0..*

Reference(EpisodeOfCare)

Episode(s) of care that this encounter should be recorded against

basedOn

0..*

Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest)

The request that initiated this encounter

careTeam

0..*

Reference(CareTeam)

The group(s) that are allocated to participate in this encounter

partOf

0..1

Reference(Encounter)

Another Encounter this encounter is part of

serviceProvider

0..1

Reference(Organization)

The organization (facility) responsible for this encounter

participant

ΣC

0..*

List of participants involved in the encounter
Constraints: enc-1, enc-2

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Constraints: ext-1

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized
Constraints: ext-1

ΣC

0..*

Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.

0..1

Period of time during the encounter that the participant participated

actor

ΣC

0..1

The individual, device, or service participating in the encounter

appointment

Σ

0..*

Reference(Appointment)

The appointment that scheduled this encounter

virtualService

0..*

VirtualServiceDetail

Connection details of a virtual service (e.g. conference call)

actualPeriod

0..1

The actual start and end time of the encounter

plannedStartDate

0..1

The planned start date/time (or admission date) of the encounter

plannedEndDate

0..1

The planned end date/time (or discharge date) of the encounter

length

0..1

Duration

Actual quantity of time the encounter lasted (less time absent)

reason

Σ

0..*

The list of medical reasons that are expected to be addressed during the episode of care

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Constraints: ext-1

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized
Constraints: ext-1

use

Σ

0..*

What the reason value should be used for/as
Binding: EncounterReasonUse (example)

Σ

0..*

CodeableReference(Condition | DiagnosticReport | Observation | ImmunizationRecommendation | Procedure)

Reason the encounter takes place (core or reference)
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.

id

0..1

Unique id for inter-element referencing

0..*

extension:reasonReference

Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

0..*

Reference(Cross-version Profile for R4.Procedure for use in FHIR R5(0.1.0) | Procedure | Cross-version Profile for R4.Observation for use in FHIR R5(0.1.0) | Observation | Cross-version Profile for R4.ImmunizationRecommendation for use in FHIR R5(0.1.0) | ImmunizationRecommendation)

R4: Reason the encounter takes place (reference) additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.reasonReference
Constraints: ext-1

Σ

0..1

Reference to a concept (by class)

Σ

0..1

Reference to a resource (by instance)

diagnosis

Σ

0..*

The list of diagnosis relevant to this encounter

id

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

extension:rank

0..1

positiveInt

R4: Ranking of the diagnosis (for each role type) (new)
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.diagnosis.rank
Constraints: ext-1

?!Σ

0..*

CodeableReference(Condition)

Extensions that cannot be ignored even if unrecognized
Constraints: ext-1

condition

Σ

0..*

The diagnosis relevant to the encounter
Binding: ConditionProblemDiagnosisCodes (example)

id

0..1

Unique id for inter-element referencing

1..*

Reference(Cross-version Profile for R4.Procedure for use in FHIR R5(0.1.0) | Procedure)

Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

extension:condition

1..1

R4: The diagnosis or procedure relevant to the encounter additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.diagnosis.condition
Constraints: ext-1

Σ

0..1

Reference to a concept (by class)

Σ

0..1

Reference to a resource (by instance)

use

0..*

Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.

account

0..*

Reference(Account)

The set of accounts that may be used for billing for this Encounter

dietPreference

0..*

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

specialArrangement

0..*

Wheelchair, translator, stretcher, etc
Binding: SpecialArrangements (preferred): Special arrangements.

specialCourtesy

0..*

Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.

admission

0..1

Details about the admission to a healthcare service

id

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

extension:dietPreference

0..*

extension:specialCourtesy

R4: Diet preferences reported by the patient (new)
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.hospitalization.dietPreference
Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements.
Constraints: ext-1

0..*

extension:specialArrangement

R4: Special courtesies (VIP, board member) (new)
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.hospitalization.specialCourtesy
Binding: SpecialCourtesy (preferred): Special courtesies.
Constraints: ext-1

0..*

R4: Wheelchair, translator, stretcher, etc. (new)
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Encounter.hospitalization.specialArrangement
Binding: SpecialArrangements (preferred): Special arrangements.
Constraints: ext-1

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized
Constraints: ext-1

preAdmissionIdentifier

0..1

Pre-admission identifier

origin

0..1

The location/organization from which the patient came before admission

admitSource

0..1

From where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.

reAdmission

0..1

Indicates that the patient is being re-admitted
Binding: Hl7VSReAdmissionIndicator (3.0.0) (example): The reason for re-admission of this admission encounter.

destination

0..1

Location/organization to which the patient is discharged

dischargeDisposition

0..1

Category or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

0..*

List of locations where the patient has been

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Constraints: ext-1

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized
Constraints: ext-1

1..1

Reference(Location)

Location the encounter takes place

0..1

planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

form

0..1

The physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.)
Binding: LocationForm (example): Physical form of the location.

0..1