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 / Snapshot
The full effective definition: base Encounter with this profile's constraints applied.
| 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 |
||
| id | 0..1 | http://hl7.org/fhirpath/System.String | Logical id of this artifact i | |
| meta | 0..1 | Meta | Metadata about the resource Invariants: ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| versionId | 0..1 | id | Version specific identifier i Invariants: ele-1 |
|
| lastUpdated | 0..1 | instant | When the resource version last changed i Invariants: ele-1 |
|
| source | S | 0..1 | uri | Identifies EMR instance & pipeline version the resource came from i Invariants: ele-1 |
| profile | 0..* | canonical | Profiles this resource claims to conform to i Invariants: ele-1 |
|
| security | 0..* | Coding | Security Labels applied to this resource i Binding: security-labels ( extensible)Invariants: ele-1 |
|
| tag | 0..* | Coding | Tags applied to this resource i Binding: common-tags ( example)Invariants: ele-1 |
|
| implicitRules | ?! | 0..1 | uri | A set of rules under which this content was created i Invariants: ele-1 |
| language | 0..1 | code | Language of the resource content i Binding: languages ( preferred)Invariants: ele-1 |
|
| text | S | 0..1 | Narrative | Narrative i Invariants: ele-1 |
| contained | 0..* | Resource | Contained, inline Resources i | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored i Invariants: ele-1, ext-1 |
| identifier | S | 0..* | Identifier | Business identifier(s) for encounter i Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| use | ?! | 0..1 | code | usual | official | temp | secondary | old (If known) i Binding: identifier-use ( required)Invariants: ele-1 |
| type | 0..1 | CodeableConcept | Description of identifier i Binding: identifier-type ( extensible)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 |
|
| period | 0..1 | Period | Time period when id is/was valid for use Invariants: ele-1 |
|
| assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) 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 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored even if unrecognized i Invariants: ele-1, ext-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 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored even if unrecognized i Invariants: ele-1, ext-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 |
| priority | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: v3-ActPriority ( example)Invariants: ele-1 |
|
| subject | S | 1..1 | Reference(Patient Profile) | The patient present at the encounter i Invariants: ele-1 |
| episodeOfCare | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against Invariants: ele-1 |
|
| basedOn | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter Invariants: ele-1 |
|
| participant | S | 0..1 | BackboneElement | List of participants involved in the encounter Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored even if unrecognized i Invariants: ele-1, ext-1 |
| type | 0..* | CodeableConcept | Role of participant in encounter i Binding: encounter-participant-type ( extensible)Invariants: ele-1 |
|
| period | 0..1 | Period | Period of participation Invariants: ele-1 |
|
| individual | 0..1 | Reference(PractitionerRole Profile | Practitioner Profile) | Persons 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 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-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 |
| length | 0..1 | Duration | Quantity of time the encounter lasted (less time absent) i Invariants: ele-1 |
|
| reasonCode | S | 0..* | CodeableConcept | Encounter reason with raw code support i Binding: encounter-reason ( preferred)Invariants: ele-1 |
| reasonReference | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) i Invariants: ele-1 |
|
| diagnosis | S | 0..* | BackboneElement | The list of diagnoses relevant to this encounter Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored even if unrecognized i Invariants: ele-1, ext-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 |
| account | 0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter i Invariants: ele-1 |
|
| hospitalization | 0..1 | BackboneElement | Details about the admission to a healthcare service i Invariants: ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored even if unrecognized i Invariants: ele-1, ext-1 |
| preAdmissionIdentifier | 0..1 | Identifier | Pre-admission identifier Invariants: ele-1 |
|
| origin | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission Invariants: ele-1 |
|
| admitSource | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: encounter-admit-source ( preferred)Invariants: ele-1 |
|
| 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: v2-0092 ( example)Invariants: ele-1 |
|
| dietPreference | 0..* | CodeableConcept | Diet preferences reported by the patient i Binding: encounter-diet ( example)Invariants: ele-1 |
|
| specialCourtesy | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: encounter-special-courtesy ( preferred)Invariants: ele-1 |
|
| specialArrangement | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: encounter-special-arrangements ( preferred)Invariants: ele-1 |
|
| destination | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged Invariants: ele-1 |
|
| dischargeDisposition | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: encounter-discharge-disposition ( example)Invariants: ele-1 |
|
| location | S | 0..* | BackboneElement | List of locations where the encounter occurred i Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored even if unrecognized i Invariants: ele-1, ext-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 |
| physicalType | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) i Binding: location-physical-type ( example)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 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| reference | 0..1 | string | Literal reference, Relative, internal or absolute URL i Invariants: ele-1 |
|
| type | 0..1 | uri | Type the reference refers to (e.g. "Patient") i Binding: resource-types ( extensible)Invariants: ele-1 |
|
| identifier | S | 0..1 | Identifier | Nexus EMR organization identifier reference i Invariants: ele-1 |
| display | 0..1 | string | Text alternative for the resource i Invariants: ele-1 |
|
| partOf | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of i Invariants: ele-1 |