Name	Flags	Card.	Type	Description & Constraints
Encounter			USCoreEncounterProfile
subject		1..1	Reference(Patient - Mother Vital Records)	The patient or group present at the encounter
Slices for participant		0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type
participant:attendant	S	0..*	BackboneElement	The person responsible for delivering the child/fetus.
type		1..1	CodeableConcept	Birth attendant [Extended Identifier] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87286-1
individual		1..1	Reference(Practitioner - Vital Records)	Persons involved in the encounter other than the patient
participant:certifier	S	0..*	BackboneElement	The individual who certifies to the fact that the birth occurred.
type		1..1	CodeableConcept	Birth certifier [Extended Identifier] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87287-9
period
start	S	0..1	dateTime	Date certified
individual		1..1	Reference(Practitioner - Vital Records)	Persons involved in the encounter other than the patient
hospitalization
origin	S	0..1	Reference(US Core Location Profile)	If mother transferred, facility transferred from
admitSource	S	0..1	CodeableConcept	If mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital)
location		0..*	BackboneElement	Information about the location of delivery
location		1..1	Reference(US Core Location Profile)	Facility name (if not institution, give street and number)
physicalType	S	0..1	CodeableConcept	The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: ValueSet - Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Encounter.location.physicalType	preferred	BirthDeliveryOccurredVS

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	USCoreEncounterProfile	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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifier(s) by which this encounter is known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class	SΣ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
type	SΣ	1..*	CodeableConcept	Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type
subject	SΣ	1..1	Reference(Patient - Mother Vital Records)	The patient or group present at the encounter
Slices for participant	SΣ	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period	S	0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(US Core Practitioner Profile)	Persons involved in the encounter other than the patient
participant:attendant	SΣ	0..*	BackboneElement	The person responsible for delivering the child/fetus.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	CodeableConcept	Birth attendant [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87286-1
period	S	0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	1..1	Reference(Practitioner - Vital Records)	Persons involved in the encounter other than the patient
participant:certifier	SΣ	0..*	BackboneElement	The individual who certifies to the fact that the birth occurred.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	CodeableConcept	Birth certifier [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87287-9
period	S	0..1	Period	Period of time during the encounter that the participant participated
start	SΣC	0..1	dateTime	Date certified
individual	SΣ	1..1	Reference(Practitioner - Vital Records)	Persons involved in the encounter other than the patient
period	S	0..1	Period	The start and end time of the encounter
reasonCode	SΣ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	SΣ	0..*	Reference(US Core Condition Problems and Health Concerns Profile | US Core Condition Encounter Diagnosis Profile)	Reason the encounter takes place (reference)
hospitalization	S	0..1	BackboneElement	Details about the admission to a healthcare service
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
origin	S	0..1	Reference(US Core Location Profile)	If mother transferred, facility transferred from
admitSource	S	0..1	CodeableConcept	If mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital) Binding: AdmitSource (preferred): From where the patient was admitted.
dischargeDisposition	S	0..1	CodeableConcept	Category or kind of location after discharge Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17
location	S	0..*	BackboneElement	Information about the location of delivery
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(US Core Location Profile)	Facility name (if not institution, give street and number)
physicalType	S	0..1	CodeableConcept	The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: ValueSet - Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS)
serviceProvider	S	0..1	Reference(US Core Organization Profile)	The organization (facility) responsible for this encounter
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Encounter.identifier.use	required	IdentifierUse
Encounter.status	required	EncounterStatus
Encounter.class	extensible	ActEncounterCode
Encounter.type	extensible	USCoreEncounterType
Encounter.participant.type	extensible	ParticipantType
Encounter.participant:attendant.type	extensible	Pattern: LOINC code 87286-1
Encounter.participant:certifier.type	extensible	Pattern: LOINC code 87287-9
Encounter.reasonCode	preferred	EncounterReasonCodes
Encounter.hospitalization.admitSource	preferred	AdmitSource
Encounter.hospitalization.dischargeDisposition	preferred	USCoreDischargeDisposition (a valid code from http://www.nubc.org/patient-discharge)
Encounter.location.physicalType	preferred	BirthDeliveryOccurredVS

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	USCoreEncounterProfile	An interaction during which services are provided to the patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifier(s) by which this encounter is known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory		0..*	BackboneElement	List of past encounter statuses
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period		1..1	Period	The time that the episode was in the specified status
class	SΣ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
classHistory		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class
type	SΣ	1..*	CodeableConcept	Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type
serviceType	Σ	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject	SΣ	1..1	Reference(Patient - Mother Vital Records)	The patient or group present at the encounter
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
Slices for participant	SΣ	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type
participant:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period	S	0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | US Core RelatedPerson Profile)	Persons involved in the encounter other than the patient
participant:attendant	SΣ	0..*	BackboneElement	The person responsible for delivering the child/fetus.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	CodeableConcept	Birth attendant [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87286-1
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period	S	0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	1..1	Reference(Practitioner - Vital Records)	Persons involved in the encounter other than the patient
participant:certifier	SΣ	0..*	BackboneElement	The individual who certifies to the fact that the birth occurred.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	CodeableConcept	Birth certifier [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87287-9
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period	S	0..1	Period	Period of time during the encounter that the participant participated
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Date certified
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
individual	SΣ	1..1	Reference(Practitioner - Vital Records)	Persons involved in the encounter other than the patient
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period	S	0..1	Period	The start and end time of the encounter
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	SΣ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	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)	Reason the encounter takes place (reference)
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization	S	0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin	S	0..1	Reference(US Core Location Profile)	If mother transferred, facility transferred from
admitSource	S	0..1	CodeableConcept	If mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission		0..1	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination		0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
dischargeDisposition	S	0..1	CodeableConcept	Category or kind of location after discharge Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17
location	S	0..*	BackboneElement	Information about the location of delivery
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(US Core Location Profile)	Facility name (if not institution, give street and number)
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType	S	0..1	CodeableConcept	The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: ValueSet - Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS)
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider	S	0..1	Reference(US Core Organization Profile)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Encounter.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Encounter.identifier.use	required	IdentifierUse
Encounter.identifier.type	extensible	Identifier Type Codes
Encounter.status	required	EncounterStatus
Encounter.statusHistory.status	required	EncounterStatus
Encounter.class	extensible	ActEncounterCode
Encounter.classHistory.class	extensible	ActEncounterCode
Encounter.type	extensible	USCoreEncounterType
Encounter.serviceType	example	ServiceType
Encounter.priority	example	ActPriority
Encounter.participant.type	extensible	ParticipantType
Encounter.participant:attendant.type	extensible	Pattern: LOINC code 87286-1
Encounter.participant:certifier.type	extensible	Pattern: LOINC code 87287-9
Encounter.reasonCode	preferred	EncounterReasonCodes
Encounter.diagnosis.use	preferred	DiagnosisRole
Encounter.hospitalization.admitSource	preferred	AdmitSource
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator
Encounter.hospitalization.dietPreference	example	Diet
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements
Encounter.hospitalization.dischargeDisposition	preferred	USCoreDischargeDisposition (a valid code from http://www.nubc.org/patient-discharge)
Encounter.location.status	required	EncounterLocationStatus
Encounter.location.physicalType	preferred	BirthDeliveryOccurredVS

Summary

Mandatory: 0 element (4 nested mandatory elements)
Must-Support: 6 elements

Structures

This structure refers to these other structures:

• Patient - Mother Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr)
• Practitioner - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr)
• US Core Location Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-location)

Slices

This structure defines the following Slices:

• The element Encounter.participant is sliced based on the value of value:type

Name	Flags	Card.	Type	Description & Constraints
Encounter			USCoreEncounterProfile
subject		1..1	Reference(Patient - Mother Vital Records)	The patient or group present at the encounter
Slices for participant		0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type
participant:attendant	S	0..*	BackboneElement	The person responsible for delivering the child/fetus.
type		1..1	CodeableConcept	Birth attendant [Extended Identifier] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87286-1
individual		1..1	Reference(Practitioner - Vital Records)	Persons involved in the encounter other than the patient
participant:certifier	S	0..*	BackboneElement	The individual who certifies to the fact that the birth occurred.
type		1..1	CodeableConcept	Birth certifier [Extended Identifier] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87287-9
period
start	S	0..1	dateTime	Date certified
individual		1..1	Reference(Practitioner - Vital Records)	Persons involved in the encounter other than the patient
hospitalization
origin	S	0..1	Reference(US Core Location Profile)	If mother transferred, facility transferred from
admitSource	S	0..1	CodeableConcept	If mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital)
location		0..*	BackboneElement	Information about the location of delivery
location		1..1	Reference(US Core Location Profile)	Facility name (if not institution, give street and number)
physicalType	S	0..1	CodeableConcept	The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: ValueSet - Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Encounter.location.physicalType	preferred	BirthDeliveryOccurredVS

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	USCoreEncounterProfile	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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifier(s) by which this encounter is known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class	SΣ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
type	SΣ	1..*	CodeableConcept	Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type
subject	SΣ	1..1	Reference(Patient - Mother Vital Records)	The patient or group present at the encounter
Slices for participant	SΣ	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period	S	0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(US Core Practitioner Profile)	Persons involved in the encounter other than the patient
participant:attendant	SΣ	0..*	BackboneElement	The person responsible for delivering the child/fetus.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	CodeableConcept	Birth attendant [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87286-1
period	S	0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	1..1	Reference(Practitioner - Vital Records)	Persons involved in the encounter other than the patient
participant:certifier	SΣ	0..*	BackboneElement	The individual who certifies to the fact that the birth occurred.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	CodeableConcept	Birth certifier [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87287-9
period	S	0..1	Period	Period of time during the encounter that the participant participated
start	SΣC	0..1	dateTime	Date certified
individual	SΣ	1..1	Reference(Practitioner - Vital Records)	Persons involved in the encounter other than the patient
period	S	0..1	Period	The start and end time of the encounter
reasonCode	SΣ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	SΣ	0..*	Reference(US Core Condition Problems and Health Concerns Profile | US Core Condition Encounter Diagnosis Profile)	Reason the encounter takes place (reference)
hospitalization	S	0..1	BackboneElement	Details about the admission to a healthcare service
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
origin	S	0..1	Reference(US Core Location Profile)	If mother transferred, facility transferred from
admitSource	S	0..1	CodeableConcept	If mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital) Binding: AdmitSource (preferred): From where the patient was admitted.
dischargeDisposition	S	0..1	CodeableConcept	Category or kind of location after discharge Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17
location	S	0..*	BackboneElement	Information about the location of delivery
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(US Core Location Profile)	Facility name (if not institution, give street and number)
physicalType	S	0..1	CodeableConcept	The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: ValueSet - Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS)
serviceProvider	S	0..1	Reference(US Core Organization Profile)	The organization (facility) responsible for this encounter
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Encounter.identifier.use	required	IdentifierUse
Encounter.status	required	EncounterStatus
Encounter.class	extensible	ActEncounterCode
Encounter.type	extensible	USCoreEncounterType
Encounter.participant.type	extensible	ParticipantType
Encounter.participant:attendant.type	extensible	Pattern: LOINC code 87286-1
Encounter.participant:certifier.type	extensible	Pattern: LOINC code 87287-9
Encounter.reasonCode	preferred	EncounterReasonCodes
Encounter.hospitalization.admitSource	preferred	AdmitSource
Encounter.hospitalization.dischargeDisposition	preferred	USCoreDischargeDisposition (a valid code from http://www.nubc.org/patient-discharge)
Encounter.location.physicalType	preferred	BirthDeliveryOccurredVS

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	USCoreEncounterProfile	An interaction during which services are provided to the patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifier(s) by which this encounter is known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory		0..*	BackboneElement	List of past encounter statuses
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period		1..1	Period	The time that the episode was in the specified status
class	SΣ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
classHistory		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class
type	SΣ	1..*	CodeableConcept	Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type
serviceType	Σ	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject	SΣ	1..1	Reference(Patient - Mother Vital Records)	The patient or group present at the encounter
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
Slices for participant	SΣ	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type
participant:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period	S	0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | US Core RelatedPerson Profile)	Persons involved in the encounter other than the patient
participant:attendant	SΣ	0..*	BackboneElement	The person responsible for delivering the child/fetus.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	CodeableConcept	Birth attendant [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87286-1
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period	S	0..1	Period	Period of time during the encounter that the participant participated
individual	SΣ	1..1	Reference(Practitioner - Vital Records)	Persons involved in the encounter other than the patient
participant:certifier	SΣ	0..*	BackboneElement	The individual who certifies to the fact that the birth occurred.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	CodeableConcept	Birth certifier [Extended Identifier] Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87287-9
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period	S	0..1	Period	Period of time during the encounter that the participant participated
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Date certified
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
individual	SΣ	1..1	Reference(Practitioner - Vital Records)	Persons involved in the encounter other than the patient
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period	S	0..1	Period	The start and end time of the encounter
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	SΣ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	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)	Reason the encounter takes place (reference)
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization	S	0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin	S	0..1	Reference(US Core Location Profile)	If mother transferred, facility transferred from
admitSource	S	0..1	CodeableConcept	If mother transferred for delivery set code = "hosp-trans" (Transferred from other hospital) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission		0..1	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination		0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
dischargeDisposition	S	0..1	CodeableConcept	Category or kind of location after discharge Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17
location	S	0..*	BackboneElement	Information about the location of delivery
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(US Core Location Profile)	Facility name (if not institution, give street and number)
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType	S	0..1	CodeableConcept	The value set contains the list of values used to indicate the type of place where birth or delivery occurred. Binding: ValueSet - Birth Delivery Occurred (preferred): Birth or Delivery Occurred (NCHS)
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider	S	0..1	Reference(US Core Organization Profile)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Encounter.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Encounter.identifier.use	required	IdentifierUse
Encounter.identifier.type	extensible	Identifier Type Codes
Encounter.status	required	EncounterStatus
Encounter.statusHistory.status	required	EncounterStatus
Encounter.class	extensible	ActEncounterCode
Encounter.classHistory.class	extensible	ActEncounterCode
Encounter.type	extensible	USCoreEncounterType
Encounter.serviceType	example	ServiceType
Encounter.priority	example	ActPriority
Encounter.participant.type	extensible	ParticipantType
Encounter.participant:attendant.type	extensible	Pattern: LOINC code 87286-1
Encounter.participant:certifier.type	extensible	Pattern: LOINC code 87287-9
Encounter.reasonCode	preferred	EncounterReasonCodes
Encounter.diagnosis.use	preferred	DiagnosisRole
Encounter.hospitalization.admitSource	preferred	AdmitSource
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator
Encounter.hospitalization.dietPreference	example	Diet
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements
Encounter.hospitalization.dischargeDisposition	preferred	USCoreDischargeDisposition (a valid code from http://www.nubc.org/patient-discharge)
Encounter.location.status	required	EncounterLocationStatus
Encounter.location.physicalType	preferred	BirthDeliveryOccurredVS

Summary

Mandatory: 0 element (4 nested mandatory elements)
Must-Support: 6 elements

Structures

This structure refers to these other structures:

• Patient - Mother Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr)
• Practitioner - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr)
• US Core Location Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-location)

Slices

This structure defines the following Slices:

• The element Encounter.participant is sliced based on the value of value:type