Estonian Base Implementation Guide
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Resource Profile: EEBase Encounter

Official URL: https://fhir.ee/base/StructureDefinition/ee-encounter Version: 1.1.1
Draft as of 2024-07-30 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:

Formal Views of Profile Content

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

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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/base/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)
... 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.classextensibleEEEncounterClass
https://fhir.ee/ValueSet/encounter-class
Encounter.priorityextensibleEEActPriority
https://fhir.ee/ValueSet/act-priority
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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/base/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 ?!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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|5.0.0
from the FHIR Standard
Encounter.classextensibleEEEncounterClass
https://fhir.ee/ValueSet/encounter-class
Encounter.priorityextensibleEEActPriority
https://fhir.ee/ValueSet/act-priority
Encounter.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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

Additional BindingsPurpose
CommonLanguages Starter Set
... 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/base/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
enc-1: A type must be provided when no explicit actor is specified
enc-2: A type cannot be provided for a patient or group participant
.... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|5.0.0
from the FHIR Standard
Encounter.classextensibleEEEncounterClass
https://fhir.ee/ValueSet/encounter-class
Encounter.priorityextensibleEEActPriority
https://fhir.ee/ValueSet/act-priority
Encounter.typeexampleEncounterType
http://hl7.org/fhir/ValueSet/encounter-type
from the FHIR Standard
Encounter.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Encounter.subjectStatusexampleEncounterSubjectStatus
http://hl7.org/fhir/ValueSet/encounter-subject-status
from the FHIR Standard
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reason.useexampleEncounterReasonUse
http://hl7.org/fhir/ValueSet/encounter-reason-use
from the FHIR Standard
Encounter.reason.valuepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Encounter.diagnosis.conditionexampleConditionProblemDiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Encounter.diagnosis.usepreferredEncounterDiagnosisUse
http://hl7.org/fhir/ValueSet/encounter-diagnosis-use
from the FHIR Standard
Encounter.dietPreferenceexampleEncounterDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.admission.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
from the FHIR Standard
Encounter.admission.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.admission.dischargeDispositionexampleDischargeDisposition
http://hl7.org/fhir/ValueSet/encounter-discharge-disposition
from the FHIR Standard
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|5.0.0
from the FHIR Standard
Encounter.location.formexampleLocationForm
http://hl7.org/fhir/ValueSet/location-form
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
enc-1errorEncounter.participantA type must be provided when no explicit actor is specified
: actor.exists() or type.exists()
enc-2errorEncounter.participantA type cannot be provided for a patient or group participant
: actor.exists(resolve() is Patient or resolve() is Group) implies type.exists().not()
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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/base/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)
... 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.classextensibleEEEncounterClass
https://fhir.ee/ValueSet/encounter-class
Encounter.priorityextensibleEEActPriority
https://fhir.ee/ValueSet/act-priority

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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/base/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 ?!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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|5.0.0
from the FHIR Standard
Encounter.classextensibleEEEncounterClass
https://fhir.ee/ValueSet/encounter-class
Encounter.priorityextensibleEEActPriority
https://fhir.ee/ValueSet/act-priority
Encounter.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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

Additional BindingsPurpose
CommonLanguages Starter Set
... 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/base/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
enc-1: A type must be provided when no explicit actor is specified
enc-2: A type cannot be provided for a patient or group participant
.... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|5.0.0
from the FHIR Standard
Encounter.classextensibleEEEncounterClass
https://fhir.ee/ValueSet/encounter-class
Encounter.priorityextensibleEEActPriority
https://fhir.ee/ValueSet/act-priority
Encounter.typeexampleEncounterType
http://hl7.org/fhir/ValueSet/encounter-type
from the FHIR Standard
Encounter.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Encounter.subjectStatusexampleEncounterSubjectStatus
http://hl7.org/fhir/ValueSet/encounter-subject-status
from the FHIR Standard
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reason.useexampleEncounterReasonUse
http://hl7.org/fhir/ValueSet/encounter-reason-use
from the FHIR Standard
Encounter.reason.valuepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Encounter.diagnosis.conditionexampleConditionProblemDiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Encounter.diagnosis.usepreferredEncounterDiagnosisUse
http://hl7.org/fhir/ValueSet/encounter-diagnosis-use
from the FHIR Standard
Encounter.dietPreferenceexampleEncounterDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.admission.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
from the FHIR Standard
Encounter.admission.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.admission.dischargeDispositionexampleDischargeDisposition
http://hl7.org/fhir/ValueSet/encounter-discharge-disposition
from the FHIR Standard
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|5.0.0
from the FHIR Standard
Encounter.location.formexampleLocationForm
http://hl7.org/fhir/ValueSet/location-form
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
enc-1errorEncounter.participantA type must be provided when no explicit actor is specified
: actor.exists() or type.exists()
enc-2errorEncounter.participantA type cannot be provided for a patient or group participant
: actor.exists(resolve() is Patient or resolve() is Group) implies type.exists().not()
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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