Standard Health Record FHIR Implementation Guide

SHR EncounterPerformed Profile

 

The official URL for this profile is:

http://standardhealthrecord.org/fhir/StructureDefinition/shr-encounter-EncounterPerformed

This profile builds on Encounter.

This profile was published on Wed Dec 20 00:00:00 EST 2017 as a draft by The MITRE Corporation: Standard Health Record Collaborative.

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

Summary

Mandatory: 0 element (1 nested mandatory element)

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

SHR Mapping Source

This structure represents the following SHR mapping definition:

shr.encounter.EncounterPerformed maps to Encounter:
  Subject maps to subject
  TypeAsaCoding maps to class  // class is a coding, not a CodeableConcept. We should be able to handle that
  ServiceProvider maps to serviceProvider
  ServiceGiven maps to type
  PerformedContext.Status maps to status
  PerformedContext.OccurrenceTimeOrPeriod maps to period
  PerformedContext.Participant maps to participant.individual
  constrain participant.type to 0..1
  PerformedContext.Participant.ParticipationType maps to participant.type
  PerformedContext.Participant.ParticipationPeriod maps to participant.period
  PerformedContext.RelatedRequest maps to incomingReferral
  constrain location to 0..1
  PerformedContext.Facility maps to location.location
  PerformedContext.Reason maps to reason
  <TBD "HealthConcern"> maps to indication

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter SHR EncounterPerformed Profile
... subject Reference(SHR Patient Profile), Reference(SHR Group Profile)
... participant
.... type 0..1
... location 0..1
... serviceProvider Reference(SHR Organization Profile)
... shr-base-RelatedEncounter-extension 0..1Reference(SHR EncounterPerformed Profile)SHR RelatedEncounter Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-RelatedEncounter-extension
... shr-base-Author-extension 0..1(Complex)SHR Author Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Author-extension
... shr-base-Informant-extension 0..1(Complex)SHR Informant Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Informant-extension
... shr-entity-Type-extension 0..1CodeableConceptSHR Type Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Type-extension
... shr-core-Category-extension 0..*CodeableConceptSHR Category Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Category-extension
... shr-action-PerformedContext-extension 1..1(Complex)SHR PerformedContext Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-PerformedContext-extension
.... extension
..... extension
...... valueCodeableConcept Binding: Encounter Reason Codes (preferred)
.... extension
..... value[x] Binding: EncounterStatus (required)
... shr-encounter-ReferralDate-extension 0..1dateSHR ReferralDate Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-encounter-ReferralDate-extension
... shr-encounter-ReferralSourceType-extension 0..1CodeableConceptSHR ReferralSourceType Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-encounter-ReferralSourceType-extension
Binding: SHR ReferralSourceTypeVS ValueSet (required)
... shr-encounter-TreatmentCooperation-extension 0..1CodeableConceptSHR TreatmentCooperation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-encounter-TreatmentCooperation-extension
Binding: SHR TreatmentCooperationVS ValueSet (required)
... shr-encounter-PaymentSource-extension 0..1(Complex)SHR PaymentSource Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-encounter-PaymentSource-extension

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter I0..*SHR EncounterPerformed Profile
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... shr-base-RelatedEncounter-extension 0..1Reference(SHR EncounterPerformed Profile)SHR RelatedEncounter Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-RelatedEncounter-extension
... shr-base-Author-extension 0..1(Complex)SHR Author Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Author-extension
... shr-base-Informant-extension 0..1(Complex)SHR Informant Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Informant-extension
... shr-entity-Type-extension 0..1CodeableConceptSHR Type Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Type-extension
... shr-core-Category-extension 0..*CodeableConceptSHR Category Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Category-extension
... shr-action-PerformedContext-extension 1..1(Complex)SHR PerformedContext Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-PerformedContext-extension
.... id 0..1stringxml:id (or equivalent in JSON)
.... shr-core-Reason-extension 0..*(Complex)SHR Reason Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Reason-extension
..... id 0..1stringxml:id (or equivalent in JSON)
..... primitive-string-extension 0..1stringstring
URL: http://standardhealthrecord.org/fhir/StructureDefinition/primitive-string-extension
..... shr-core-CodeableConcept-extension 0..1CodeableConceptSHR CodeableConcept Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-CodeableConcept-extension
...... id 0..1stringxml:id (or equivalent in JSON)
...... url 1..1uri"http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-CodeableConcept-extension"
...... valueCodeableConcept 1..1CodeableConceptValue of extension
Binding: Encounter Reason Codes (preferred)
..... shr-base-Content-extension 0..1(Complex)SHR Content Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Content-extension
..... url 1..1uri"http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Reason-extension"
.... shr-core-OccurrenceTimeOrPeriod-extension 0..1date, dateTime, PeriodSHR OccurrenceTimeOrPeriod Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-OccurrenceTimeOrPeriod-extension
..... id 0..1stringxml:id (or equivalent in JSON)
..... url 1..1uri"http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-OccurrenceTimeOrPeriod-extension"
..... value[x] 1..1date, dateTime, PeriodValue of extension
.... shr-action-Participant-extension 0..*(Complex)SHR Participant Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-Participant-extension
.... shr-action-Status-extension 1..1code, Coding, CodeableConceptSHR Status Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-Status-extension
..... id 0..1stringxml:id (or equivalent in JSON)
..... url 1..1uri"http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-Status-extension"
..... value[x] 1..1code, Coding, CodeableConceptValue of extension
Binding: EncounterStatus (required)
.... shr-action-Method-extension 0..1CodeableConceptSHR Method Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-Method-extension
.... shr-action-RelatedRequest-extension 0..1(Complex)SHR RelatedRequest Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-RelatedRequest-extension
.... shr-action-RelatedPlan-extension 0..1(Complex)SHR RelatedPlan Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-RelatedPlan-extension
.... shr-entity-Facility-extension 0..*Reference(SHR Facility Profile)SHR Facility Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Facility-extension
.... shr-action-Outcome-extension 0..*(Complex)SHR Outcome Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-Outcome-extension
.... url 1..1uri"http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-PerformedContext-extension"
... shr-encounter-ReferralDate-extension 0..1dateSHR ReferralDate Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-encounter-ReferralDate-extension
... shr-encounter-ReferralSourceType-extension 0..1CodeableConceptSHR ReferralSourceType Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-encounter-ReferralSourceType-extension
Binding: SHR ReferralSourceTypeVS ValueSet (required)
... shr-encounter-TreatmentCooperation-extension 0..1CodeableConceptSHR TreatmentCooperation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-encounter-TreatmentCooperation-extension
Binding: SHR TreatmentCooperationVS ValueSet (required)
... shr-encounter-PaymentSource-extension 0..1(Complex)SHR PaymentSource Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-encounter-PaymentSource-extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifier(s) by which this encounter is known
... status ?!Σ1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required)
... statusHistory I0..*BackboneElementList of past encounter statuses
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... status 1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required)
.... period 1..1PeriodThe time that the episode was in the specified status
... class Σ0..1Codinginpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible)
... classHistory I0..*BackboneElementList of past encounter classes
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... class 1..1Codinginpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible)
.... period 1..1PeriodThe time that the episode was in the specified class
... type Σ0..*CodeableConceptSpecific type of encounter
Binding: EncounterType (example)
... priority 0..1CodeableConceptIndicates the urgency of the encounter
Binding: v3 Code System ActPriority (example)
... subject Σ0..1Reference(SHR Patient Profile), Reference(SHR Group Profile)The patient ro group present at the encounter
... episodeOfCare Σ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... incomingReferral 0..*Reference(ReferralRequest)The ReferralRequest that initiated this encounter
... participant ΣI0..*BackboneElementList of participants involved in the encounter
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... type Σ0..1CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible)
.... period 0..1PeriodPeriod of time during the encounter that the participant participated
.... individual Σ0..1Reference(Practitioner), Reference(RelatedPerson)Persons involved in the encounter other than the patient
... appointment Σ0..1Reference(Appointment)The appointment that scheduled this encounter
... period 0..1PeriodThe start and end time of the encounter
... length 0..1DurationQuantity of time the encounter lasted (less time absent)
... reason Σ0..*CodeableConceptReason the encounter takes place (code)
Binding: Encounter Reason Codes (preferred)
... diagnosis ΣI0..*BackboneElementThe list of diagnosis relevant to this encounter
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... condition 1..1Reference(Condition), Reference(Procedure)Reason the encounter takes place (resource)
.... role 0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred)
.... rank 0..1positiveIntRanking of the diagnosis (for each role type)
... account 0..*Reference(Account)The set of accounts that may be used for billing for this Encounter
... hospitalization I0..1BackboneElementDetails about the admission to a healthcare service
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin 0..1Reference(Location)The location from which the patient came before admission
.... admitSource 0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred)
.... reAdmission 0..1CodeableConceptThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: v2 Re-Admission Indicator (example)
.... 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(Location)Location to which the patient is discharged
.... dischargeDisposition 0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisposition (example)
... location I0..1BackboneElementList of locations where the patient has been
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... location 1..1Reference(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 0..1Reference(SHR Organization Profile)The custodian organization of this Encounter record
... partOf 0..1Reference(Encounter)Another Encounter this encounter is part of

doco Documentation for this format

Summary

Mandatory: 0 element (1 nested mandatory element)

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

SHR Mapping Source

This structure represents the following SHR mapping definition:

shr.encounter.EncounterPerformed maps to Encounter:
  Subject maps to subject
  TypeAsaCoding maps to class  // class is a coding, not a CodeableConcept. We should be able to handle that
  ServiceProvider maps to serviceProvider
  ServiceGiven maps to type
  PerformedContext.Status maps to status
  PerformedContext.OccurrenceTimeOrPeriod maps to period
  PerformedContext.Participant maps to participant.individual
  constrain participant.type to 0..1
  PerformedContext.Participant.ParticipationType maps to participant.type
  PerformedContext.Participant.ParticipationPeriod maps to participant.period
  PerformedContext.RelatedRequest maps to incomingReferral
  constrain location to 0..1
  PerformedContext.Facility maps to location.location
  PerformedContext.Reason maps to reason
  <TBD "HealthConcern"> maps to indication

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter SHR EncounterPerformed Profile
... subject Reference(SHR Patient Profile), Reference(SHR Group Profile)
... participant
.... type 0..1
... location 0..1
... serviceProvider Reference(SHR Organization Profile)
... shr-base-RelatedEncounter-extension 0..1Reference(SHR EncounterPerformed Profile)SHR RelatedEncounter Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-RelatedEncounter-extension
... shr-base-Author-extension 0..1(Complex)SHR Author Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Author-extension
... shr-base-Informant-extension 0..1(Complex)SHR Informant Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Informant-extension
... shr-entity-Type-extension 0..1CodeableConceptSHR Type Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Type-extension
... shr-core-Category-extension 0..*CodeableConceptSHR Category Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Category-extension
... shr-action-PerformedContext-extension 1..1(Complex)SHR PerformedContext Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-PerformedContext-extension
.... extension
..... extension
...... valueCodeableConcept Binding: Encounter Reason Codes (preferred)
.... extension
..... value[x] Binding: EncounterStatus (required)
... shr-encounter-ReferralDate-extension 0..1dateSHR ReferralDate Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-encounter-ReferralDate-extension
... shr-encounter-ReferralSourceType-extension 0..1CodeableConceptSHR ReferralSourceType Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-encounter-ReferralSourceType-extension
Binding: SHR ReferralSourceTypeVS ValueSet (required)
... shr-encounter-TreatmentCooperation-extension 0..1CodeableConceptSHR TreatmentCooperation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-encounter-TreatmentCooperation-extension
Binding: SHR TreatmentCooperationVS ValueSet (required)
... shr-encounter-PaymentSource-extension 0..1(Complex)SHR PaymentSource Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-encounter-PaymentSource-extension

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter I0..*SHR EncounterPerformed Profile
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... shr-base-RelatedEncounter-extension 0..1Reference(SHR EncounterPerformed Profile)SHR RelatedEncounter Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-RelatedEncounter-extension
... shr-base-Author-extension 0..1(Complex)SHR Author Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Author-extension
... shr-base-Informant-extension 0..1(Complex)SHR Informant Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Informant-extension
... shr-entity-Type-extension 0..1CodeableConceptSHR Type Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Type-extension
... shr-core-Category-extension 0..*CodeableConceptSHR Category Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Category-extension
... shr-action-PerformedContext-extension 1..1(Complex)SHR PerformedContext Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-PerformedContext-extension
.... id 0..1stringxml:id (or equivalent in JSON)
.... shr-core-Reason-extension 0..*(Complex)SHR Reason Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Reason-extension
..... id 0..1stringxml:id (or equivalent in JSON)
..... primitive-string-extension 0..1stringstring
URL: http://standardhealthrecord.org/fhir/StructureDefinition/primitive-string-extension
..... shr-core-CodeableConcept-extension 0..1CodeableConceptSHR CodeableConcept Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-CodeableConcept-extension
...... id 0..1stringxml:id (or equivalent in JSON)
...... url 1..1uri"http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-CodeableConcept-extension"
...... valueCodeableConcept 1..1CodeableConceptValue of extension
Binding: Encounter Reason Codes (preferred)
..... shr-base-Content-extension 0..1(Complex)SHR Content Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Content-extension
..... url 1..1uri"http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Reason-extension"
.... shr-core-OccurrenceTimeOrPeriod-extension 0..1date, dateTime, PeriodSHR OccurrenceTimeOrPeriod Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-OccurrenceTimeOrPeriod-extension
..... id 0..1stringxml:id (or equivalent in JSON)
..... url 1..1uri"http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-OccurrenceTimeOrPeriod-extension"
..... value[x] 1..1date, dateTime, PeriodValue of extension
.... shr-action-Participant-extension 0..*(Complex)SHR Participant Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-Participant-extension
.... shr-action-Status-extension 1..1code, Coding, CodeableConceptSHR Status Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-Status-extension
..... id 0..1stringxml:id (or equivalent in JSON)
..... url 1..1uri"http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-Status-extension"
..... value[x] 1..1code, Coding, CodeableConceptValue of extension
Binding: EncounterStatus (required)
.... shr-action-Method-extension 0..1CodeableConceptSHR Method Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-Method-extension
.... shr-action-RelatedRequest-extension 0..1(Complex)SHR RelatedRequest Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-RelatedRequest-extension
.... shr-action-RelatedPlan-extension 0..1(Complex)SHR RelatedPlan Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-RelatedPlan-extension
.... shr-entity-Facility-extension 0..*Reference(SHR Facility Profile)SHR Facility Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Facility-extension
.... shr-action-Outcome-extension 0..*(Complex)SHR Outcome Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-Outcome-extension
.... url 1..1uri"http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-PerformedContext-extension"
... shr-encounter-ReferralDate-extension 0..1dateSHR ReferralDate Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-encounter-ReferralDate-extension
... shr-encounter-ReferralSourceType-extension 0..1CodeableConceptSHR ReferralSourceType Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-encounter-ReferralSourceType-extension
Binding: SHR ReferralSourceTypeVS ValueSet (required)
... shr-encounter-TreatmentCooperation-extension 0..1CodeableConceptSHR TreatmentCooperation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-encounter-TreatmentCooperation-extension
Binding: SHR TreatmentCooperationVS ValueSet (required)
... shr-encounter-PaymentSource-extension 0..1(Complex)SHR PaymentSource Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-encounter-PaymentSource-extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifier(s) by which this encounter is known
... status ?!Σ1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required)
... statusHistory I0..*BackboneElementList of past encounter statuses
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... status 1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required)
.... period 1..1PeriodThe time that the episode was in the specified status
... class Σ0..1Codinginpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible)
... classHistory I0..*BackboneElementList of past encounter classes
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... class 1..1Codinginpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible)
.... period 1..1PeriodThe time that the episode was in the specified class
... type Σ0..*CodeableConceptSpecific type of encounter
Binding: EncounterType (example)
... priority 0..1CodeableConceptIndicates the urgency of the encounter
Binding: v3 Code System ActPriority (example)
... subject Σ0..1Reference(SHR Patient Profile), Reference(SHR Group Profile)The patient ro group present at the encounter
... episodeOfCare Σ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... incomingReferral 0..*Reference(ReferralRequest)The ReferralRequest that initiated this encounter
... participant ΣI0..*BackboneElementList of participants involved in the encounter
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... type Σ0..1CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible)
.... period 0..1PeriodPeriod of time during the encounter that the participant participated
.... individual Σ0..1Reference(Practitioner), Reference(RelatedPerson)Persons involved in the encounter other than the patient
... appointment Σ0..1Reference(Appointment)The appointment that scheduled this encounter
... period 0..1PeriodThe start and end time of the encounter
... length 0..1DurationQuantity of time the encounter lasted (less time absent)
... reason Σ0..*CodeableConceptReason the encounter takes place (code)
Binding: Encounter Reason Codes (preferred)
... diagnosis ΣI0..*BackboneElementThe list of diagnosis relevant to this encounter
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... condition 1..1Reference(Condition), Reference(Procedure)Reason the encounter takes place (resource)
.... role 0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred)
.... rank 0..1positiveIntRanking of the diagnosis (for each role type)
... account 0..*Reference(Account)The set of accounts that may be used for billing for this Encounter
... hospitalization I0..1BackboneElementDetails about the admission to a healthcare service
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin 0..1Reference(Location)The location from which the patient came before admission
.... admitSource 0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred)
.... reAdmission 0..1CodeableConceptThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: v2 Re-Admission Indicator (example)
.... 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(Location)Location to which the patient is discharged
.... dischargeDisposition 0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisposition (example)
... location I0..1BackboneElementList of locations where the patient has been
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... location 1..1Reference(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 0..1Reference(SHR Organization Profile)The custodian organization of this Encounter record
... partOf 0..1Reference(Encounter)Another Encounter this encounter is part of

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron

 

Terminology Bindings

PathNameConformanceValueSet
Encounter.languageCommon LanguagesextensibleCommon Languages
Encounter.extension.extension.extension.valueCodeableConceptEncounter Reason CodespreferredEncounter Reason Codes
Encounter.extension.extension.value[x]EncounterStatusrequiredEncounterStatus
Encounter.statusEncounterStatusrequiredEncounterStatus
Encounter.statusHistory.statusEncounterStatusrequiredEncounterStatus
Encounter.classActEncounterCodeextensibleActEncounterCode
Encounter.classHistory.classActEncounterCodeextensibleActEncounterCode
Encounter.typeEncounterTypeexampleEncounterType
Encounter.priorityv3 Code System ActPriorityexamplev3 Code System ActPriority
Encounter.participant.typeParticipantTypeextensibleParticipantType
Encounter.reasonEncounter Reason CodespreferredEncounter Reason Codes
Encounter.diagnosis.roleDiagnosisRolepreferredDiagnosisRole
Encounter.hospitalization.admitSourceAdmitSourcepreferredAdmitSource
Encounter.hospitalization.reAdmissionv2 Re-Admission Indicatorexamplev2 Re-Admission Indicator
Encounter.hospitalization.dietPreferenceDietexampleDiet
Encounter.hospitalization.specialCourtesySpecialCourtesypreferredSpecialCourtesy
Encounter.hospitalization.specialArrangementSpecialArrangementspreferredSpecialArrangements
Encounter.hospitalization.dischargeDispositionDischargeDispositionexampleDischargeDisposition
Encounter.location.statusEncounterLocationStatusrequiredEncounterLocationStatus

 

Constraints

IdPathDetailsRequirements
dom-2EncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-1EncounterIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-4EncounterIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-3EncounterIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
ele-1Encounter.statusHistoryAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ele-1Encounter.classHistoryAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ele-1Encounter.participantAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ele-1Encounter.diagnosisAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ele-1Encounter.hospitalizationAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ele-1Encounter.locationAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())