FHIR Implementation Guide for ABDM
6.0.0 - active
This page is part of the FHIR Implementation Guide for ABDM (v6.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Official URL: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Encounter | Version: 6.0.0 | |||
Draft as of 2020-08-17 | Computable Name: Encounter |
This profile sets minimum expectations for the Encounter resource to record, search, and fetch basic encounter information for an individual patient.
This profile sets minimum expectations for the Encounter resource to record, search, and fetch basic encounter information for an individual patient. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Encounter
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | Encounter | |||
identifier | S | 0..* | Identifier | Identifier(s) by which this encounter is known |
status | S | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + |
class | S | 1..1 | Coding | Classification of patient encounter |
type | S | 0..* | CodeableConcept | Specific type of encounter Binding: EncounterTypes (example) |
coding | S | 0..* | Coding | Code defined by a terminology system |
system | 1..1 | uri | Identity of the terminology system | |
code | 1..1 | code | Symbol in syntax defined by the system | |
display | 1..1 | string | Representation defined by the system | |
text | S | 0..1 | string | Plain text representation of the concept |
serviceType | S | 0..1 | CodeableConcept | Specific type of service |
coding | S | 0..* | Coding | Code defined by a terminology system |
system | 1..1 | uri | Identity of the terminology system | |
code | 1..1 | code | Symbol in syntax defined by the system | |
display | 1..1 | string | Representation defined by the system | |
text | S | 0..1 | string | Plain text representation of the concept |
priority | ||||
coding | S | 0..* | Coding | Code defined by a terminology system |
system | 1..1 | uri | Identity of the terminology system | |
code | 1..1 | code | Symbol in syntax defined by the system | |
display | 1..1 | string | Representation defined by the system | |
text | S | 0..1 | string | Plain text representation of the concept |
subject | 0..1 | Reference(Group | Patient) | The patient or group present at the encounter | |
basedOn | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter | |
participant | ||||
type | ||||
coding | S | 0..* | Coding | Code defined by a terminology system |
system | 1..1 | uri | Identity of the terminology system | |
code | 1..1 | code | Symbol in syntax defined by the system | |
display | 1..1 | string | Representation defined by the system | |
text | S | 0..1 | string | Plain text representation of the concept |
individual | 0..1 | Reference(RelatedPerson | Practitioner | PractitionerRole) | Persons involved in the encounter other than the patient | |
appointment | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | |
period | S | 0..1 | Period | The start and end time of the encounter |
reasonCode | ||||
coding | S | 0..* | Coding | Code defined by a terminology system |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system | |
display | 1..1 | string | Representation defined by the system | |
text | S | 0..1 | string | Plain text representation of the concept |
reasonReference | 0..* | Reference(ImmunizationRecommendation | Condition | Procedure | Observation) | Reason the encounter takes place (reference) | |
diagnosis | ||||
condition | 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: Diagnosis Use (preferred) | |
coding | S | 0..* | Coding | Code defined by a terminology system |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system | |
display | 1..1 | string | Representation defined by the system | |
text | S | 0..1 | string | Plain text representation of the concept |
hospitalization | S | 0..1 | BackboneElement | Details about the admission to a healthcare service |
origin | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission | |
destination | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged | |
serviceProvider | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter | |
partOf | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Encounter.type | example | EncounterTypeshttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-encounter-type from this IG | |
Encounter.diagnosis.use | preferred | DiagnosisUsehttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-diagnosis-use from this IG |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | 0..* | Encounter | 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 |
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 | 0..* | CodeableConcept | Specific type of encounter Binding: EncounterTypes (example) |
coding | SΣ | 0..* | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
display | Σ | 1..1 | string | Representation defined by the system |
text | SΣ | 0..1 | string | Plain text representation of the concept |
serviceType | SΣ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. |
coding | SΣ | 0..* | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
display | Σ | 1..1 | string | Representation defined by the system |
text | SΣ | 0..1 | string | Plain text representation of the concept |
priority | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter. | |
coding | SΣ | 0..* | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
display | Σ | 1..1 | string | Representation defined by the system |
text | SΣ | 0..1 | string | Plain text representation of the concept |
subject | Σ | 0..1 | Reference(Group | Patient) | The patient or group present at the encounter |
basedOn | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter | |
participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter |
modifierExtension | ?!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. |
coding | SΣ | 0..* | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
display | Σ | 1..1 | string | Representation defined by the system |
text | SΣ | 0..1 | string | Plain text representation of the concept |
individual | Σ | 0..1 | Reference(RelatedPerson | Practitioner | PractitionerRole) | 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 |
reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. |
coding | SΣ | 0..* | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
display | Σ | 1..1 | string | Representation defined by the system |
text | SΣ | 0..1 | string | Plain text representation of the concept |
reasonReference | Σ | 0..* | Reference(ImmunizationRecommendation | Condition | Procedure | Observation) | Reason the encounter takes place (reference) |
diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter |
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: Diagnosis Use (preferred) | |
coding | SΣ | 0..* | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
display | Σ | 1..1 | string | Representation defined by the system |
text | SΣ | 0..1 | string | Plain text representation of the concept |
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 | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission | |
destination | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged | |
serviceProvider | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter | |
partOf | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | |
Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
Encounter.type | example | EncounterTypeshttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-encounter-type from this IG | |
Encounter.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-type from the FHIR Standard | |
Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | |
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard | |
Encounter.diagnosis.use | preferred | DiagnosisUsehttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-diagnosis-use from this IG |
Id | Grade | Path(s) | Details | Requirements |
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Encounter | 0..* | Encounter | 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.
| |||||
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 | ||||
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 | 0..* | CodeableConcept | Specific type of encounter Binding: EncounterTypes (example) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | SΣ | 0..* | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 1..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
serviceType | SΣ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | SΣ | 0..* | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 1..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
priority | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter. | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | SΣ | 0..* | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 1..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
subject | Σ | 0..1 | Reference(Group | 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 | ||||
basedOn | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter | |||||
participant | Σ | 0..* | BackboneElement | List of participants involved in the 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 | ||||
type | Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | SΣ | 0..* | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 1..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
period | 0..1 | Period | Period of time during the encounter that the participant participated | |||||
individual | Σ | 0..1 | Reference(RelatedPerson | Practitioner | PractitionerRole) | 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 | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | SΣ | 0..* | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 1..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
reasonReference | Σ | 0..* | Reference(ImmunizationRecommendation | Condition | Procedure | Observation) | 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: Diagnosis Use (preferred) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | SΣ | 0..* | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 1..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
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 | 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. | |||||
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 | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition. | |||||
location | 0..* | BackboneElement | List of locations where the patient has been | |||||
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 | 1..1 | Reference(Location) | Location the encounter takes place | |||||
status | 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. | |||||
period | 0..1 | Period | Time period during which the patient was present at the location | |||||
serviceProvider | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter | |||||
partOf | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Encounter.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
Encounter.classHistory.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
Encounter.type | example | EncounterTypeshttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-encounter-type from this IG | ||||
Encounter.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-type from the FHIR Standard | ||||
Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | ||||
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | ||||
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard | ||||
Encounter.diagnosis.use | preferred | DiagnosisUsehttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-diagnosis-use from this IG | ||||
Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard | ||||
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard | ||||
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard | ||||
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard | ||||
Encounter.hospitalization.dischargeDisposition | example | DischargeDispositionhttp://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard | ||||
Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard | ||||
Encounter.location.physicalType | example | LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Encounter
Summary
Mandatory: 0 element (18 nested mandatory elements)
Must-Support: 19 elements
Fixed Value: 2 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from Encounter
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | Encounter | |||
identifier | S | 0..* | Identifier | Identifier(s) by which this encounter is known |
status | S | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + |
class | S | 1..1 | Coding | Classification of patient encounter |
type | S | 0..* | CodeableConcept | Specific type of encounter Binding: EncounterTypes (example) |
coding | S | 0..* | Coding | Code defined by a terminology system |
system | 1..1 | uri | Identity of the terminology system | |
code | 1..1 | code | Symbol in syntax defined by the system | |
display | 1..1 | string | Representation defined by the system | |
text | S | 0..1 | string | Plain text representation of the concept |
serviceType | S | 0..1 | CodeableConcept | Specific type of service |
coding | S | 0..* | Coding | Code defined by a terminology system |
system | 1..1 | uri | Identity of the terminology system | |
code | 1..1 | code | Symbol in syntax defined by the system | |
display | 1..1 | string | Representation defined by the system | |
text | S | 0..1 | string | Plain text representation of the concept |
priority | ||||
coding | S | 0..* | Coding | Code defined by a terminology system |
system | 1..1 | uri | Identity of the terminology system | |
code | 1..1 | code | Symbol in syntax defined by the system | |
display | 1..1 | string | Representation defined by the system | |
text | S | 0..1 | string | Plain text representation of the concept |
subject | 0..1 | Reference(Group | Patient) | The patient or group present at the encounter | |
basedOn | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter | |
participant | ||||
type | ||||
coding | S | 0..* | Coding | Code defined by a terminology system |
system | 1..1 | uri | Identity of the terminology system | |
code | 1..1 | code | Symbol in syntax defined by the system | |
display | 1..1 | string | Representation defined by the system | |
text | S | 0..1 | string | Plain text representation of the concept |
individual | 0..1 | Reference(RelatedPerson | Practitioner | PractitionerRole) | Persons involved in the encounter other than the patient | |
appointment | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | |
period | S | 0..1 | Period | The start and end time of the encounter |
reasonCode | ||||
coding | S | 0..* | Coding | Code defined by a terminology system |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system | |
display | 1..1 | string | Representation defined by the system | |
text | S | 0..1 | string | Plain text representation of the concept |
reasonReference | 0..* | Reference(ImmunizationRecommendation | Condition | Procedure | Observation) | Reason the encounter takes place (reference) | |
diagnosis | ||||
condition | 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: Diagnosis Use (preferred) | |
coding | S | 0..* | Coding | Code defined by a terminology system |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system | |
display | 1..1 | string | Representation defined by the system | |
text | S | 0..1 | string | Plain text representation of the concept |
hospitalization | S | 0..1 | BackboneElement | Details about the admission to a healthcare service |
origin | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission | |
destination | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged | |
serviceProvider | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter | |
partOf | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Encounter.type | example | EncounterTypeshttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-encounter-type from this IG | |
Encounter.diagnosis.use | preferred | DiagnosisUsehttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-diagnosis-use from this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | 0..* | Encounter | 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 |
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 | 0..* | CodeableConcept | Specific type of encounter Binding: EncounterTypes (example) |
coding | SΣ | 0..* | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
display | Σ | 1..1 | string | Representation defined by the system |
text | SΣ | 0..1 | string | Plain text representation of the concept |
serviceType | SΣ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. |
coding | SΣ | 0..* | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
display | Σ | 1..1 | string | Representation defined by the system |
text | SΣ | 0..1 | string | Plain text representation of the concept |
priority | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter. | |
coding | SΣ | 0..* | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
display | Σ | 1..1 | string | Representation defined by the system |
text | SΣ | 0..1 | string | Plain text representation of the concept |
subject | Σ | 0..1 | Reference(Group | Patient) | The patient or group present at the encounter |
basedOn | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter | |
participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter |
modifierExtension | ?!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. |
coding | SΣ | 0..* | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
display | Σ | 1..1 | string | Representation defined by the system |
text | SΣ | 0..1 | string | Plain text representation of the concept |
individual | Σ | 0..1 | Reference(RelatedPerson | Practitioner | PractitionerRole) | 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 |
reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. |
coding | SΣ | 0..* | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
display | Σ | 1..1 | string | Representation defined by the system |
text | SΣ | 0..1 | string | Plain text representation of the concept |
reasonReference | Σ | 0..* | Reference(ImmunizationRecommendation | Condition | Procedure | Observation) | Reason the encounter takes place (reference) |
diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter |
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: Diagnosis Use (preferred) | |
coding | SΣ | 0..* | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
display | Σ | 1..1 | string | Representation defined by the system |
text | SΣ | 0..1 | string | Plain text representation of the concept |
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 | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission | |
destination | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged | |
serviceProvider | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter | |
partOf | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | |
Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
Encounter.type | example | EncounterTypeshttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-encounter-type from this IG | |
Encounter.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-type from the FHIR Standard | |
Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | |
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard | |
Encounter.diagnosis.use | preferred | DiagnosisUsehttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-diagnosis-use from this IG |
Id | Grade | Path(s) | Details | Requirements |
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Encounter | 0..* | Encounter | 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.
| |||||
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 | ||||
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 | 0..* | CodeableConcept | Specific type of encounter Binding: EncounterTypes (example) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | SΣ | 0..* | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 1..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
serviceType | SΣ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | SΣ | 0..* | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 1..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
priority | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter. | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | SΣ | 0..* | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 1..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
subject | Σ | 0..1 | Reference(Group | 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 | ||||
basedOn | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter | |||||
participant | Σ | 0..* | BackboneElement | List of participants involved in the 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 | ||||
type | Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | SΣ | 0..* | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 1..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
period | 0..1 | Period | Period of time during the encounter that the participant participated | |||||
individual | Σ | 0..1 | Reference(RelatedPerson | Practitioner | PractitionerRole) | 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 | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | SΣ | 0..* | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 1..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
reasonReference | Σ | 0..* | Reference(ImmunizationRecommendation | Condition | Procedure | Observation) | 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: Diagnosis Use (preferred) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | SΣ | 0..* | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 1..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
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 | 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. | |||||
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 | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition. | |||||
location | 0..* | BackboneElement | List of locations where the patient has been | |||||
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 | 1..1 | Reference(Location) | Location the encounter takes place | |||||
status | 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. | |||||
period | 0..1 | Period | Time period during which the patient was present at the location | |||||
serviceProvider | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter | |||||
partOf | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Encounter.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
Encounter.classHistory.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
Encounter.type | example | EncounterTypeshttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-encounter-type from this IG | ||||
Encounter.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-type from the FHIR Standard | ||||
Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | ||||
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | ||||
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard | ||||
Encounter.diagnosis.use | preferred | DiagnosisUsehttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-diagnosis-use from this IG | ||||
Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard | ||||
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard | ||||
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard | ||||
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard | ||||
Encounter.hospitalization.dischargeDisposition | example | DischargeDispositionhttp://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard | ||||
Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard | ||||
Encounter.location.physicalType | example | LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Encounter
Summary
Mandatory: 0 element (18 nested mandatory elements)
Must-Support: 19 elements
Fixed Value: 2 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron