Interweave Implementation Guide
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Interweave Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the STU3 profiles here.

Resource Profile: UK Core Encounter

Official URL: https://fhir.hl7.org.uk/StructureDefinition/UKCore-Encounter Version: 2.5.0
Active as of 2023-12-12 Computable Name: UKCoreEncounter

Copyright/Legal: Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the "License"); you may not use this file except in compliance with the License. You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at https://www.hl7.org/fhir/license.html.

This profile defines the UK constraints and extensions on the International FHIR resource Encounter.

This profile allows exchange of information about an interaction between an individual and healthcare providers for the purpose of providing healthcare services or assessing the health status of an individual.

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 Encounter
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... dischargeMethod 0..1 CodeableConcept An extension to support the method of discharge from a hospital.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod
Binding: UK Core Discharge Method (extensible): The method by which a patient was discharged from hospital

.... emergencyCareDischargeStatus 0..1 CodeableConcept An extension to support the status of an individual on discharge from an Emergency Care Department.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus
Binding: UK Core Emergency Care Discharge Status (preferred): The status of a patient on discharge from an Emergency Care Department

.... legalStatus 0..* (Complex) Information relating to a patient's legal status on admission or discharge.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus
.... OutcomeOfAttendance 0..1 CodeableConcept An extension to support the outcome of an Outpatient attendance.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance
Binding: UK Core Outcome Of Attendance (extensible): The outcome of an outpatient attendance

... identifier S 0..* Identifier Identifier(s) by which this encounter is known.
... status S 1..1 code The status of this encounter: planned | arrived | triaged | in-progress | onleave | finished | cancelled | entered-in-error | unknown
... type 0..* CodeableConcept Specific type of encounter
Binding: UK Core Encounter Type (preferred): A code from the SNOMED Clinical Terminology UK coding system that describes an encounter between a care professional and the patient (or patient's record).

... serviceType 0..1 CodeableConcept Specific type of service
Binding: UK Core Care Setting Type (preferred): Any code from the SNOMED CT UK Refset with fully specified name 'Services simple reference set (foundation metadata concept)' with Refset Id 1127531000000102.

... subject S 0..1 Reference(Patient | Group) The patient or group present at the encounter.
... participant S 0..* BackboneElement The list of people responsible for providing the service.
... reasonCode S 0..* CodeableConcept Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.
... reasonReference S 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place, expressed as a reference to a Condition, Procedure, Observation, or ImmunizationRecommendation.
... hospitalization
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... admissionMethod 0..1 CodeableConcept An extension to support the method by which an individual was admitted into hospital.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdmissionMethod
Binding: UK Core Admission Method (extensible): The method by which a patient was admitted to hospital

.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: UK Core Source Of Admission (preferred): The source of admission to a Hospital Provider Spell or a Nursing Episode when the Patient is in a Hospital Site or a Care Home.

.... dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: UK Core Discharge Destination (preferred): The destination of a Patient on completion of a Hospital Provider Spell, or a note that the Patient died or was a still birth.

... location
.... physicalType 0..1 CodeableConcept The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: UK Core Encounter Location Type (preferred): A set of codes that define the physical type of location where an encounter takes place.


doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.typepreferredUKCoreEncounterType
https://fhir.hl7.org.uk/ValueSet/UKCore-EncounterType
from this IG
Encounter.serviceTypepreferredUKCoreCareSettingType
https://fhir.hl7.org.uk/ValueSet/UKCore-CareSettingType
from this IG
Encounter.hospitalization.admitSourcepreferredUKCoreSourceOfAdmission
https://fhir.hl7.org.uk/ValueSet/UKCore-SourceOfAdmission
from this IG
Encounter.hospitalization.dischargeDispositionpreferredUKCoreDischargeDestination
https://fhir.hl7.org.uk/ValueSet/UKCore-DischargeDestination
from this IG
Encounter.location.physicalTypepreferredUKCoreEncounterLocationType
https://fhir.hl7.org.uk/ValueSet/UKCore-EncounterLocationType
from this IG
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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... dischargeMethod 0..1 CodeableConcept An extension to support the method of discharge from a hospital.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod
Binding: UK Core Discharge Method (extensible): The method by which a patient was discharged from hospital


.... emergencyCareDischargeStatus 0..1 CodeableConcept An extension to support the status of an individual on discharge from an Emergency Care Department.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus
Binding: UK Core Emergency Care Discharge Status (preferred): The status of a patient on discharge from an Emergency Care Department


.... legalStatus 0..* (Complex) Information relating to a patient's legal status on admission or discharge.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus
.... OutcomeOfAttendance 0..1 CodeableConcept An extension to support the outcome of an Outpatient attendance.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance
Binding: UK Core Outcome Of Attendance (extensible): The outcome of an outpatient attendance


... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code The status of this encounter: planned | arrived | triaged | in-progress | onleave | finished | cancelled | entered-in-error | unknown
Binding: EncounterStatus (required): Current state of the encounter.

... class SΣ 1..1 Coding Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.
Binding: ActEncounterCode (extensible): Classification of the encounter.

... type Σ 0..* CodeableConcept Specific type of encounter
Binding: UK Core Encounter Type (preferred): A code from the SNOMED Clinical Terminology UK coding system that describes an encounter between a care professional and the patient (or patient's record).


... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: UK Core Care Setting Type (preferred): Any code from the SNOMED CT UK Refset with fully specified name 'Services simple reference set (foundation metadata concept)' with Refset Id 1127531000000102.

... subject SΣ 0..1 Reference(Patient | Group) The patient or group present at the encounter.
... participant SΣ 0..* BackboneElement The list of people responsible for providing the service.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... reasonCode SΣ 0..* CodeableConcept Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference SΣ 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place, expressed as a reference to a Condition, Procedure, Observation, or ImmunizationRecommendation.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typepreferredUKCoreEncounterType
https://fhir.hl7.org.uk/ValueSet/UKCore-EncounterType
from this IG
Encounter.serviceTypepreferredUKCoreCareSettingType
https://fhir.hl7.org.uk/ValueSet/UKCore-CareSettingType
from this IG
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-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: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... 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
.... dischargeMethod 0..1 CodeableConcept An extension to support the method of discharge from a hospital.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod
Binding: UK Core Discharge Method (extensible): The method by which a patient was discharged from hospital


.... emergencyCareDischargeStatus 0..1 CodeableConcept An extension to support the status of an individual on discharge from an Emergency Care Department.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus
Binding: UK Core Emergency Care Discharge Status (preferred): The status of a patient on discharge from an Emergency Care Department


.... legalStatus 0..* (Complex) Information relating to a patient's legal status on admission or discharge.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus
.... OutcomeOfAttendance 0..1 CodeableConcept An extension to support the outcome of an Outpatient attendance.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance
Binding: UK Core Outcome Of Attendance (extensible): The outcome of an outpatient attendance


... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identifier(s) by which this encounter is known.
... status ?!SΣ 1..1 code The status of this encounter: planned | arrived | triaged | in-progress | onleave | finished | cancelled | entered-in-error | unknown
Binding: EncounterStatus (required): Current state of the encounter.

... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1 Period The time that the episode was in the specified status
... class SΣ 1..1 Coding Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.
Binding: ActEncounterCode (extensible): Classification of the encounter.

... classHistory 0..* BackboneElement List of past encounter classes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... period 1..1 Period The time that the episode was in the specified class
... type Σ 0..* CodeableConcept Specific type of encounter
Binding: UK Core Encounter Type (preferred): A code from the SNOMED Clinical Terminology UK coding system that describes an encounter between a care professional and the patient (or patient's record).


... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: UK Core Care Setting Type (preferred): Any code from the SNOMED CT UK Refset with fully specified name 'Services simple reference set (foundation metadata concept)' with Refset Id 1127531000000102.

... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... subject SΣ 0..1 Reference(Patient | Group) The patient or group present at the encounter.
... episodeOfCare Σ 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
... participant SΣ 0..* BackboneElement The list of people responsible for providing the 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
.... type Σ 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
.... individual Σ 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson) Persons involved in the encounter other than the patient
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... period 0..1 Period The start and end time of the encounter
... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
... reasonCode SΣ 0..* CodeableConcept Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference SΣ 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place, expressed as a reference to a Condition, Procedure, Observation, or ImmunizationRecommendation.
... diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(Condition | Procedure) The diagnosis or procedure relevant to the encounter
.... use 0..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization 0..1 BackboneElement Details about the admission to a healthcare service
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... admissionMethod 0..1 CodeableConcept An extension to support the method by which an individual was admitted into hospital.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdmissionMethod
Binding: UK Core Admission Method (extensible): The method by which a patient was admitted to hospital


.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: UK Core Source Of Admission (preferred): The source of admission to a Hospital Provider Spell or a Nursing Episode when the Patient is in a Hospital Site or a Care Home.

.... reAdmission 0..1 CodeableConcept The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.

.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.


.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.


.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.


.... destination 0..1 Reference(Location | Organization) Location/organization to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: UK Core Discharge Destination (preferred): The destination of a Patient on completion of a Hospital Provider Spell, or a note that the Patient died or was a still birth.

... location 0..* BackboneElement List of locations where the patient has been
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location 1..1 Reference(Location) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... physicalType 0..1 CodeableConcept The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: UK Core Encounter Location Type (preferred): A set of codes that define the physical type of location where an encounter takes place.

.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider 0..1 Reference(Organization) The organization (facility) responsible for this encounter
... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typepreferredUKCoreEncounterType
https://fhir.hl7.org.uk/ValueSet/UKCore-EncounterType
from this IG
Encounter.serviceTypepreferredUKCoreCareSettingType
https://fhir.hl7.org.uk/ValueSet/UKCore-CareSettingType
from this IG
Encounter.priorityexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Encounter.diagnosis.usepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard
Encounter.hospitalization.admitSourcepreferredUKCoreSourceOfAdmission
https://fhir.hl7.org.uk/ValueSet/UKCore-SourceOfAdmission
from this IG
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionpreferredUKCoreDischargeDestination
https://fhir.hl7.org.uk/ValueSet/UKCore-DischargeDestination
from this IG
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
from the FHIR Standard
Encounter.location.physicalTypepreferredUKCoreEncounterLocationType
https://fhir.hl7.org.uk/ValueSet/UKCore-EncounterLocationType
from this IG

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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-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()

Differential View

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter Encounter
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... dischargeMethod 0..1 CodeableConcept An extension to support the method of discharge from a hospital.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod
Binding: UK Core Discharge Method (extensible): The method by which a patient was discharged from hospital

.... emergencyCareDischargeStatus 0..1 CodeableConcept An extension to support the status of an individual on discharge from an Emergency Care Department.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus
Binding: UK Core Emergency Care Discharge Status (preferred): The status of a patient on discharge from an Emergency Care Department

.... legalStatus 0..* (Complex) Information relating to a patient's legal status on admission or discharge.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus
.... OutcomeOfAttendance 0..1 CodeableConcept An extension to support the outcome of an Outpatient attendance.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance
Binding: UK Core Outcome Of Attendance (extensible): The outcome of an outpatient attendance

... identifier S 0..* Identifier Identifier(s) by which this encounter is known.
... status S 1..1 code The status of this encounter: planned | arrived | triaged | in-progress | onleave | finished | cancelled | entered-in-error | unknown
... type 0..* CodeableConcept Specific type of encounter
Binding: UK Core Encounter Type (preferred): A code from the SNOMED Clinical Terminology UK coding system that describes an encounter between a care professional and the patient (or patient's record).

... serviceType 0..1 CodeableConcept Specific type of service
Binding: UK Core Care Setting Type (preferred): Any code from the SNOMED CT UK Refset with fully specified name 'Services simple reference set (foundation metadata concept)' with Refset Id 1127531000000102.

... subject S 0..1 Reference(Patient | Group) The patient or group present at the encounter.
... participant S 0..* BackboneElement The list of people responsible for providing the service.
... reasonCode S 0..* CodeableConcept Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.
... reasonReference S 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place, expressed as a reference to a Condition, Procedure, Observation, or ImmunizationRecommendation.
... hospitalization
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... admissionMethod 0..1 CodeableConcept An extension to support the method by which an individual was admitted into hospital.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdmissionMethod
Binding: UK Core Admission Method (extensible): The method by which a patient was admitted to hospital

.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: UK Core Source Of Admission (preferred): The source of admission to a Hospital Provider Spell or a Nursing Episode when the Patient is in a Hospital Site or a Care Home.

.... dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: UK Core Discharge Destination (preferred): The destination of a Patient on completion of a Hospital Provider Spell, or a note that the Patient died or was a still birth.

... location
.... physicalType 0..1 CodeableConcept The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: UK Core Encounter Location Type (preferred): A set of codes that define the physical type of location where an encounter takes place.


doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.typepreferredUKCoreEncounterType
https://fhir.hl7.org.uk/ValueSet/UKCore-EncounterType
from this IG
Encounter.serviceTypepreferredUKCoreCareSettingType
https://fhir.hl7.org.uk/ValueSet/UKCore-CareSettingType
from this IG
Encounter.hospitalization.admitSourcepreferredUKCoreSourceOfAdmission
https://fhir.hl7.org.uk/ValueSet/UKCore-SourceOfAdmission
from this IG
Encounter.hospitalization.dischargeDispositionpreferredUKCoreDischargeDestination
https://fhir.hl7.org.uk/ValueSet/UKCore-DischargeDestination
from this IG
Encounter.location.physicalTypepreferredUKCoreEncounterLocationType
https://fhir.hl7.org.uk/ValueSet/UKCore-EncounterLocationType
from this IG

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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... dischargeMethod 0..1 CodeableConcept An extension to support the method of discharge from a hospital.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod
Binding: UK Core Discharge Method (extensible): The method by which a patient was discharged from hospital


.... emergencyCareDischargeStatus 0..1 CodeableConcept An extension to support the status of an individual on discharge from an Emergency Care Department.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus
Binding: UK Core Emergency Care Discharge Status (preferred): The status of a patient on discharge from an Emergency Care Department


.... legalStatus 0..* (Complex) Information relating to a patient's legal status on admission or discharge.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus
.... OutcomeOfAttendance 0..1 CodeableConcept An extension to support the outcome of an Outpatient attendance.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance
Binding: UK Core Outcome Of Attendance (extensible): The outcome of an outpatient attendance


... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code The status of this encounter: planned | arrived | triaged | in-progress | onleave | finished | cancelled | entered-in-error | unknown
Binding: EncounterStatus (required): Current state of the encounter.

... class SΣ 1..1 Coding Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.
Binding: ActEncounterCode (extensible): Classification of the encounter.

... type Σ 0..* CodeableConcept Specific type of encounter
Binding: UK Core Encounter Type (preferred): A code from the SNOMED Clinical Terminology UK coding system that describes an encounter between a care professional and the patient (or patient's record).


... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: UK Core Care Setting Type (preferred): Any code from the SNOMED CT UK Refset with fully specified name 'Services simple reference set (foundation metadata concept)' with Refset Id 1127531000000102.

... subject SΣ 0..1 Reference(Patient | Group) The patient or group present at the encounter.
... participant SΣ 0..* BackboneElement The list of people responsible for providing the service.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... reasonCode SΣ 0..* CodeableConcept Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference SΣ 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place, expressed as a reference to a Condition, Procedure, Observation, or ImmunizationRecommendation.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typepreferredUKCoreEncounterType
https://fhir.hl7.org.uk/ValueSet/UKCore-EncounterType
from this IG
Encounter.serviceTypepreferredUKCoreCareSettingType
https://fhir.hl7.org.uk/ValueSet/UKCore-CareSettingType
from this IG
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-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: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... 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
.... dischargeMethod 0..1 CodeableConcept An extension to support the method of discharge from a hospital.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod
Binding: UK Core Discharge Method (extensible): The method by which a patient was discharged from hospital


.... emergencyCareDischargeStatus 0..1 CodeableConcept An extension to support the status of an individual on discharge from an Emergency Care Department.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus
Binding: UK Core Emergency Care Discharge Status (preferred): The status of a patient on discharge from an Emergency Care Department


.... legalStatus 0..* (Complex) Information relating to a patient's legal status on admission or discharge.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus
.... OutcomeOfAttendance 0..1 CodeableConcept An extension to support the outcome of an Outpatient attendance.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance
Binding: UK Core Outcome Of Attendance (extensible): The outcome of an outpatient attendance


... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identifier(s) by which this encounter is known.
... status ?!SΣ 1..1 code The status of this encounter: planned | arrived | triaged | in-progress | onleave | finished | cancelled | entered-in-error | unknown
Binding: EncounterStatus (required): Current state of the encounter.

... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1 Period The time that the episode was in the specified status
... class SΣ 1..1 Coding Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.
Binding: ActEncounterCode (extensible): Classification of the encounter.

... classHistory 0..* BackboneElement List of past encounter classes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... period 1..1 Period The time that the episode was in the specified class
... type Σ 0..* CodeableConcept Specific type of encounter
Binding: UK Core Encounter Type (preferred): A code from the SNOMED Clinical Terminology UK coding system that describes an encounter between a care professional and the patient (or patient's record).


... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: UK Core Care Setting Type (preferred): Any code from the SNOMED CT UK Refset with fully specified name 'Services simple reference set (foundation metadata concept)' with Refset Id 1127531000000102.

... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... subject SΣ 0..1 Reference(Patient | Group) The patient or group present at the encounter.
... episodeOfCare Σ 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
... participant SΣ 0..* BackboneElement The list of people responsible for providing the 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
.... type Σ 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
.... individual Σ 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson) Persons involved in the encounter other than the patient
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... period 0..1 Period The start and end time of the encounter
... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
... reasonCode SΣ 0..* CodeableConcept Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference SΣ 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place, expressed as a reference to a Condition, Procedure, Observation, or ImmunizationRecommendation.
... diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(Condition | Procedure) The diagnosis or procedure relevant to the encounter
.... use 0..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization 0..1 BackboneElement Details about the admission to a healthcare service
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... admissionMethod 0..1 CodeableConcept An extension to support the method by which an individual was admitted into hospital.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdmissionMethod
Binding: UK Core Admission Method (extensible): The method by which a patient was admitted to hospital


.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: UK Core Source Of Admission (preferred): The source of admission to a Hospital Provider Spell or a Nursing Episode when the Patient is in a Hospital Site or a Care Home.

.... reAdmission 0..1 CodeableConcept The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.

.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.


.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.


.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.


.... destination 0..1 Reference(Location | Organization) Location/organization to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: UK Core Discharge Destination (preferred): The destination of a Patient on completion of a Hospital Provider Spell, or a note that the Patient died or was a still birth.

... location 0..* BackboneElement List of locations where the patient has been
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location 1..1 Reference(Location) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... physicalType 0..1 CodeableConcept The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: UK Core Encounter Location Type (preferred): A set of codes that define the physical type of location where an encounter takes place.

.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider 0..1 Reference(Organization) The organization (facility) responsible for this encounter
... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typepreferredUKCoreEncounterType
https://fhir.hl7.org.uk/ValueSet/UKCore-EncounterType
from this IG
Encounter.serviceTypepreferredUKCoreCareSettingType
https://fhir.hl7.org.uk/ValueSet/UKCore-CareSettingType
from this IG
Encounter.priorityexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Encounter.diagnosis.usepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard
Encounter.hospitalization.admitSourcepreferredUKCoreSourceOfAdmission
https://fhir.hl7.org.uk/ValueSet/UKCore-SourceOfAdmission
from this IG
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionpreferredUKCoreDischargeDestination
https://fhir.hl7.org.uk/ValueSet/UKCore-DischargeDestination
from this IG
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
from the FHIR Standard
Encounter.location.physicalTypepreferredUKCoreEncounterLocationType
https://fhir.hl7.org.uk/ValueSet/UKCore-EncounterLocationType
from this IG

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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-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()

 

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