Estonian Base Implementation Guide
1.0.0 - ballot
Estonian Base Implementation Guide
1.0.0 - ballot
Estonian Base Implementation Guide - Local Development build (v1.0.0). See the Directory of published versions
| Official URL: https://fhir.ee/StructureDefinition/ee-encounter | Version: 1.0.0 | |||
| Draft as of 2023-05-29 | Computable Name: EEBaseEncounter | |||
Encounter is an interaction between a patient and healthcare provider(s) to provide healthcare service(s) or assess a patient’s health status. There are many types of encounters (such as ambulatory, inpatient, home visits, emergency and the like) which is the reason why the resource encompasses the lifecycle from pre-admission to the actual encounter (for ambulatory encounters) and admission, stay and discharge (for inpatient encounters). Encounter is primarily used to record information about the actual activities that occurred, where Appointment is used to record planned activities.
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 | 0..* | Encounter | An interaction during which services are provided to the patient | |
  Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
 modeOfArrival | 0..1 | Coding | The method that the patient arrived at the facility. URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival profiled by https://fhir.ee/StructureDefinition/ee-mode-of-arrival Binding: Mode Of Arrival (extensible) | |
| associatedEncounter | 0..1 | Reference(Encounter) | Associated Encounter URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter | |
 status | S | 1..1 | code | planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown |
| class | S | 0..* | CodeableConcept | Classification of patient encounter context - e.g. Inpatient, outpatient Binding: Encounter Class (extensible) |
| priority | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: Act Priority (extensible) | |
 serviceType | 0..* | CodeableReference(EEBase HealthcareService) | Specific type of service | |
| subject | 0..1 | Reference(Group | EEBase Patient) | The patient or group related to this encounter | |
| episodeOfCare | 0..* | Reference(EEBase EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against | |
| partOf | 0..1 | Reference(EEBase Encounter) | Reference to previous encounter | |
| serviceProvider | 0..1 | Reference(EEBase Organization) | The organization (facility) responsible for this encounter | |
 participant | ||||
  actor | 0..1 | Reference(EEBase Practitioner | EEBase PractitionerRole | EEBase RelatedPerson) | The individual, device, or service participating in the encounter | |
| reason | ||||
| value | 0..* | CodeableReference(Condition | DiagnosticReport | EEBase Observation | ImmunizationRecommendation | Procedure) | Reason the encounter takes place (core or reference) | |
| admission | ||||
| origin | 0..1 | Reference(EEBase Location | EEBase Organization) | The location/organization from which the patient came before admission | |
| destination | 0..1 | Reference(EEBase Location | EEBase Organization) | Location/organization to which the patient is discharged | |
 location | ||||
 location | 1..1 | Reference(EEBase Location) | Location the encounter takes place | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Encounter.class | extensible | EEBaseEncounterClass |
| Encounter.priority | extensible | EEBaseActPriority |
| 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 |
| contained | 0..* | Resource | Contained, inline Resources | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| modeOfArrival | 0..1 | Coding | The method that the patient arrived at the facility. URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival profiled by https://fhir.ee/StructureDefinition/ee-mode-of-arrival Binding: Mode Of Arrival (extensible) | |
| associatedEncounter | 0..1 | Reference(Encounter) | Associated Encounter URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter | |
 modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!SΣ | 1..1 | code | planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter. |
 class | SΣ | 0..* | CodeableConcept | Classification of patient encounter context - e.g. Inpatient, outpatient Binding: Encounter Class (extensible) |
| priority | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: Act Priority (extensible) | |
| serviceType | Σ | 0..* | CodeableReference(EEBase HealthcareService) | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. |
| subject | Σ | 0..1 | Reference(Group | EEBase Patient) | The patient or group related to this encounter |
| episodeOfCare | Σ | 0..* | Reference(EEBase EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against |
| partOf | 0..1 | Reference(EEBase Encounter) | Reference to previous encounter | |
| serviceProvider | 0..1 | Reference(EEBase Organization) | The organization (facility) responsible for this encounter | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Encounter.status | required | EncounterStatus |
| Encounter.class | extensible | EEBaseEncounterClass |
| Encounter.priority | extensible | EEBaseActPriority |
| Encounter.serviceType | example | ServiceType |
| 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **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: AllLanguages (required): IETF language tag for a human language | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| modeOfArrival | 0..1 | Coding | The method that the patient arrived at the facility. URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival profiled by https://fhir.ee/StructureDefinition/ee-mode-of-arrival Binding: Mode Of Arrival (extensible) | |
| associatedEncounter | 0..1 | Reference(Encounter) | Associated Encounter URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known |
| status | ?!SΣ | 1..1 | code | planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter. |
| class | SΣ | 0..* | CodeableConcept | Classification of patient encounter context - e.g. Inpatient, outpatient Binding: Encounter Class (extensible) |
| priority | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: Act Priority (extensible) | |
| type | Σ | 0..* | CodeableConcept | Specific type of encounter (e.g. e-mail consultation, surgical day-care, ...) Binding: EncounterType (example): A specific code indicating type of service provided |
| serviceType | Σ | 0..* | CodeableReference(EEBase HealthcareService) | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. |
| subject | Σ | 0..1 | Reference(Group | EEBase Patient) | The patient or group related to this encounter |
| subjectStatus | 0..1 | CodeableConcept | The current status of the subject in relation to the Encounter Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter. | |
| episodeOfCare | Σ | 0..* | Reference(EEBase EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against |
| basedOn | 0..* | Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest) | The request that initiated this encounter | |
| careTeam | 0..* | Reference(CareTeam) | The group(s) that are allocated to participate in this encounter | |
| partOf | 0..1 | Reference(EEBase Encounter) | Reference to previous encounter | |
| serviceProvider | 0..1 | Reference(EEBase Organization) | The organization (facility) responsible for this encounter | |
| participant | ΣC | 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 | ΣC | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. |
| period | 0..1 | Period | Period of time during the encounter that the participant participated | |
| actor | ΣC | 0..1 | Reference(EEBase Practitioner | EEBase PractitionerRole | EEBase RelatedPerson) | The individual, device, or service participating in the encounter |
| appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter |
| virtualService | 0..* | VirtualServiceDetail | Connection details of a virtual service (e.g. conference call) | |
| actualPeriod | 0..1 | Period | The actual start and end time of the encounter | |
| plannedStartDate | 0..1 | dateTime | The planned start date/time (or admission date) of the encounter | |
| plannedEndDate | 0..1 | dateTime | The planned end date/time (or discharge date) of the encounter | |
| length | 0..1 | Duration | Actual quantity of time the encounter lasted (less time absent) | |
| reason | Σ | 0..* | BackboneElement | The list of medical reasons that are expected to be addressed during the episode of care |
| 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 |
| use | Σ | 0..* | CodeableConcept | What the reason value should be used for/as Binding: EncounterReasonUse (example) |
| value | Σ | 0..* | CodeableReference(Condition | DiagnosticReport | EEBase Observation | ImmunizationRecommendation | Procedure) | Reason the encounter takes place (core or reference) Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. |
| 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 | 0..* | CodeableReference(Condition) | The diagnosis relevant to the encounter Binding: ConditionProblemDiagnosisCodes (example) |
| use | 0..* | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents. | |
| account | 0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter | |
| dietPreference | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements. | |
| specialArrangement | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc Binding: SpecialArrangements (preferred): Special arrangements. | |
| specialCourtesy | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies. | |
| admission | 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(EEBase Location | EEBase 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 | Indicates that the patient is being re-admitted Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this admission encounter. | |
| destination | 0..1 | Reference(EEBase Location | EEBase 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(EEBase Location) | Location the encounter takes place | |
| status | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. | |
| form | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.) Binding: LocationForm (example): Physical form of the location. | |
| period | 0..1 | Period | Time period during which the patient was present at the location | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Encounter.language | required | AllLanguages |
| Encounter.status | required | EncounterStatus |
| Encounter.class | extensible | EEBaseEncounterClass |
| Encounter.priority | extensible | EEBaseActPriority |
| Encounter.type | example | EncounterType |
| Encounter.serviceType | example | ServiceType |
| Encounter.subjectStatus | example | EncounterSubjectStatus |
| Encounter.participant.type | extensible | ParticipantType |
| Encounter.reason.use | example | EncounterReasonUse |
| Encounter.reason.value | preferred | EncounterReasonCodes |
| Encounter.diagnosis.condition | example | ConditionProblemDiagnosisCodes |
| Encounter.diagnosis.use | preferred | EncounterDiagnosisUse |
| Encounter.dietPreference | example | EncounterDiet |
| Encounter.specialArrangement | preferred | SpecialArrangements |
| Encounter.specialCourtesy | preferred | SpecialCourtesy |
| Encounter.admission.admitSource | preferred | AdmitSource |
| Encounter.admission.reAdmission | example | Hl7VSReAdmissionIndicator |
| Encounter.admission.dischargeDisposition | example | DischargeDisposition |
| Encounter.location.status | required | EncounterLocationStatus |
| Encounter.location.form | example | LocationForm |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| enc-1 | error | Encounter.participant | A type must be provided when no explicit actor is specified : actor.exists() or type.exists() | |
| enc-2 | error | Encounter.participant | A type cannot be provided for a patient or group participant : actor.exists(resolve() is Patient or resolve() is Group) implies type.exists().not() | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Encounter
Summary
Must-Support: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from Encounter
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter | 0..* | Encounter | An interaction during which services are provided to the patient | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| modeOfArrival | 0..1 | Coding | The method that the patient arrived at the facility. URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival profiled by https://fhir.ee/StructureDefinition/ee-mode-of-arrival Binding: Mode Of Arrival (extensible) | |
| associatedEncounter | 0..1 | Reference(Encounter) | Associated Encounter URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter | |
| status | S | 1..1 | code | planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown |
| class | S | 0..* | CodeableConcept | Classification of patient encounter context - e.g. Inpatient, outpatient Binding: Encounter Class (extensible) |
| priority | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: Act Priority (extensible) | |
| serviceType | 0..* | CodeableReference(EEBase HealthcareService) | Specific type of service | |
| subject | 0..1 | Reference(Group | EEBase Patient) | The patient or group related to this encounter | |
| episodeOfCare | 0..* | Reference(EEBase EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against | |
| partOf | 0..1 | Reference(EEBase Encounter) | Reference to previous encounter | |
| serviceProvider | 0..1 | Reference(EEBase Organization) | The organization (facility) responsible for this encounter | |
| participant | ||||
| actor | 0..1 | Reference(EEBase Practitioner | EEBase PractitionerRole | EEBase RelatedPerson) | The individual, device, or service participating in the encounter | |
| reason | ||||
| value | 0..* | CodeableReference(Condition | DiagnosticReport | EEBase Observation | ImmunizationRecommendation | Procedure) | Reason the encounter takes place (core or reference) | |
| admission | ||||
| origin | 0..1 | Reference(EEBase Location | EEBase Organization) | The location/organization from which the patient came before admission | |
| destination | 0..1 | Reference(EEBase Location | EEBase Organization) | Location/organization to which the patient is discharged | |
| location | ||||
| location | 1..1 | Reference(EEBase Location) | Location the encounter takes place | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Encounter.class | extensible | EEBaseEncounterClass |
| Encounter.priority | extensible | EEBaseActPriority |
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 |
| contained | 0..* | Resource | Contained, inline Resources | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| modeOfArrival | 0..1 | Coding | The method that the patient arrived at the facility. URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival profiled by https://fhir.ee/StructureDefinition/ee-mode-of-arrival Binding: Mode Of Arrival (extensible) | |
| associatedEncounter | 0..1 | Reference(Encounter) | Associated Encounter URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!SΣ | 1..1 | code | planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter. |
| class | SΣ | 0..* | CodeableConcept | Classification of patient encounter context - e.g. Inpatient, outpatient Binding: Encounter Class (extensible) |
| priority | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: Act Priority (extensible) | |
| serviceType | Σ | 0..* | CodeableReference(EEBase HealthcareService) | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. |
| subject | Σ | 0..1 | Reference(Group | EEBase Patient) | The patient or group related to this encounter |
| episodeOfCare | Σ | 0..* | Reference(EEBase EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against |
| partOf | 0..1 | Reference(EEBase Encounter) | Reference to previous encounter | |
| serviceProvider | 0..1 | Reference(EEBase Organization) | The organization (facility) responsible for this encounter | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Encounter.status | required | EncounterStatus |
| Encounter.class | extensible | EEBaseEncounterClass |
| Encounter.priority | extensible | EEBaseActPriority |
| Encounter.serviceType | example | ServiceType |
| 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **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: AllLanguages (required): IETF language tag for a human language | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| modeOfArrival | 0..1 | Coding | The method that the patient arrived at the facility. URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival profiled by https://fhir.ee/StructureDefinition/ee-mode-of-arrival Binding: Mode Of Arrival (extensible) | |
| associatedEncounter | 0..1 | Reference(Encounter) | Associated Encounter URL: http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known |
| status | ?!SΣ | 1..1 | code | planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter. |
| class | SΣ | 0..* | CodeableConcept | Classification of patient encounter context - e.g. Inpatient, outpatient Binding: Encounter Class (extensible) |
| priority | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: Act Priority (extensible) | |
| type | Σ | 0..* | CodeableConcept | Specific type of encounter (e.g. e-mail consultation, surgical day-care, ...) Binding: EncounterType (example): A specific code indicating type of service provided |
| serviceType | Σ | 0..* | CodeableReference(EEBase HealthcareService) | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. |
| subject | Σ | 0..1 | Reference(Group | EEBase Patient) | The patient or group related to this encounter |
| subjectStatus | 0..1 | CodeableConcept | The current status of the subject in relation to the Encounter Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter. | |
| episodeOfCare | Σ | 0..* | Reference(EEBase EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against |
| basedOn | 0..* | Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest) | The request that initiated this encounter | |
| careTeam | 0..* | Reference(CareTeam) | The group(s) that are allocated to participate in this encounter | |
| partOf | 0..1 | Reference(EEBase Encounter) | Reference to previous encounter | |
| serviceProvider | 0..1 | Reference(EEBase Organization) | The organization (facility) responsible for this encounter | |
| participant | ΣC | 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 | ΣC | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. |
| period | 0..1 | Period | Period of time during the encounter that the participant participated | |
| actor | ΣC | 0..1 | Reference(EEBase Practitioner | EEBase PractitionerRole | EEBase RelatedPerson) | The individual, device, or service participating in the encounter |
| appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter |
| virtualService | 0..* | VirtualServiceDetail | Connection details of a virtual service (e.g. conference call) | |
| actualPeriod | 0..1 | Period | The actual start and end time of the encounter | |
| plannedStartDate | 0..1 | dateTime | The planned start date/time (or admission date) of the encounter | |
| plannedEndDate | 0..1 | dateTime | The planned end date/time (or discharge date) of the encounter | |
| length | 0..1 | Duration | Actual quantity of time the encounter lasted (less time absent) | |
| reason | Σ | 0..* | BackboneElement | The list of medical reasons that are expected to be addressed during the episode of care |
| 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 |
| use | Σ | 0..* | CodeableConcept | What the reason value should be used for/as Binding: EncounterReasonUse (example) |
| value | Σ | 0..* | CodeableReference(Condition | DiagnosticReport | EEBase Observation | ImmunizationRecommendation | Procedure) | Reason the encounter takes place (core or reference) Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. |
| 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 | 0..* | CodeableReference(Condition) | The diagnosis relevant to the encounter Binding: ConditionProblemDiagnosisCodes (example) |
| use | 0..* | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents. | |
| account | 0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter | |
| dietPreference | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements. | |
| specialArrangement | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc Binding: SpecialArrangements (preferred): Special arrangements. | |
| specialCourtesy | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies. | |
| admission | 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(EEBase Location | EEBase 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 | Indicates that the patient is being re-admitted Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this admission encounter. | |
| destination | 0..1 | Reference(EEBase Location | EEBase 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(EEBase Location) | Location the encounter takes place | |
| status | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. | |
| form | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.) Binding: LocationForm (example): Physical form of the location. | |
| period | 0..1 | Period | Time period during which the patient was present at the location | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Encounter.language | required | AllLanguages |
| Encounter.status | required | EncounterStatus |
| Encounter.class | extensible | EEBaseEncounterClass |
| Encounter.priority | extensible | EEBaseActPriority |
| Encounter.type | example | EncounterType |
| Encounter.serviceType | example | ServiceType |
| Encounter.subjectStatus | example | EncounterSubjectStatus |
| Encounter.participant.type | extensible | ParticipantType |
| Encounter.reason.use | example | EncounterReasonUse |
| Encounter.reason.value | preferred | EncounterReasonCodes |
| Encounter.diagnosis.condition | example | ConditionProblemDiagnosisCodes |
| Encounter.diagnosis.use | preferred | EncounterDiagnosisUse |
| Encounter.dietPreference | example | EncounterDiet |
| Encounter.specialArrangement | preferred | SpecialArrangements |
| Encounter.specialCourtesy | preferred | SpecialCourtesy |
| Encounter.admission.admitSource | preferred | AdmitSource |
| Encounter.admission.reAdmission | example | Hl7VSReAdmissionIndicator |
| Encounter.admission.dischargeDisposition | example | DischargeDisposition |
| Encounter.location.status | required | EncounterLocationStatus |
| Encounter.location.form | example | LocationForm |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| enc-1 | error | Encounter.participant | A type must be provided when no explicit actor is specified : actor.exists() or type.exists() | |
| enc-2 | error | Encounter.participant | A type cannot be provided for a patient or group participant : actor.exists(resolve() is Patient or resolve() is Group) implies type.exists().not() | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Encounter
Summary
Must-Support: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron