Profile Comparison between http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-encounter vs http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-encounter

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/Encounter	http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter	Values Differ
copyright
date	2020-12-16T17:06:44+00:00	2022-01-18T12:57:33+00:00	Values Differ
description	This Encounter profile represents the encounter related to the event.	This Encounter profile represents the encounter related to the event. It is based on the US Core Encounter.	Values Differ
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USPublicHealthEncounter
publisher	HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm)
purpose
status	active
title	US Public Health Encounter
type	Encounter
url	http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-encounter
version	1.1.0	2.0.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
Encounter		0..*	Encounter	eICR Encounter		0..*	USCoreEncounterProfile	US Public Health Encounter	Elements differ in short: 'eICR Encounter' vs 'US Public Health Encounter' Elements differ in definition: 'The Electronic Case Reporting Encounter profile is based on the Encounter resource and establishes the core elements, extensions, vocabularies and value sets for representing the following encounters for electronic case reporting: - Initial Case Report encounter related to the reported event.' vs 'The Public Health Encounter profile is based on the Encounter resource and establishes the core elements, extensions, vocabularies and value sets for representing the following encounters for public health reporting: - public health encounter related to the reported event.'
id	Σ	0..1	string	Logical id of this artifact	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!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) Max Binding: AllLanguages: A human language.		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..1	Identifier	Identifier(s) by which this encounter is known	SΣ	0..*	Identifier	Identifier(s) by which this encounter is known	Elements differ in definition: 'Visit or encounter id. Not present when a trigger occurs outside of an encounter.' vs 'Identifier(s) by which this encounter is known.' Element maximum cardinalities differ: '1' vs '2147483647'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		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 .	?!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.	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	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	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	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)	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.	?!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		0..*	BackboneElement	List of past encounter statuses
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!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.		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		1..1	Period	The time that the episode was in the specified status
class	SΣ	1..1	Coding	Class of encounter Binding: ActEncounterCode (extensible): Classification of the encounter.	SΣ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.	Elements differ in short: 'Class of encounter' vs 'Classification of patient encounter' Elements differ in definition: 'Where a trigger occurs outside of an encounter use code="PHC2237" | system="https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.114222.4.5.274" | display="External Encounter".' vs 'Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.'
classHistory		0..*	BackboneElement	List of past encounter classes		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!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.		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		1..1	Period	The time that the episode was in the specified class
type	SΣ	1..1	CodeableConcept	Type of encounter Binding: US Core Encounter Type (extensible)	SΣ	1..*	CodeableConcept	Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type	Elements differ in short: 'Type of encounter' vs 'Specific type of encounter' Elements differ in definition: 'Specific type of encounter' vs 'Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).' Element maximum cardinalities differ: '1' vs '2147483647'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Slice: Unordered, Open by value:url Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Elements differ in short: 'unknown | asked | temp | notasked | masked | unsupported | astext | error' vs 'Additional content defined by implementations' Elements differ in definition: 'Provides a reason why the expected value or elements in the element that is extended are missing.' vs 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' Elements differ in definition for mustSupport: 'true' vs 'false' Element maximum cardinalities differ: '1' vs '2147483647'
coding	Σ	0..*	Coding	Code defined by a terminology system	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept	Σ	0..1	string	Plain text representation of the concept
serviceType	Σ	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.	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.		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject	SΣ	1..1	Reference(US Public Health Patient)	The patient or group present at the encounter	SΣ	1..1	Reference(US Public Health Patient)	The patient or group present at the encounter
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against	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		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 type:type	SΣ	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by type:type	Elements differ in definition: 'The provider in charge of care and the facility in which care was provided during the encounter in which the eICR was triggered' vs 'The provider in charge of care and the facility in which care was provided during the encounter'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.	SΣ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.	Elements differ in definition for mustSupport: 'false' vs 'true'
period		0..1	Period	Period of time during the encounter that the participant participated	S	0..1	Period	Period of time during the encounter that the participant participated	Elements differ in definition for mustSupport: 'false' vs 'true'
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient	SΣ	0..1	Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | RelatedPerson)	Persons involved in the encounter other than the patient	Elements differ in definition for mustSupport: 'false' vs 'true'
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period	S	0..1	Period	Patient encounter start and end times	S	0..1	Period	The start and end time of the encounter	Elements differ in short: 'Patient encounter start and end times' vs 'The start and end time of the encounter' Elements differ in definition: 'Start and end times of the patient encounter in which the eICR was triggered. Not present when a trigger occurs outside of an encounter.' vs 'The start and end time of the encounter.'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣI	0..1	dateTime	Encounter start.	ΣI	0..1	dateTime	Starting time with inclusive boundary	Elements differ in short: 'Encounter start.' vs 'Starting time with inclusive boundary' Elements differ in definition: 'Start of the encounter.' vs 'The start of the period. The boundary is inclusive.' Elements differ in definition for mustSupport: 'true' vs 'false'
end	SΣI	0..1	dateTime	Encounter end.	ΣI	0..1	dateTime	End time with inclusive boundary, if not ongoing	Elements differ in short: 'Encounter end.' vs 'End time with inclusive boundary, if not ongoing' Elements differ in definition: 'This value is associated with the patient's departure (e.g. discharge). If the patient has been discharged then end SHALL be present.' vs 'The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.' Elements differ in definition for mustSupport: 'true' vs 'false'
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.	SΣ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.	Elements differ in definition for mustSupport: 'false' vs 'true'
reasonReference	Σ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)	SΣ	0..1	Reference(US Core Condition Profile S | US Core Procedure Profile | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)	Elements differ in definition for mustSupport: 'false' vs 'true' Element maximum cardinalities differ: '2147483647' vs '1'
diagnosis	SΣ	0..*	BackboneElement	Encounter diagnosis	SΣ	0..*	BackboneElement	Encounter diagnosis
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations	Elements differ in short: 'Extension' vs 'Additional content defined by implementations' Elements differ in definition: 'An Extension' vs 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' Elements differ in definition for mustSupport: 'true' vs 'false'
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	SΣ	1..1	Reference(http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-condition)	The diagnosis or procedure relevant to the encounter	SΣ	1..1	Reference(US Public Health Condition)	The diagnosis or procedure relevant to the encounter
use	S	0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.	S	0..1	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)		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		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	S	0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier		0..1	Identifier	Pre-admission identifier
origin		0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission		0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) 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.		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.		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.		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.		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		0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
dischargeDisposition		0..1	CodeableConcept	Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition.	S	0..1	CodeableConcept	Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition.	Elements differ in definition for mustSupport: 'false' vs 'true'
location	S	0..*	BackboneElement	eICR encounter location	S	1..*	BackboneElement	Public health encounter location	Elements differ in short: 'eICR encounter location' vs 'Public health encounter location' Elements differ in definition: 'Location of the facility in which the eICR encounter took place' vs 'Location of the facility in which the public health encounter took place' Element minimum cardinalities differ: '0' vs '1'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(US Public Health Location)	Location the encounter takes place	S	1..1	Reference(US Public Health Location)	Location the encounter takes place
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location		0..1	Period	Time period during which the patient was present at the location
serviceProvider	S	0..1	Reference(US Public Health Organization)	The organization (facility) responsible for this encounter	S	0..1	Reference(US Public Health Organization)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format