DSTU2

This page is part of the FHIR Specification (v1.0.2: DSTU 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

F.13.1 StructureDefinition: QICore-Encounter

The official URL for this profile is: 

http://hl7.org/fhir/StructureDefinition/qicore-encounter

Profile of Encounter for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

This profile was published on Fri, Feb 27, 2015 00:00+1100 as a draft by Health Level Seven International (Clinical Quality Information - QICore).

F.13.1.1 Formal Views of Profile Content

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

This structure is derived from Encounter.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*Encounter
... status S1..1code
... class S0..1code
... type S0..*CodeableConceptBinding: DAF Encounter Type (preferred)
... priority 0..1CodeableConceptBinding: SNOMED CT Priorities Codes (preferred)
... patient S0..1Reference(QICore-Patient)
... incomingReferral 0..*Reference(QICore-ReferralRequest)
... participant 0..*BackboneElement
.... individual 0..1Reference(QICore-Practitioner | QICore-RelatedPerson)
... period S0..1Period
... length S0..1Duration
... reason S0..*CodeableConceptBinding: DAF Encounter Diagnoses (preferred)
... hospitalization 0..1BackboneElement
.... origin 0..1Reference(QICore-Location)
.... admitSource S0..1CodeableConcept
.... reAdmission S0..1CodeableConcept
.... destination 0..1Reference(QICore-Location)
.... dischargeDisposition S0..1CodeableConcept
.... dischargeDiagnosis S0..*Reference(Condition)
... location 0..*BackboneElement
.... location 1..1Reference(QICore-Location)
.... period 0..1Period
... serviceProvider S0..1Reference(QICore-Organization)
... partOf 0..1Reference(QICore-Encounter)
... encounter-relatedCondition 0..*Reference(Condition)Other associated conditions
URL: http://hl7.org/fhir/StructureDefinition/encounter-relatedCondition
Slice: Unordered, Open, by url
.... condition 1..1Reference(Condition)A condition related to this encounter
URL: condition
Slice: Unordered, Open, by url
.... role 1..1CodeableConceptThe role of the condition
URL: role
Binding: SNOMED CT Qualifier For Type of Diagnosis Codes (preferred)
... encounter-reasonCancelled 0..1CodeableConceptExplanation for cancellation
URL: http://hl7.org/fhir/StructureDefinition/encounter-reasonCancelled
Binding: Reasons for canceled or refused encounter codes (example)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*EncounterAn interaction during which services are provided to the patient
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... encounter-relatedCondition 0..*Reference(Condition)Extension
URL: http://hl7.org/fhir/StructureDefinition/encounter-relatedCondition
.... extension 0..1ExtensionA condition related to this encounter
.... extension 0..1ExtensionThe role of the condition
.... condition 1..1Reference(Condition)Extension
URL: condition
.... role 1..1CodeableConceptExtension
URL: role
Binding: SNOMED CT Qualifier For Type of Diagnosis Codes (preferred)
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/encounter-relatedCondition"
.... valueReference 0..1Reference(Condition)Value of extension
... encounter-reasonCancelled 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/StructureDefinition/encounter-reasonCancelled
Binding: Reasons for canceled or refused encounter codes (example)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier ∑0..*IdentifierIdentifier(s) by which this encounter is known
... status ?! S∑1..1codeplanned | arrived | in-progress | onleave | finished | cancelled
Binding: EncounterState (required)
... statusHistory 0..*BackboneElementList of past encounter statuses
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... status 1..1codeplanned | arrived | in-progress | onleave | finished | cancelled
Binding: EncounterState (required)
.... period 1..1PeriodThe time that the episode was in the specified status
... class S ∑0..1codeinpatient | outpatient | ambulatory | emergency +
Binding: EncounterClass (required)
... type S ∑0..*CodeableConceptSpecific type of encounter
Binding: DAF Encounter Type (preferred)
... priority 0..1CodeableConceptIndicates the urgency of the encounter
Binding: SNOMED CT Priorities Codes (preferred)
... patient S ∑0..1Reference(QICore-Patient)The patient present at the encounter
... episodeOfCare ∑0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... incomingReferral 0..*Reference(QICore-ReferralRequest)The ReferralRequest that initiated this encounter
... participant ∑0..*BackboneElementList of participants involved in the encounter
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... type ∑0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible)
.... period 0..1PeriodPeriod of time during the encounter participant was present
.... individual ∑0..1Reference(QICore-Practitioner | QICore-RelatedPerson)Persons involved in the encounter other than the patient
... appointment ∑0..1Reference(Appointment)The appointment that scheduled this encounter
... period S0..1PeriodThe start and end time of the encounter
... length S0..1DurationQuantity of time the encounter lasted (less time absent)
... reason S ∑0..*CodeableConceptReason the encounter takes place (code)
Binding: DAF Encounter Diagnoses (preferred)
... indication 0..*Reference(Condition | Procedure)Reason the encounter takes place (resource)
... hospitalization 0..1BackboneElementDetails about the admission to a healthcare service
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin 0..1Reference(QICore-Location)The location from which the patient came before admission
.... admitSource S0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred)
.... admittingDiagnosis 0..*Reference(Condition)The admitting diagnosis as reported by admitting practitioner
.... reAdmission S0..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: (unbound) (example)
.... dietPreference 0..*CodeableConceptDiet preferences reported by the patient
Binding: Diet (example)
.... specialCourtesy 0..*CodeableConceptSpecial courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred)
.... specialArrangement 0..*CodeableConceptWheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred)
.... destination 0..1Reference(QICore-Location)Location to which the patient is discharged
.... dischargeDisposition S0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisposition (preferred)
.... dischargeDiagnosis S0..*Reference(Condition)The final diagnosis given a patient before release from the hospital after all testing, surgery, and workup are complete
... location 0..*BackboneElementList of locations where the patient has been
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... location 1..1Reference(QICore-Location)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 S0..1Reference(QICore-Organization)The custodian organization of this Encounter record
... partOf 0..1Reference(QICore-Encounter)Another Encounter this encounter is part of

doco Documentation for this format

todo

Differential View

This structure is derived from Encounter.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*Encounter
... status S1..1code
... class S0..1code
... type S0..*CodeableConceptBinding: DAF Encounter Type (preferred)
... priority 0..1CodeableConceptBinding: SNOMED CT Priorities Codes (preferred)
... patient S0..1Reference(QICore-Patient)
... incomingReferral 0..*Reference(QICore-ReferralRequest)
... participant 0..*BackboneElement
.... individual 0..1Reference(QICore-Practitioner | QICore-RelatedPerson)
... period S0..1Period
... length S0..1Duration
... reason S0..*CodeableConceptBinding: DAF Encounter Diagnoses (preferred)
... hospitalization 0..1BackboneElement
.... origin 0..1Reference(QICore-Location)
.... admitSource S0..1CodeableConcept
.... reAdmission S0..1CodeableConcept
.... destination 0..1Reference(QICore-Location)
.... dischargeDisposition S0..1CodeableConcept
.... dischargeDiagnosis S0..*Reference(Condition)
... location 0..*BackboneElement
.... location 1..1Reference(QICore-Location)
.... period 0..1Period
... serviceProvider S0..1Reference(QICore-Organization)
... partOf 0..1Reference(QICore-Encounter)
... encounter-relatedCondition 0..*Reference(Condition)Other associated conditions
URL: http://hl7.org/fhir/StructureDefinition/encounter-relatedCondition
Slice: Unordered, Open, by url
.... condition 1..1Reference(Condition)A condition related to this encounter
URL: condition
Slice: Unordered, Open, by url
.... role 1..1CodeableConceptThe role of the condition
URL: role
Binding: SNOMED CT Qualifier For Type of Diagnosis Codes (preferred)
... encounter-reasonCancelled 0..1CodeableConceptExplanation for cancellation
URL: http://hl7.org/fhir/StructureDefinition/encounter-reasonCancelled
Binding: Reasons for canceled or refused encounter codes (example)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*EncounterAn interaction during which services are provided to the patient
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... encounter-relatedCondition 0..*Reference(Condition)Extension
URL: http://hl7.org/fhir/StructureDefinition/encounter-relatedCondition
.... extension 0..1ExtensionA condition related to this encounter
.... extension 0..1ExtensionThe role of the condition
.... condition 1..1Reference(Condition)Extension
URL: condition
.... role 1..1CodeableConceptExtension
URL: role
Binding: SNOMED CT Qualifier For Type of Diagnosis Codes (preferred)
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/encounter-relatedCondition"
.... valueReference 0..1Reference(Condition)Value of extension
... encounter-reasonCancelled 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/StructureDefinition/encounter-reasonCancelled
Binding: Reasons for canceled or refused encounter codes (example)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier ∑0..*IdentifierIdentifier(s) by which this encounter is known
... status ?! S∑1..1codeplanned | arrived | in-progress | onleave | finished | cancelled
Binding: EncounterState (required)
... statusHistory 0..*BackboneElementList of past encounter statuses
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... status 1..1codeplanned | arrived | in-progress | onleave | finished | cancelled
Binding: EncounterState (required)
.... period 1..1PeriodThe time that the episode was in the specified status
... class S ∑0..1codeinpatient | outpatient | ambulatory | emergency +
Binding: EncounterClass (required)
... type S ∑0..*CodeableConceptSpecific type of encounter
Binding: DAF Encounter Type (preferred)
... priority 0..1CodeableConceptIndicates the urgency of the encounter
Binding: SNOMED CT Priorities Codes (preferred)
... patient S ∑0..1Reference(QICore-Patient)The patient present at the encounter
... episodeOfCare ∑0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... incomingReferral 0..*Reference(QICore-ReferralRequest)The ReferralRequest that initiated this encounter
... participant ∑0..*BackboneElementList of participants involved in the encounter
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... type ∑0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible)
.... period 0..1PeriodPeriod of time during the encounter participant was present
.... individual ∑0..1Reference(QICore-Practitioner | QICore-RelatedPerson)Persons involved in the encounter other than the patient
... appointment ∑0..1Reference(Appointment)The appointment that scheduled this encounter
... period S0..1PeriodThe start and end time of the encounter
... length S0..1DurationQuantity of time the encounter lasted (less time absent)
... reason S ∑0..*CodeableConceptReason the encounter takes place (code)
Binding: DAF Encounter Diagnoses (preferred)
... indication 0..*Reference(Condition | Procedure)Reason the encounter takes place (resource)
... hospitalization 0..1BackboneElementDetails about the admission to a healthcare service
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin 0..1Reference(QICore-Location)The location from which the patient came before admission
.... admitSource S0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred)
.... admittingDiagnosis 0..*Reference(Condition)The admitting diagnosis as reported by admitting practitioner
.... reAdmission S0..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: (unbound) (example)
.... dietPreference 0..*CodeableConceptDiet preferences reported by the patient
Binding: Diet (example)
.... specialCourtesy 0..*CodeableConceptSpecial courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred)
.... specialArrangement 0..*CodeableConceptWheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred)
.... destination 0..1Reference(QICore-Location)Location to which the patient is discharged
.... dischargeDisposition S0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisposition (preferred)
.... dischargeDiagnosis S0..*Reference(Condition)The final diagnosis given a patient before release from the hospital after all testing, surgery, and workup are complete
... location 0..*BackboneElementList of locations where the patient has been
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... location 1..1Reference(QICore-Location)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 S0..1Reference(QICore-Organization)The custodian organization of this Encounter record
... partOf 0..1Reference(QICore-Encounter)Another Encounter this encounter is part of

doco Documentation for this format

XML Template

JSON Template

todo

 

Other representations of profile: Schematron

F.13.1.2 Terminology Bindings

PathNameConformanceValueSet
Encounter.language?extrequiredhttp://tools.ietf.org/html/bcp47
Encounter.extension.extension
[UriType[http://hl7.org/fhir/StructureDefinition/encounter-relatedCondition#role]]		SNOMED CT Qualifier For Type of Diagnosis CodespreferredSNOMED CT Qualifier For Type of Diagnosis Codes
Encounter.extension
[UriType[http://hl7.org/fhir/StructureDefinition/encounter-reasonCancelled]]		Reasons for canceled or refused encounter codesexampleReasons for canceled or refused encounter codes
Encounter.statusEncounterStaterequiredEncounterState
Encounter.statusHistory.statusEncounterStaterequiredEncounterState
Encounter.classEncounterClassrequiredEncounterClass
Encounter.typeDAF Encounter TypepreferredDAF Encounter Type
Encounter.prioritySNOMED CT Priorities CodespreferredSNOMED CT Priorities Codes
Encounter.participant.typeParticipantTypeextensibleParticipantType
Encounter.reasonDAF Encounter DiagnosespreferredDAF Encounter Diagnoses
Encounter.hospitalization.admitSourceAdmitSourcepreferredAdmitSource
Encounter.hospitalization.reAdmission?extexample
Encounter.hospitalization.dietPreferenceDietexampleDiet
Encounter.hospitalization.specialCourtesySpecialCourtesypreferredSpecialCourtesy
Encounter.hospitalization.specialArrangementSpecialArrangementspreferredSpecialArrangements
Encounter.hospitalization.dischargeDispositionDischargeDispositionpreferredDischargeDisposition
Encounter.location.statusEncounterLocationStatusrequiredEncounterLocationStatus

F.13.1.3 Constraints

IdPathDetailsRequirements
.