INTEROPen CareConnect Base STU3 Implementation Guide
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INTEROPen CareConnect Base STU3 Implementation Guide - Local Development build (v3.0.0). See the Directory of published versions

StructureDefinition: CareConnect-Encounter-1

The encounter resource represents an encounter between a care professional and the patient (or patient’s record).

The official URL for this profile is: 

https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1

An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.

Examples

Hospital Admission Encounter

Hospital Transfer Encounter

Emergency clinical Encounter

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
... extension 0..*ExtensionSlice: Unordered, Open by value:url
... Extension-CareConnect-EncounterTransport-1 0..1(Complex)Encounter transport
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-EncounterTransport-1
... Extension-CareConnect-OutcomeOfAttendance-1 0..1CodeableConceptAn extension to the Encounter resource to record the outcome of an Out-Patient attendance.
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-OutcomeOfAttendance-1
... identifier
.... system 1..1uri
.... value 1..1string
.... assigner 0..1Reference(CareConnect-Organization-1)
... class 0..1CodingClassification of the encounter
... classHistory
.... class 1..1CodingClassification of the encounter
... type
.... coding 0..1(Slice Definition)Slice: Unordered, Open by value:system
..... coding:snomedCT 0..*CodingBinding: Care Connect Encounter Type (extensible)
...... extension 0..*ExtensionSlice: Unordered, Open by value:url
...... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriFixed Value: http://snomed.info/sct
...... code 1..1code
...... display 1..1string
... subject 0..1Reference(Group | CareConnect-Patient-1)
... participant
.... individual 0..1Reference(RelatedPerson | CareConnect-Practitioner-1)
... reason
.... coding 0..*(Slice Definition)Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1Coding
...... extension 0..*ExtensionSlice: Unordered, Open by value:url
...... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriFixed Value: http://snomed.info/sct
...... code 1..1code
...... display 1..1string
... diagnosis
.... condition 1..1Reference(CareConnect-Procedure-1 | CareConnect-Condition-1)
... hospitalization
.... extension 0..*ExtensionSlice: Unordered, Open by value:url
.... Extension-CareConnect-AdmissionMethod-1 0..1CodeableConceptAn extension to the Encounter resource to record how a Patient was admitted to hospital.
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AdmissionMethod-1
.... Extension-CareConnect-DischargeMethod-1 0..1CodeableConceptAn extension to the Encounter resource to record the method of discharge from hospital.
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-DischargeMethod-1
.... preAdmissionIdentifier
..... system 1..1uri
..... value 1..1string
..... assigner 0..1Reference(CareConnect-Organization-1)
.... origin 0..1Reference(CareConnect-Location-1)
.... admitSource 0..1CodeableConceptBinding: NHS Data Model and Dictionary Source Of Admission (preferred)
.... reAdmission
..... coding 0..*(Slice Definition)Slice: Unordered, Open by value:system
...... coding:snomedCT 0..1Coding
....... extension 0..*ExtensionSlice: Unordered, Open by value:url
....... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
....... system 1..1uriFixed Value: http://snomed.info/sct
....... code 1..1code
....... display 1..1string
.... dietPreference 0..*CodeableConceptBinding: (unbound) (extensible)
.... destination 0..1Reference(CareConnect-Location-1)
.... dischargeDisposition 0..1CodeableConceptBinding: NHS Data Model and Dictionary Discharge Destination (example)
... location
.... location 1..1Reference(CareConnect-Location-1)
... serviceProvider 0..1Reference(CareConnect-Organization-1)
... partOf 0..1Reference(CareConnect-Encounter-1)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter I0..*EncounterAn interaction during which services are provided to the patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
Max Binding: All Languages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... Extension-CareConnect-EncounterTransport-1 I0..1(Complex)Encounter transport
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-EncounterTransport-1
... Extension-CareConnect-OutcomeOfAttendance-1 I0..1CodeableConceptAn extension to the Encounter resource to record the outcome of an Out-Patient attendance.
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-OutcomeOfAttendance-1
... Extension-CareConnect-EmergencyCareDischargeStatus-1 I0..1CodeableConceptAn extension to the Encounter resource which is used indicate the status of the Patient on discharge from an Emergency Care Department.
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-EmergencyCareDischargeStatus-1
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifier(s) by which this encounter is known
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required)
.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
.... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
... status ?!Σ1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required)
... statusHistory I0..*BackboneElementList of past encounter statuses
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... status 1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required)
.... period 1..1PeriodThe time that the episode was in the specified status
... class Σ0..1CodingClassification of the encounter
Binding: ActEncounterCode (extensible)
... classHistory I0..*BackboneElementList of past encounter classes
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... class 1..1CodingClassification of the encounter
Binding: ActEncounterCode (extensible)
.... period 1..1PeriodThe time that the episode was in the specified class
... type Σ0..*CodeableConceptSpecific type of encounter
Binding: EncounterType (example)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..1(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..*CodingCode defined by a terminology system
Binding: Care Connect Encounter Type (extensible)
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... priority 0..1CodeableConceptIndicates the urgency of the encounter
Binding: ActPriority (example)
... subject Σ0..1Reference(Group | CareConnect-Patient-1)The patient ro group present at the encounter
... episodeOfCare Σ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... incomingReferral 0..*Reference(ReferralRequest)The ReferralRequest that initiated this encounter
... participant ΣI0..*BackboneElementList of participants involved in the encounter
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... type Σ0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible)
.... period 0..1PeriodPeriod of time during the encounter that the participant participated
.... individual Σ0..1Reference(RelatedPerson | CareConnect-Practitioner-1)Persons involved in the encounter other than the patient
... appointment Σ0..1Reference(Appointment)The appointment that scheduled this encounter
... period 0..1PeriodThe start and end time of the encounter
... length 0..1DurationQuantity of time the encounter lasted (less time absent)
... reason Σ0..*CodeableConceptReason the encounter takes place (code)
Binding: Encounter Reason Codes (preferred)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... diagnosis ΣI0..*BackboneElementThe list of diagnosis relevant to this encounter
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... condition 1..1Reference(CareConnect-Procedure-1 | CareConnect-Condition-1)Reason the encounter takes place (resource)
.... role 0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred)
.... rank 0..1positiveIntRanking 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 I0..1BackboneElementDetails about the admission to a healthcare service
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... Extension-CareConnect-AdmissionMethod-1 I0..1CodeableConceptAn extension to the Encounter resource to record how a Patient was admitted to hospital.
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AdmissionMethod-1
.... Extension-CareConnect-DischargeMethod-1 I0..1CodeableConceptAn extension to the Encounter resource to record the method of discharge from hospital.
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-DischargeMethod-1
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required)
..... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
..... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
.... origin 0..1Reference(CareConnect-Location-1)The location from which the patient came before admission
.... admitSource 0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: NHS Data Model and Dictionary Source Of Admission (preferred)
.... reAdmission 0..1CodeableConceptThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: v2 Re-Admission Indicator (example)
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:snomedCT Σ0..1CodingCode defined by a terminology system
....... id 0..1stringxml:id (or equivalent in JSON)
....... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
....... display Σ1..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
.... dietPreference 0..*CodeableConceptDiet preferences reported by the patient
Binding: Diet (extensible)
.... specialCourtesy 0..*CodeableConceptSpecial courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred)
.... specialArrangement 0..*CodeableConceptWheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred)
.... destination 0..1Reference(CareConnect-Location-1)Location to which the patient is discharged
.... dischargeDisposition 0..1CodeableConceptCategory or kind of location after discharge
Binding: NHS Data Model and Dictionary Discharge Destination (example)
... location I0..*BackboneElementList of locations where the patient has been
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... location 1..1Reference(CareConnect-Location-1)Location the encounter takes place
.... status 0..1codeplanned | active | reserved | completed
Binding: EncounterLocationStatus (required)
.... period 0..1PeriodTime period during which the patient was present at the location
... serviceProvider 0..1Reference(CareConnect-Organization-1)The custodian organization of this Encounter record
... partOf 0..1Reference(CareConnect-Encounter-1)Another Encounter this encounter is part of

doco Documentation for this format

Differential View

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*Encounter
... extension 0..*ExtensionSlice: Unordered, Open by value:url
... Extension-CareConnect-EncounterTransport-1 0..1(Complex)Encounter transport
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-EncounterTransport-1
... Extension-CareConnect-OutcomeOfAttendance-1 0..1CodeableConceptAn extension to the Encounter resource to record the outcome of an Out-Patient attendance.
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-OutcomeOfAttendance-1
... identifier
.... system 1..1uri
.... value 1..1string
.... assigner 0..1Reference(CareConnect-Organization-1)
... class 0..1CodingClassification of the encounter
... classHistory
.... class 1..1CodingClassification of the encounter
... type
.... coding 0..1(Slice Definition)Slice: Unordered, Open by value:system
..... coding:snomedCT 0..*CodingBinding: Care Connect Encounter Type (extensible)
...... extension 0..*ExtensionSlice: Unordered, Open by value:url
...... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriFixed Value: http://snomed.info/sct
...... code 1..1code
...... display 1..1string
... subject 0..1Reference(Group | CareConnect-Patient-1)
... participant
.... individual 0..1Reference(RelatedPerson | CareConnect-Practitioner-1)
... reason
.... coding 0..*(Slice Definition)Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1Coding
...... extension 0..*ExtensionSlice: Unordered, Open by value:url
...... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriFixed Value: http://snomed.info/sct
...... code 1..1code
...... display 1..1string
... diagnosis
.... condition 1..1Reference(CareConnect-Procedure-1 | CareConnect-Condition-1)
... hospitalization
.... extension 0..*ExtensionSlice: Unordered, Open by value:url
.... Extension-CareConnect-AdmissionMethod-1 0..1CodeableConceptAn extension to the Encounter resource to record how a Patient was admitted to hospital.
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AdmissionMethod-1
.... Extension-CareConnect-DischargeMethod-1 0..1CodeableConceptAn extension to the Encounter resource to record the method of discharge from hospital.
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-DischargeMethod-1
.... preAdmissionIdentifier
..... system 1..1uri
..... value 1..1string
..... assigner 0..1Reference(CareConnect-Organization-1)
.... origin 0..1Reference(CareConnect-Location-1)
.... admitSource 0..1CodeableConceptBinding: NHS Data Model and Dictionary Source Of Admission (preferred)
.... reAdmission
..... coding 0..*(Slice Definition)Slice: Unordered, Open by value:system
...... coding:snomedCT 0..1Coding
....... extension 0..*ExtensionSlice: Unordered, Open by value:url
....... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
....... system 1..1uriFixed Value: http://snomed.info/sct
....... code 1..1code
....... display 1..1string
.... dietPreference 0..*CodeableConceptBinding: (unbound) (extensible)
.... destination 0..1Reference(CareConnect-Location-1)
.... dischargeDisposition 0..1CodeableConceptBinding: NHS Data Model and Dictionary Discharge Destination (example)
... location
.... location 1..1Reference(CareConnect-Location-1)
... serviceProvider 0..1Reference(CareConnect-Organization-1)
... partOf 0..1Reference(CareConnect-Encounter-1)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter I0..*EncounterAn interaction during which services are provided to the patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
Max Binding: All Languages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... Extension-CareConnect-EncounterTransport-1 I0..1(Complex)Encounter transport
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-EncounterTransport-1
... Extension-CareConnect-OutcomeOfAttendance-1 I0..1CodeableConceptAn extension to the Encounter resource to record the outcome of an Out-Patient attendance.
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-OutcomeOfAttendance-1
... Extension-CareConnect-EmergencyCareDischargeStatus-1 I0..1CodeableConceptAn extension to the Encounter resource which is used indicate the status of the Patient on discharge from an Emergency Care Department.
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-EmergencyCareDischargeStatus-1
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifier(s) by which this encounter is known
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required)
.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
.... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
... status ?!Σ1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required)
... statusHistory I0..*BackboneElementList of past encounter statuses
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... status 1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required)
.... period 1..1PeriodThe time that the episode was in the specified status
... class Σ0..1CodingClassification of the encounter
Binding: ActEncounterCode (extensible)
... classHistory I0..*BackboneElementList of past encounter classes
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... class 1..1CodingClassification of the encounter
Binding: ActEncounterCode (extensible)
.... period 1..1PeriodThe time that the episode was in the specified class
... type Σ0..*CodeableConceptSpecific type of encounter
Binding: EncounterType (example)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..1(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..*CodingCode defined by a terminology system
Binding: Care Connect Encounter Type (extensible)
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... priority 0..1CodeableConceptIndicates the urgency of the encounter
Binding: ActPriority (example)
... subject Σ0..1Reference(Group | CareConnect-Patient-1)The patient ro group present at the encounter
... episodeOfCare Σ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... incomingReferral 0..*Reference(ReferralRequest)The ReferralRequest that initiated this encounter
... participant ΣI0..*BackboneElementList of participants involved in the encounter
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... type Σ0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible)
.... period 0..1PeriodPeriod of time during the encounter that the participant participated
.... individual Σ0..1Reference(RelatedPerson | CareConnect-Practitioner-1)Persons involved in the encounter other than the patient
... appointment Σ0..1Reference(Appointment)The appointment that scheduled this encounter
... period 0..1PeriodThe start and end time of the encounter
... length 0..1DurationQuantity of time the encounter lasted (less time absent)
... reason Σ0..*CodeableConceptReason the encounter takes place (code)
Binding: Encounter Reason Codes (preferred)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... diagnosis ΣI0..*BackboneElementThe list of diagnosis relevant to this encounter
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... condition 1..1Reference(CareConnect-Procedure-1 | CareConnect-Condition-1)Reason the encounter takes place (resource)
.... role 0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred)
.... rank 0..1positiveIntRanking 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 I0..1BackboneElementDetails about the admission to a healthcare service
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... Extension-CareConnect-AdmissionMethod-1 I0..1CodeableConceptAn extension to the Encounter resource to record how a Patient was admitted to hospital.
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AdmissionMethod-1
.... Extension-CareConnect-DischargeMethod-1 I0..1CodeableConceptAn extension to the Encounter resource to record the method of discharge from hospital.
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-DischargeMethod-1
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required)
..... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
..... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
.... origin 0..1Reference(CareConnect-Location-1)The location from which the patient came before admission
.... admitSource 0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: NHS Data Model and Dictionary Source Of Admission (preferred)
.... reAdmission 0..1CodeableConceptThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: v2 Re-Admission Indicator (example)
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:snomedCT Σ0..1CodingCode defined by a terminology system
....... id 0..1stringxml:id (or equivalent in JSON)
....... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
....... display Σ1..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
.... dietPreference 0..*CodeableConceptDiet preferences reported by the patient
Binding: Diet (extensible)
.... specialCourtesy 0..*CodeableConceptSpecial courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred)
.... specialArrangement 0..*CodeableConceptWheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred)
.... destination 0..1Reference(CareConnect-Location-1)Location to which the patient is discharged
.... dischargeDisposition 0..1CodeableConceptCategory or kind of location after discharge
Binding: NHS Data Model and Dictionary Discharge Destination (example)
... location I0..*BackboneElementList of locations where the patient has been
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... location 1..1Reference(CareConnect-Location-1)Location the encounter takes place
.... status 0..1codeplanned | active | reserved | completed
Binding: EncounterLocationStatus (required)
.... period 0..1PeriodTime period during which the patient was present at the location
... serviceProvider 0..1Reference(CareConnect-Organization-1)The custodian organization of this Encounter record
... partOf 0..1Reference(CareConnect-Encounter-1)Another Encounter this encounter is part of

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

Terminology Bindings

PathConformanceValueSet
Encounter.languageextensibleCommon Languages
Max Binding: All Languages
Encounter.identifier.userequiredIdentifierUse
Encounter.identifier.typeextensibleIdentifier Type Codes
Encounter.statusrequiredEncounterStatus
Encounter.statusHistory.statusrequiredEncounterStatus
Encounter.classextensibleActEncounterCode
Encounter.classHistory.classextensibleActEncounterCode
Encounter.typeexampleEncounterType
Encounter.type.coding:snomedCTextensibleCare Connect Encounter Type
Encounter.priorityexamplev3 Code System ActPriority
Encounter.participant.typeextensibleParticipantType
Encounter.reasonpreferredEncounter Reason Codes
Encounter.diagnosis.rolepreferredDiagnosisRole
Encounter.hospitalization.preAdmissionIdentifier.userequiredIdentifierUse
Encounter.hospitalization.preAdmissionIdentifier.typeextensibleIdentifier Type Codes
Encounter.hospitalization.admitSourcepreferredNHS Data Model and Dictionary Source Of Admission
Encounter.hospitalization.reAdmissionexamplev2 Re-Admission Indicator
Encounter.hospitalization.dietPreferenceextensibleDiet
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
Encounter.hospitalization.dischargeDispositionexampleNHS Data Model and Dictionary Discharge Destination
Encounter.location.statusrequiredEncounterLocationStatus

Constraints

Constraints

IdPathDetailsRequirements
dom-2EncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-1EncounterIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-4EncounterIf 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-3EncounterIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
ele-1Encounter.extension:encounterTransportAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Encounter.extension:encounterTransportMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.extension:outcomeOfAttendanceAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Encounter.extension:outcomeOfAttendanceMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.extension:emergencyCareDischargeStatusAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Encounter.extension:emergencyCareDischargeStatusMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.statusHistoryAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ele-1Encounter.classHistoryAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ele-1Encounter.participantAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ele-1Encounter.diagnosisAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ele-1Encounter.hospitalizationAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ele-1Encounter.hospitalization.extension:admissionMethodAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Encounter.hospitalization.extension:admissionMethodMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.hospitalization.extension:dischargeMethodAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Encounter.hospitalization.extension:dischargeMethodMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Encounter.locationAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())