Encounter

The SHR Encounter domain contains definitions that capture interactions between the person of record and healthcare providers, including inpatient, ambulatory care, and telecare.

Encounter [Entry]

A statement about a planned or actual interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.

OccurrenceTime optional The point in time or span of time in which something happens.
ReferralDate optional The date when the provider received a referral for service. A referral includes an oral, written, faxed or electronic request for services made by the client or on the client�s behalf.
ReferralSourceType optional The type of person or entity that instigated the encounter.
EncounterType optional The mode of interaction, whether inpatient, outpatient, or telecare.
EncounterNonOccurrenceModifier optional True if the encounter did not occur.
Participant 0 or more A statement about an actor who did (or did not) participate in a certain task or activity. Unlike a HealthcareInvolvement which continues over period of time, the participant is associated with doing or not doing a specific task, such admitting a patient, performing a procedure, or taking a measurement.
ProviderOrganization required
Facility optional Services and space and equipment provided for a particular purpose; a building or place that provides a particular service or is used for a particular industry. Could be a clinical site, community site, or a mobile facility.
TreatmentCooperation optional Whether the patient is undergoing treatment voluntarily, or under a legal order.
HealthConcern (TBD) optional Description TBD
PertinentFindings (TBD) 0 or more Description TBD
Diagnosis (TBD) 0 or more Description TBD
FullClinicalNote (TBD) optional Description TBD
ClinicalSummary (TBD) required Description TBD
TreatmentServiceRendered (TBD) 1 or more Description TBD
CompletionStatus (TBD) optional Description TBD
PaymentSource optional The source of payment for the current encounter.

EncounterNonOccurrenceModifier

True if the encounter did not occur.

Based On NonOccurrenceModifier

Value:  boolean
Reason from TBD optional The justification for an action or non-action, conclusion, opinion, etc.

EncounterType

The mode of interaction, whether inpatient, outpatient, or telecare.

Value:  Coding from EncounterTypeVS Coding of a concept, drawn from a controlled vocabulary. Includes the vocabulary and version, if applicable. May include a display text, and a descriptor expressing the intended interpretation of the code.

EpisodeOfCareCompletion

Denotes how and why an episode of care ended.

Value:  CodeableConcept from EpisodeOfCareCompletionVS A set of codes drawn from different coding systems, representing the same concept.

Facility

Services and space and equipment provided for a particular purpose; a building or place that provides a particular service or is used for a particular industry. Could be a clinical site, community site, or a mobile facility. C1547538

Value:  FacilityName The DBA (doing business as) or most commonly-used name for a facility.
Location required A position, site, or point in space where something can be found.
MobileFacility optional A facility that moves from place to place, such as Meals-On-Wheels.
Telecom optional An electronic means of contacting an organization or individual.
ManagingOrganization required The organization that manages the operation of an activity, facility, or service provision.
FacilityType required The type of function performed at the facility.

FacilityName

The DBA (doing business as) or most commonly-used name for a facility. C3261404

Value:  string

FacilityType

The type of function performed at the facility. C1547726

Value:  CodeableConcept from http://hl7.org/fhir/ValueSet/v3-ServiceDeliveryLocationRoleType A set of codes drawn from different coding systems, representing the same concept.

ManagingOrganization

The organization that manages the operation of an activity, facility, or service provision. C0677351

Value:  Organization A social or legal structure formed by human beings.

MobileFacility

A facility that moves from place to place, such as Meals-On-Wheels. C0231435

Value:  boolean

PaymentSource

The source of payment for the current encounter. C0680269

Value:  PaymentSourceVS (TBD) Description TBD

ProviderOrganization

No Description

Value:  Organization A social or legal structure formed by human beings.

ReferralDate

The date when the provider received a referral for service. A referral includes an oral, written, faxed or electronic request for services made by the client or on the client�s behalf. C2735614

Value:  date

ReferralSourceType

The type of person or entity that instigated the encounter.

Value:  CodeableConcept from ReferralSourceTypeVS A set of codes drawn from different coding systems, representing the same concept.

TreatmentCooperation

Whether the patient is undergoing treatment voluntarily, or under a legal order.

Value:  CodeableConcept from TreatmentCooperationVS A set of codes drawn from different coding systems, representing the same concept.