Danish MedCom Core
2.3.0 - Release
Danish MedCom Core
2.3.0 - Release
This page is part of the DK MedCom Core (v2.3.0: Release) based on FHIR R4. The current version which supercedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions
| Official URL: http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-encounter | Version: 2.3.0 | |||
| Active as of 2023-10-31 | Computable Name: MedComCoreEncounter | |||
An interaction between a patient/citizen and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient/citizen.
This profile describes the MedComCoreEncounter. An encounter describes the interaction between a patient and one or more healthcare providers for the purpose of providing healthcare services or assessing the health status of a patient. An encounter can take place in an ambulatory, an emergency, at the citizen’s home, virtually and so on.
The base expectations when describing an encounter in a Danish context is to include the subject of the encounter which shall be a MedComCorePatient as well as a status and class, which are described below. For some specific purposes, such as HospitalNotification, there is a need for a specialization of the MedComCoreEncounter. In these cases, it will be explicitly described which encounter to use and which changed are applied.
Please refer to the tab “Snapshot Table(Must support)” below for the definition of the required content of a MedComCoreEncounter.
A status and class shall be included MedComCoreEncounter.
The status refers to the current state of the encounter. This will most often change due to the nature an encounter, as it will pass through many statuses which follows the workflow of the encounter. A status can be ‘in-progress’ describing that the patient is present or the meeting has begun, or ‘finished’ describing that the encounter is finished.
The class describes in which setting the encounter took place. A setting of the encounter can be ‘emergency’, ‘ambulant’ or ‘inpatient’.
The element Encounter.episodeOfCare may be included in MedComCoreEncounter.
The EpisodeOfCare identifier is used to technically connect several encounters concern the same meeting between a patient and one or more healthcare providers.
It is both possible to use a Landspatientregisteret-identifier (called LPR3-identifier) and a locally defined identifier as the EpisodeOfCare-identifier.
Whether a LPR3-identifier or a locally defined identifier is used, it shall be an UUID. The LPR3-identifier shall obey a rule stating that the UUID shall be of version 5, here more information about the LPR3-identifier can be found. Using a locally defined identifier, a system for the identifier shall be added.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Encounter
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Encounter | 0..* | Encounter | An interaction during which services are provided to the patient | |
  status | S | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + |
| class | S | 1..1 | Coding | Classification of patient encounter Binding: MedComCoreEncounterClassCodes (required) |
 subject | S | 1..1 | Reference(MedComCorePatient) {b} | The patient or group present at the encounter |
  Slices for episodeOfCare | S | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against Slice: Unordered, Open by value:identifier.system |
  episodeOfCare:All Slices | Content/Rules for all slices | |||
  identifier | S | 0..1 | Identifier | Logical reference, when literal reference is not known |
  episodeOfCare:lpr3identifier | S | 0..1 | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against |
   identifier | 1..1 | Lpr3Identifier | An identifier intended for computation | |
| account | 0..0 | |||
 serviceProvider | S | 0..1 | Reference(MedComCoreOrganization) {b} | The organization (facility) responsible for this encounter |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Encounter.class | required | MedComCoreEncounterClass |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter | 0..* | Encounter | An interaction during which services are provided to the patient | |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!SΣ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. |
| class | SΣ | 1..1 | Coding | Classification of patient encounter Binding: MedComCoreEncounterClassCodes (required) |
| subject | SΣ | 1..1 | Reference(MedComCorePatient) {b} | The patient or group present at the encounter |
| Slices for episodeOfCare | SΣ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against Slice: Unordered, Open by value:identifier.system |
| episodeOfCare:All Slices | Content/Rules for all slices | |||
| identifier | SΣ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| episodeOfCare:lpr3identifier | SΣ | 0..1 | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against |
| identifier | 1..1 | Lpr3Identifier | An identifier intended for computation | |
| serviceProvider | S | 0..1 | Reference(MedComCoreOrganization) {b} | The organization (facility) responsible for this encounter |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Encounter.status | required | EncounterStatus |
| Encounter.class | required | MedComCoreEncounterClass |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Encounter | If 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-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Encounter | 0..* | Encounter | An interaction during which services are provided to the patient | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known | ||||
| status | ?!SΣ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | ||||
| statusHistory | 0..* | BackboneElement | List of past encounter statuses | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| status | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | |||||
| period | 1..1 | Period | The time that the episode was in the specified status | |||||
| class | SΣ | 1..1 | Coding | Classification of patient encounter Binding: MedComCoreEncounterClassCodes (required) | ||||
| classHistory | 0..* | BackboneElement | List of past encounter classes | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| class | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter. | |||||
| period | 1..1 | Period | The time that the episode was in the specified class | |||||
| type | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: EncounterType (example): The type of encounter. | ||||
| serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. | ||||
| priority | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter. | |||||
| subject | SΣ | 1..1 | Reference(MedComCorePatient) {b} | The patient or group present at the encounter | ||||
| Slices for episodeOfCare | SΣ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against Slice: Unordered, Open by value:identifier.system | ||||
| episodeOfCare:All Slices | Content/Rules for all slices | |||||||
 id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | SΣ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| episodeOfCare:lpr3identifier | SΣ | 0..1 | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against | ||||
 id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | 1..1 | Lpr3Identifier | An identifier intended for computation | |||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| basedOn | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter | |||||
| participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type | Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | ||||
| period | 0..1 | Period | Period of time during the encounter that the participant participated | |||||
| individual | Σ | 0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson) | Persons involved in the encounter other than the patient | ||||
| appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | ||||
| period | 0..1 | Period | The start and end time of the encounter | |||||
| length | 0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |||||
| reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | ||||
| reasonReference | Σ | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) | ||||
| diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| condition | Σ | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter | ||||
| use | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents. | |||||
| rank | 0..1 | positiveInt | Ranking of the diagnosis (for each role type) | |||||
| hospitalization | 0..1 | BackboneElement | Details about the admission to a healthcare service | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| preAdmissionIdentifier | 0..1 | Identifier | Pre-admission identifier | |||||
| origin | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission | |||||
| admitSource | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted. | |||||
| 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: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter. | |||||
| dietPreference | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements. | |||||
| specialCourtesy | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies. | |||||
| specialArrangement | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements. | |||||
| destination | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged | |||||
| dischargeDisposition | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition. | |||||
| location | 0..* | BackboneElement | List of locations where the patient has been | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| location | 1..1 | Reference(Location) | Location the encounter takes place | |||||
| status | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. | |||||
| physicalType | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location. | |||||
| period | 0..1 | Period | Time period during which the patient was present at the location | |||||
| serviceProvider | S | 0..1 | Reference(MedComCoreOrganization) {b} | The organization (facility) responsible for this encounter | ||||
| partOf | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| Encounter.language | preferred | CommonLanguages
| ||||
| Encounter.status | required | EncounterStatus | ||||
| Encounter.statusHistory.status | required | EncounterStatus | ||||
| Encounter.class | required | MedComCoreEncounterClass | ||||
| Encounter.classHistory.class | extensible | ActEncounterCode | ||||
| Encounter.type | example | EncounterType | ||||
| Encounter.serviceType | example | ServiceType | ||||
| Encounter.priority | example | ActPriority | ||||
| Encounter.episodeOfCare.type | extensible | ResourceType | ||||
| Encounter.episodeOfCare:lpr3identifier.type | extensible | ResourceType | ||||
| Encounter.participant.type | extensible | ParticipantType | ||||
| Encounter.reasonCode | preferred | EncounterReasonCodes | ||||
| Encounter.diagnosis.use | preferred | DiagnosisRole | ||||
| Encounter.hospitalization.admitSource | preferred | AdmitSource | ||||
| Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicator | ||||
| Encounter.hospitalization.dietPreference | example | Diet | ||||
| Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesy | ||||
| Encounter.hospitalization.specialArrangement | preferred | SpecialArrangements | ||||
| Encounter.hospitalization.dischargeDisposition | example | DischargeDisposition | ||||
| Encounter.location.status | required | EncounterLocationStatus | ||||
| Encounter.location.physicalType | example | LocationType |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Encounter | If 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-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Encounter
Summary
Mandatory: 1 element (1 nested mandatory element)
Must-Support: 7 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Encounter
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter | 0..* | Encounter | An interaction during which services are provided to the patient | |
| status | S | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + |
| class | S | 1..1 | Coding | Classification of patient encounter Binding: MedComCoreEncounterClassCodes (required) |
| subject | S | 1..1 | Reference(MedComCorePatient) {b} | The patient or group present at the encounter |
| Slices for episodeOfCare | S | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against Slice: Unordered, Open by value:identifier.system |
| episodeOfCare:All Slices | Content/Rules for all slices | |||
| identifier | S | 0..1 | Identifier | Logical reference, when literal reference is not known |
| episodeOfCare:lpr3identifier | S | 0..1 | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against |
| identifier | 1..1 | Lpr3Identifier | An identifier intended for computation | |
| account | 0..0 | |||
| serviceProvider | S | 0..1 | Reference(MedComCoreOrganization) {b} | The organization (facility) responsible for this encounter |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Encounter.class | required | MedComCoreEncounterClass |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter | 0..* | Encounter | An interaction during which services are provided to the patient | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!SΣ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. |
| class | SΣ | 1..1 | Coding | Classification of patient encounter Binding: MedComCoreEncounterClassCodes (required) |
| subject | SΣ | 1..1 | Reference(MedComCorePatient) {b} | The patient or group present at the encounter |
| Slices for episodeOfCare | SΣ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against Slice: Unordered, Open by value:identifier.system |
| episodeOfCare:All Slices | Content/Rules for all slices | |||
| identifier | SΣ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| episodeOfCare:lpr3identifier | SΣ | 0..1 | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against |
| identifier | 1..1 | Lpr3Identifier | An identifier intended for computation | |
| serviceProvider | S | 0..1 | Reference(MedComCoreOrganization) {b} | The organization (facility) responsible for this encounter |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Encounter.status | required | EncounterStatus |
| Encounter.class | required | MedComCoreEncounterClass |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Encounter | If 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-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Encounter | 0..* | Encounter | An interaction during which services are provided to the patient | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known | ||||
| status | ?!SΣ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | ||||
| statusHistory | 0..* | BackboneElement | List of past encounter statuses | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| status | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. | |||||
| period | 1..1 | Period | The time that the episode was in the specified status | |||||
| class | SΣ | 1..1 | Coding | Classification of patient encounter Binding: MedComCoreEncounterClassCodes (required) | ||||
| classHistory | 0..* | BackboneElement | List of past encounter classes | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| class | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter. | |||||
| period | 1..1 | Period | The time that the episode was in the specified class | |||||
| type | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: EncounterType (example): The type of encounter. | ||||
| serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. | ||||
| priority | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter. | |||||
| subject | SΣ | 1..1 | Reference(MedComCorePatient) {b} | The patient or group present at the encounter | ||||
| Slices for episodeOfCare | SΣ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against Slice: Unordered, Open by value:identifier.system | ||||
| episodeOfCare:All Slices | Content/Rules for all slices | |||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | SΣ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| episodeOfCare:lpr3identifier | SΣ | 0..1 | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | 1..1 | Lpr3Identifier | An identifier intended for computation | |||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| basedOn | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter | |||||
| participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type | Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | ||||
| period | 0..1 | Period | Period of time during the encounter that the participant participated | |||||
| individual | Σ | 0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson) | Persons involved in the encounter other than the patient | ||||
| appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | ||||
| period | 0..1 | Period | The start and end time of the encounter | |||||
| length | 0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |||||
| reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | ||||
| reasonReference | Σ | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) | ||||
| diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| condition | Σ | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter | ||||
| use | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents. | |||||
| rank | 0..1 | positiveInt | Ranking of the diagnosis (for each role type) | |||||
| hospitalization | 0..1 | BackboneElement | Details about the admission to a healthcare service | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| preAdmissionIdentifier | 0..1 | Identifier | Pre-admission identifier | |||||
| origin | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission | |||||
| admitSource | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted. | |||||
| 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: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter. | |||||
| dietPreference | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements. | |||||
| specialCourtesy | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies. | |||||
| specialArrangement | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements. | |||||
| destination | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged | |||||
| dischargeDisposition | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition. | |||||
| location | 0..* | BackboneElement | List of locations where the patient has been | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| location | 1..1 | Reference(Location) | Location the encounter takes place | |||||
| status | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. | |||||
| physicalType | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location. | |||||
| period | 0..1 | Period | Time period during which the patient was present at the location | |||||
| serviceProvider | S | 0..1 | Reference(MedComCoreOrganization) {b} | The organization (facility) responsible for this encounter | ||||
| partOf | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| Encounter.language | preferred | CommonLanguages
| ||||
| Encounter.status | required | EncounterStatus | ||||
| Encounter.statusHistory.status | required | EncounterStatus | ||||
| Encounter.class | required | MedComCoreEncounterClass | ||||
| Encounter.classHistory.class | extensible | ActEncounterCode | ||||
| Encounter.type | example | EncounterType | ||||
| Encounter.serviceType | example | ServiceType | ||||
| Encounter.priority | example | ActPriority | ||||
| Encounter.episodeOfCare.type | extensible | ResourceType | ||||
| Encounter.episodeOfCare:lpr3identifier.type | extensible | ResourceType | ||||
| Encounter.participant.type | extensible | ParticipantType | ||||
| Encounter.reasonCode | preferred | EncounterReasonCodes | ||||
| Encounter.diagnosis.use | preferred | DiagnosisRole | ||||
| Encounter.hospitalization.admitSource | preferred | AdmitSource | ||||
| Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicator | ||||
| Encounter.hospitalization.dietPreference | example | Diet | ||||
| Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesy | ||||
| Encounter.hospitalization.specialArrangement | preferred | SpecialArrangements | ||||
| Encounter.hospitalization.dischargeDisposition | example | DischargeDisposition | ||||
| Encounter.location.status | required | EncounterLocationStatus | ||||
| Encounter.location.physicalType | example | LocationType |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Encounter | If 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-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Encounter
Summary
Mandatory: 1 element (1 nested mandatory element)
Must-Support: 7 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2021+ MedCom. Package medcom.fhir.dk.core#2.3.0 based on FHIR 4.0.1. Generated 2023-10-31
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