2nd DSTU Draft For Comment

This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Profile: cqf-encounter

The official URL for this profile is: 

http://hl7.org/fhir/Profile/cqf-encounter-cqf-encounter

. Profile of Encounter for decision support/quality metrics. Indicates which elements must be supported by CQF rules and measure engines. Removes and/or restricts modifying attributes. : Clinical Quality Framework (CQF) Encounter Profile

This profile was published on Mon, Nov 10, 2014 00:00+1100 as a draft by Health Level Seven, Inc. - CQI WG.

Summary

Terminology Bindings

  • Encounter.status must come from Current state of the CQF encounter

Required/Prohibited Elements

  • The element Encounter is required
  • The element Encounter.status is required
  • The element Encounter.class is required
  • The element Encounter.location.location is required

Formal Views of Profile Content

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

Differential View

This structure is derived from Encounter.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 1..1An encounter that has occurred or is occurring. Excludes encounters that are planned but have not occurred, or were cancelled.
... status S1..1codein-progress | onleave | finished
Binding: CQFEncounterStatus (required, not extensible)
... class S1..1code
... type S0..*CodeableConcept
... patient S0..1Patient
... participant S0..*
.... type S0..*CodeableConcept
.... individual S0..1Practitioner, RelatedPerson
... fulfills S0..1Appointment
... period S0..1Period
... length S0..1Duration
... reason S0..1CodeableConcept
... indication S0..*Any
... hospitalization S0..1
.... admitSource S0..1CodeableConcept
.... dischargeDisposition S0..1CodeableConcept
.... dischargeDiagnosis S0..1Any
.... reAdmission S0..1boolean
... location S0..*
.... location S1..1Location
.... status S0..1code
... serviceProvider S0..1Organization
... partOf S0..1Encounter

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 1..1An encounter that has occurred or is occurring. Excludes encounters that are planned but have not occurred, or were cancelled.
... id 0..1idLogical id of this artefact
... meta 0..1MetaMetadata about the resource
... implicitRules M0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required, not extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension 0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifier(s) by which this encounter is known
... status M SΣ1..1codein-progress | onleave | finished
Binding: CQFEncounterStatus (required, not extensible)
... statusHistory 0..*List of Encounter statuses
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... status 1..1codeplanned | arrived | in-progress | onleave | finished | cancelled
Binding: EncounterState (required, not extensible)
.... period 1..1PeriodThe time that the episode was in the specified status
... class M SΣ1..1codeinpatient | outpatient | ambulatory | emergency +
Binding: EncounterClass (required, not extensible)
... type S Σ0..*CodeableConceptSpecific type of encounter
Binding: EncounterType (example, extensible)
... patient S Σ0..1PatientThe patient present at the encounter
... episodeOfCare Σ0..1EpisodeOfCareAn episode of care that this encounter should be recorded against
... participant S Σ0..*List of participants involved in the encounter
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... type S Σ0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (preferred, extensible)
.... period 0..1PeriodPeriod of time during the encounter participant was present
.... individual S Σ0..1Practitioner, RelatedPersonPersons involved in the encounter other than the patient
... fulfills S Σ0..1AppointmentThe appointment that scheduled this encounter
... period S0..1PeriodThe start and end time of the encounter
... length S0..1DurationQuantity of time the encounter lasted
... reason S Σ0..1CodeableConceptReason the encounter takes place (code)
Binding: EncounterReason (example, extensible)
... indication S0..*AnyReason the encounter takes place (resource)
... priority 0..1CodeableConceptIndicates the urgency of the encounter
Binding: Priority (example, extensible)
... hospitalization S0..1Details about an admission to a clinic
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin 0..1LocationThe location from which the patient came before admission
.... admitSource S0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred, extensible)
.... diet 0..1CodeableConceptDietary restrictions for the patient
Binding: PatientDiet (preferred, extensible)
.... specialCourtesy 0..*CodeableConceptSpecial courtesies (VIP, board member)
Binding: Courtesies (preferred, extensible)
.... specialArrangement 0..*CodeableConceptWheelchair, translator, stretcher, etc
Binding: Arrangements (preferred, extensible)
.... destination 0..1LocationLocation to which the patient is discharged
.... dischargeDisposition S0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisp (preferred, extensible)
.... dischargeDiagnosis S0..1AnyThe final diagnosis given a patient before release from the hospital after all testing, surgery, and workup are complete
.... reAdmission S0..1booleanIs this hospitalization a readmission?
... location S0..*List of locations the patient has been at
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... location S1..1LocationLocation the encounter takes place
.... status S0..1codeplanned | present | reserved
Binding: EncounterLocationStatus (required, not extensible)
.... period 0..1PeriodTime period during which the patient was present at the location
... serviceProvider S0..1OrganizationDepartment or team providing care
... partOf S0..1EncounterAnother Encounter this encounter is part of

XML Template

JSON Template

todo

Differential View

This structure is derived from Encounter.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 1..1An encounter that has occurred or is occurring. Excludes encounters that are planned but have not occurred, or were cancelled.
... status S1..1codein-progress | onleave | finished
Binding: CQFEncounterStatus (required, not extensible)
... class S1..1code
... type S0..*CodeableConcept
... patient S0..1Patient
... participant S0..*
.... type S0..*CodeableConcept
.... individual S0..1Practitioner, RelatedPerson
... fulfills S0..1Appointment
... period S0..1Period
... length S0..1Duration
... reason S0..1CodeableConcept
... indication S0..*Any
... hospitalization S0..1
.... admitSource S0..1CodeableConcept
.... dischargeDisposition S0..1CodeableConcept
.... dischargeDiagnosis S0..1Any
.... reAdmission S0..1boolean
... location S0..*
.... location S1..1Location
.... status S0..1code
... serviceProvider S0..1Organization
... partOf S0..1Encounter

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 1..1An encounter that has occurred or is occurring. Excludes encounters that are planned but have not occurred, or were cancelled.
... id 0..1idLogical id of this artefact
... meta 0..1MetaMetadata about the resource
... implicitRules M0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required, not extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension 0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifier(s) by which this encounter is known
... status M SΣ1..1codein-progress | onleave | finished
Binding: CQFEncounterStatus (required, not extensible)
... statusHistory 0..*List of Encounter statuses
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... status 1..1codeplanned | arrived | in-progress | onleave | finished | cancelled
Binding: EncounterState (required, not extensible)
.... period 1..1PeriodThe time that the episode was in the specified status
... class M SΣ1..1codeinpatient | outpatient | ambulatory | emergency +
Binding: EncounterClass (required, not extensible)
... type S Σ0..*CodeableConceptSpecific type of encounter
Binding: EncounterType (example, extensible)
... patient S Σ0..1PatientThe patient present at the encounter
... episodeOfCare Σ0..1EpisodeOfCareAn episode of care that this encounter should be recorded against
... participant S Σ0..*List of participants involved in the encounter
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... type S Σ0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (preferred, extensible)
.... period 0..1PeriodPeriod of time during the encounter participant was present
.... individual S Σ0..1Practitioner, RelatedPersonPersons involved in the encounter other than the patient
... fulfills S Σ0..1AppointmentThe appointment that scheduled this encounter
... period S0..1PeriodThe start and end time of the encounter
... length S0..1DurationQuantity of time the encounter lasted
... reason S Σ0..1CodeableConceptReason the encounter takes place (code)
Binding: EncounterReason (example, extensible)
... indication S0..*AnyReason the encounter takes place (resource)
... priority 0..1CodeableConceptIndicates the urgency of the encounter
Binding: Priority (example, extensible)
... hospitalization S0..1Details about an admission to a clinic
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin 0..1LocationThe location from which the patient came before admission
.... admitSource S0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred, extensible)
.... diet 0..1CodeableConceptDietary restrictions for the patient
Binding: PatientDiet (preferred, extensible)
.... specialCourtesy 0..*CodeableConceptSpecial courtesies (VIP, board member)
Binding: Courtesies (preferred, extensible)
.... specialArrangement 0..*CodeableConceptWheelchair, translator, stretcher, etc
Binding: Arrangements (preferred, extensible)
.... destination 0..1LocationLocation to which the patient is discharged
.... dischargeDisposition S0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisp (preferred, extensible)
.... dischargeDiagnosis S0..1AnyThe final diagnosis given a patient before release from the hospital after all testing, surgery, and workup are complete
.... reAdmission S0..1booleanIs this hospitalization a readmission?
... location S0..*List of locations the patient has been at
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... location S1..1LocationLocation the encounter takes place
.... status S0..1codeplanned | present | reserved
Binding: EncounterLocationStatus (required, not extensible)
.... period 0..1PeriodTime period during which the patient was present at the location
... serviceProvider S0..1OrganizationDepartment or team providing care
... partOf S0..1EncounterAnother Encounter this encounter is part of

XML Template

JSON Template

todo

 

Other definitions: (todo)

Terminology Bindings

PathNameConformanceValueSet
Encounter.languageLanguagerequiredhttp://tools.ietf.org/html/bcp47
Encounter.statusCQFEncounterStatusrequiredCQFEncounterState
Encounter.statusHistory.statusEncounterStaterequiredEncounterState
Encounter.classEncounterClassrequiredEncounterClass
Encounter.typeEncounterTypeexample (extensible)EncounterType
Encounter.participant.typeParticipantTypepreferred (extensible)ParticipantType
Encounter.reasonEncounterReasonexample (extensible)Encounter Reason Codes
Encounter.priorityPriorityexample (extensible)Encounter Priority
Encounter.hospitalization.admitSourceAdmitSourcepreferred (extensible)AdmitSource
Encounter.hospitalization.dietPatientDietpreferred (extensible)Diet
Encounter.hospitalization.specialCourtesyCourtesiespreferred (extensible)SpecialCourtesy
Encounter.hospitalization.specialArrangementArrangementspreferred (extensible)SpecialArrangements
Encounter.hospitalization.dischargeDispositionDischargeDisppreferred (extensible)DischargeDisposition
Encounter.location.statusEncounterLocationStatusrequiredEncounterLocationStatus

Constraints

IdPathNameDetails
.