Finnish Base Profiles
1.0.0 - trial-use
Finnish Base Profiles
1.0.0 - trial-use
This page is part of the Finnish Base Profiles (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-encounter | Version: 1.0.0 | |||
| Active as of 2023-11-10 | Computable Name: FiBaseEncounter | |||
This is the Finnish base profile for the Encounter resource.
The Finnish Core Encounter profile is intended to encapsulate the most common and basic data model of encounters in Finnish healthcare systems. The profile also defines encounter’s relation to the Kanta registry. As such the profile should be usable in most Finnish contexts.
Kanta is the Finnish national central registry of health and social welfare information. It has a specification for Palvelutapahtuma, this is typically translated as service-event or encompassing encounter.
The scope of palvelutapahtuma is described in Kanta documentation (in Finnish). It’s scope is not always the same as the encounter’s. Encounter and palvelutapahtuma will overlap as concepts (depending on implementation). Some encounters clearly align with palvelutapahtuma while others don’t. Palvelutapahtuma may contain multiple encounters. For example a series of treatments is considered to be a singular palvelutapahtuma, but systems most likely want to express each visit as a separate encounter (see kanta doc for the description of hoitosarja, there are other examples too).
For deeper techical details, see (in Finnish):
Kanta HL7 V3 Medical Records specification requires that both queries and archivals transmit palvelutapahtuma’s OID identifier on each request. A client application that is integrated to a patient administration system (one that masters the data of encounters) often needs to create and query Kanta Medical records. Encounter is the best “vessel” we have to transmit this information.
For example a laboratory information system may have it’s own Kanta Medical Records capabilities and will archive lab results directly to Kanta. It receives encounter id in SMART App Launch context. Laboratory system can resolve palvelutapahtuma’s OID identifier by fetching the encounter resource.
First thing is to identify the appropriate aggregation level of encounter. If encounter is not
representing a palvelutapahtuma, but is a lower level encounter (some systems call these
prosessitapahtuma), partOf should be used to point to upper level encounter (up until
palvelutapahtuma level is reached).
A palvelutapahtuma encounter is identified by an identifier. When encounter has an identifier
with use=official it is considered to be a palvelutapahtuma and that identifier SHALL be the
OID of a palvelutapahtuma.
Other levels of encounter that are not a palvelutapahtuma, MUST NOT contain an identifier with
use=official.
The unit responsible for the encounter SHOULD be communicated using the serviceProvider property.
For instance, there’s a detailed example with explanations for how to fetch patients in a ward.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Encounter
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Encounter | 0..* | Encounter | An interaction during which services are provided to the patient | |
  implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. |
 class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter. |
 subject | Σ | 0..1 | Reference(FI Base Patient | Group) | The patient or group present at the encounter |
| episodeOfCare | Σ | 0..* | Reference(FI Base EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against |
| appointment | Σ | 0..* | Reference(FI Base Appointment) | The appointment that scheduled this encounter |
| reasonReference | Σ | 0..* | Reference(FI Base Condition | Fi Base Procedure | FI Base Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) |
| serviceProvider | 0..1 | Reference(FI Base Organization) | The organization (facility) responsible for this encounter | |
 partOf | 0..1 | Reference(FI Base Encounter) | Another Encounter this encounter is part of | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Encounter.status | required | EncounterStatus |
| Encounter.class | extensible | ActEncounterCode |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Encounter | 0..* | Encounter | An interaction during which services are provided to the patient | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known | ||||
| status | ?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | ||||
 statusHistory | 0..* | BackboneElement | List of past encounter statuses | |||||
 id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| status | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | |||||
| period | 1..1 | Period | The time that the episode was in the specified status | |||||
| class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter. | ||||
| classHistory | 0..* | BackboneElement | List of past encounter classes | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| class | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter. | |||||
| period | 1..1 | Period | The time that the episode was in the specified class | |||||
| type | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: EncounterType (example): The type of encounter. | ||||
| serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. | ||||
| priority | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter. | |||||
| subject | Σ | 0..1 | Reference(FI Base Patient | Group) | The patient or group present at the encounter | ||||
| episodeOfCare | Σ | 0..* | Reference(FI Base EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against | ||||
| basedOn | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter | |||||
| participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type | Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | ||||
| period | 0..1 | Period | Period of time during the encounter that the participant participated | |||||
| individual | Σ | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | RelatedPerson) | Persons involved in the encounter other than the patient | ||||
| appointment | Σ | 0..* | Reference(FI Base 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 | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | ||||
| reasonReference | Σ | 0..* | Reference(FI Base Condition | Fi Base Procedure | FI Base Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) | ||||
| diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| condition | Σ | 1..1 | Reference(FI Base Condition | Fi Base 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 | |||||
| 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(FI Base Location | FI Base Organization) | The location/organization from which the patient came before admission | |||||
| admitSource | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted. | |||||
| reAdmission | 0..1 | CodeableConcept | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter. | |||||
| dietPreference | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements. | |||||
| specialCourtesy | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies. | |||||
| specialArrangement | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements. | |||||
| destination | 0..1 | Reference(FI Base Location | FI Base 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(FI Base Location) | Location the encounter takes place | |||||
| status | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. | |||||
| physicalType | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location. | |||||
| period | 0..1 | Period | Time period during which the patient was present at the location | |||||
| serviceProvider | 0..1 | Reference(FI Base Organization) | The organization (facility) responsible for this encounter | |||||
| partOf | 0..1 | Reference(FI Base Encounter) | Another Encounter this encounter is part of | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| Encounter.language | preferred | CommonLanguages
| ||||
| Encounter.status | required | EncounterStatus | ||||
| Encounter.statusHistory.status | required | EncounterStatus | ||||
| Encounter.class | extensible | ActEncounterCode | ||||
| Encounter.classHistory.class | extensible | ActEncounterCode | ||||
| Encounter.type | example | EncounterType | ||||
| Encounter.serviceType | example | ServiceType | ||||
| Encounter.priority | example | ActPriority | ||||
| Encounter.participant.type | extensible | ParticipantType | ||||
| Encounter.reasonCode | preferred | EncounterReasonCodes | ||||
| Encounter.diagnosis.use | preferred | DiagnosisRole | ||||
| Encounter.hospitalization.admitSource | preferred | AdmitSource | ||||
| Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicator | ||||
| Encounter.hospitalization.dietPreference | example | Diet | ||||
| Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesy | ||||
| Encounter.hospitalization.specialArrangement | preferred | SpecialArrangements | ||||
| Encounter.hospitalization.dischargeDisposition | example | DischargeDisposition | ||||
| Encounter.location.status | required | EncounterLocationStatus | ||||
| Encounter.location.physicalType | example | LocationType |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Encounter
Summary
Structures
This structure refers to these other structures:
Differential View
This structure is derived from Encounter
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter | 0..* | Encounter | An interaction during which services are provided to the patient | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. |
| class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter. |
| subject | Σ | 0..1 | Reference(FI Base Patient | Group) | The patient or group present at the encounter |
| episodeOfCare | Σ | 0..* | Reference(FI Base EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against |
| appointment | Σ | 0..* | Reference(FI Base Appointment) | The appointment that scheduled this encounter |
| reasonReference | Σ | 0..* | Reference(FI Base Condition | Fi Base Procedure | FI Base Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) |
| serviceProvider | 0..1 | Reference(FI Base Organization) | The organization (facility) responsible for this encounter | |
| partOf | 0..1 | Reference(FI Base Encounter) | Another Encounter this encounter is part of | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Encounter.status | required | EncounterStatus |
| Encounter.class | extensible | ActEncounterCode |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Encounter | 0..* | Encounter | An interaction during which services are provided to the patient | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known | ||||
| status | ?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | ||||
| statusHistory | 0..* | BackboneElement | List of past encounter statuses | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| status | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | |||||
| period | 1..1 | Period | The time that the episode was in the specified status | |||||
| class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter. | ||||
| classHistory | 0..* | BackboneElement | List of past encounter classes | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| class | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter. | |||||
| period | 1..1 | Period | The time that the episode was in the specified class | |||||
| type | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: EncounterType (example): The type of encounter. | ||||
| serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. | ||||
| priority | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter. | |||||
| subject | Σ | 0..1 | Reference(FI Base Patient | Group) | The patient or group present at the encounter | ||||
| episodeOfCare | Σ | 0..* | Reference(FI Base EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against | ||||
| basedOn | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter | |||||
| participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type | Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | ||||
| period | 0..1 | Period | Period of time during the encounter that the participant participated | |||||
| individual | Σ | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | RelatedPerson) | Persons involved in the encounter other than the patient | ||||
| appointment | Σ | 0..* | Reference(FI Base 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 | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | ||||
| reasonReference | Σ | 0..* | Reference(FI Base Condition | Fi Base Procedure | FI Base Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) | ||||
| diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| condition | Σ | 1..1 | Reference(FI Base Condition | Fi Base 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 | |||||
| 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(FI Base Location | FI Base Organization) | The location/organization from which the patient came before admission | |||||
| admitSource | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted. | |||||
| reAdmission | 0..1 | CodeableConcept | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter. | |||||
| dietPreference | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements. | |||||
| specialCourtesy | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies. | |||||
| specialArrangement | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements. | |||||
| destination | 0..1 | Reference(FI Base Location | FI Base 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(FI Base Location) | Location the encounter takes place | |||||
| status | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. | |||||
| physicalType | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location. | |||||
| period | 0..1 | Period | Time period during which the patient was present at the location | |||||
| serviceProvider | 0..1 | Reference(FI Base Organization) | The organization (facility) responsible for this encounter | |||||
| partOf | 0..1 | Reference(FI Base Encounter) | Another Encounter this encounter is part of | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| Encounter.language | preferred | CommonLanguages
| ||||
| Encounter.status | required | EncounterStatus | ||||
| Encounter.statusHistory.status | required | EncounterStatus | ||||
| Encounter.class | extensible | ActEncounterCode | ||||
| Encounter.classHistory.class | extensible | ActEncounterCode | ||||
| Encounter.type | example | EncounterType | ||||
| Encounter.serviceType | example | ServiceType | ||||
| Encounter.priority | example | ActPriority | ||||
| Encounter.participant.type | extensible | ParticipantType | ||||
| Encounter.reasonCode | preferred | EncounterReasonCodes | ||||
| Encounter.diagnosis.use | preferred | DiagnosisRole | ||||
| Encounter.hospitalization.admitSource | preferred | AdmitSource | ||||
| Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicator | ||||
| Encounter.hospitalization.dietPreference | example | Diet | ||||
| Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesy | ||||
| Encounter.hospitalization.specialArrangement | preferred | SpecialArrangements | ||||
| Encounter.hospitalization.dischargeDisposition | example | DischargeDisposition | ||||
| Encounter.location.status | required | EncounterLocationStatus | ||||
| Encounter.location.physicalType | example | LocationType |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Encounter
Summary
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron
IG © 2022+ HL7 Finland. Package hl7.fhir.fi.base#1.0.0 based on FHIR 4.0.1. Generated 2023-11-10
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