Encounter Profile¶
| Canonical | ../StructureDefinition/nexus-emr-core-encounter |
|---|---|
| Status | draft · 1.26.0 |
| Base | Encounter (constraint) |
| Source | FSH · JSON |
Defines the Encounter resource constraints for the Nexus EMR project (CII), conforming to CA-Core+ requirements.
Elements / Key elements
The working view: must-support, required, modifier and sliced elements from the effective (snapshot) definition.
| Element | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter | 0..* | Nexus EMR Encounter Core Invariants: dom-2, dom-3, dom-4, dom-5, dom-6, encounter-appointment-single-in-primary-care |
||
| meta | 0..1 | Meta | Metadata about the resource Invariants: ele-1 |
|
| source | S | 0..1 | uri | Identifies EMR instance & pipeline version the resource came from i Invariants: ele-1 |
| implicitRules | ?! | 0..1 | uri | A set of rules under which this content was created i Invariants: ele-1 |
| text | S | 0..1 | Narrative | Narrative i Invariants: ele-1 |
| identifier | S | 0..* | Identifier | Business identifier(s) for encounter i Invariants: ele-1 |
| use | ?! | 0..1 | code | usual | official | temp | secondary | old (If known) i Binding: identifier-use ( required)Invariants: ele-1 |
| system | 1..1 | uri | The namespace for the identifier value i Invariants: ele-1 |
|
| value | 1..1 | string | The value that is unique i Invariants: ele-1 |
|
| status | S ?! | 1..1 | code | Where the encounter is in its lifecycle i Binding: encounter-status ( required)Invariants: ele-1 |
| statusHistory | 0..* | BackboneElement | List of past encounter statuses i Invariants: ele-1 |
|
| status | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: encounter-status ( required)Invariants: ele-1 |
|
| period | 1..1 | Period | The time that the episode was in the specified status Invariants: ele-1 |
|
| class | S | 1..1 | Coding | Classification of patient encounter i Binding: v3-ActEncounterCode ( required)Invariants: ele-1 |
| classHistory | 0..* | BackboneElement | List of past encounter classes Invariants: ele-1 |
|
| class | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: v3-ActEncounterCode ( extensible)Invariants: ele-1 |
|
| period | 1..1 | Period | The time that the episode was in the specified class Invariants: ele-1 |
|
| type | S | 0..* | CodeableConcept | Encounter type with raw code support i Binding: encounter-type ( example)Invariants: ele-1 |
| serviceType | S | 0..1 | CodeableConcept | Service type with raw code support i Binding: service-type ( example)Invariants: ele-1 |
| subject | S | 1..1 | Reference(Patient Profile) | The patient present at the encounter i Invariants: ele-1 |
| participant | S | 0..1 | BackboneElement | List of participants involved in the encounter Invariants: ele-1 |
| appointment | S | 0..* | Reference(Appointment Profile) | The appointment this encounter fulfils (1:1 in primary care) i Invariants: ele-1 |
| period | S | 1..1 | Period | The start and end time of the encounter i Invariants: ele-1 |
| start | S | 1..1 | dateTime | When the encounter started i Invariants: ele-1 |
| end | S | 0..1 | dateTime | When the encounter ended (if finished) i Invariants: ele-1 |
| reasonCode | S | 0..* | CodeableConcept | Encounter reason with raw code support i Binding: encounter-reason ( preferred)Invariants: ele-1 |
| diagnosis | S | 0..* | BackboneElement | The list of diagnoses relevant to this encounter Invariants: ele-1 |
| condition | S | 1..1 | Reference(Condition Profile) | The diagnosis or condition relevant to the encounter i Invariants: ele-1 |
| use | S | 0..1 | CodeableConcept | Role of diagnosis in encounter (e.g., admission, billing, discharge) Binding: diagnosis-role ( preferred)Invariants: ele-1 |
| rank | S | 0..1 | positiveInt | Ranking of the diagnosis (primary, secondary, etc.) Invariants: ele-1 |
| location | S | 0..* | BackboneElement | List of locations where the encounter occurred i Invariants: ele-1 |
| location | S | 1..1 | Reference(Location Profile) | Location the encounter takes place Invariants: ele-1 |
| status | S | 0..1 | code | planned | active | reserved | completed i Binding: encounter-location-status ( required)Invariants: ele-1 |
| period | S | 0..1 | Period | Time period during which the patient was at location Invariants: ele-1 |
| serviceProvider | S | 0..1 | Reference(Organization Profile) | The organization providing the service i Invariants: ele-1 |
| identifier | S | 0..1 | Identifier | Nexus EMR organization identifier reference i Invariants: ele-1 |