DK MedCom HospitalNotification
3.0.0 - Release Denmark flag

This page is part of the DK MedCom HospitalNotification (v3.0.0: Release) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: MedComHospitalNotificationEncounter

Official URL: http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-hospitalNotification-encounter Version: 3.0.0
Active as of 2023-01-05 Computable Name: MedComHospitalNotificationEncounter

Encounter derivation that handles hospital notification when a patient is admitted to a hospital. The hospital notification is always send from a hospital. The receiver of the message is the patients home municipalicy. The hospital notification is send for example when patient is admitted, on leave, returned from leave, finished hospital stay.

Scope and usage

This profile is used as the Encounter resource for the HospitalNotification message. The HospitalNotificationEncounter inherits from the MedComCoreEncounter. Besides the references shown on the figure below, the MedComHospitalNotificationEncounter contains an episode of care identifier, a status describing the status of the encounter e.g., if the patient is onleave and the class of the admission, which can be either inpatient or emergency. Both status and class shall be included in all messages and depending on the status of the encounter, the status and class shall be assigned to different codes. Here you the find the combination of codes.

The HospitalNotification message is sent without patient consent, why only a limited data set is allowed to transmit due to Danish legislation. For this reason, is the HospitalNotificationEncounter profile quite narrow. More information about the legal aspects can be found here.

The figure below shows the references from a MedComHospitalNotificationEncounter.

The MedComHospitalNotificationEncounter references a subject which is a MedComCorePatient and a serviceProvider organization which is a MedComCoreOrganization.

Please refer to the tab “Snapshot Table(Must support)” below for the definition of the required content of a MedComHospitalNotificationEncounter.

Service Provider

The element Encounter.serviceProvider describes the organization or hospital department in charge of the patient’s admission. The element references a MedComMessagingOrganization or MedComCoreOrganization, since MedComMessaigingOrganization inherits properties from MedComCoreOrganization.

The sender of a HospitalNotification (MessageHeader.sender) and the serviceProvider (Encounter.serviceProvider) may be the same hospital department, hence be represented referencing the same instance of a Organization resource, which shall be a MedComMessagingOrganization. However, the sender organisation may be a higher-level department (in the SOR register) than the serviceProvider organisation, and in this case they shall be represented referencing two different instances of a Organization resource.

An example of different serviceProvider and sender organisation can be found here. Other examples will have the same organisation as serviceProvider and sender.

Timestamps

The Encounter profile contains four timestamps each representing a different time during a hospitalisation. Common for the four timestamps is that they represent the time of the event, e.g. the patient’s physical attendance at the hospital (Encounter.period.start) or a patient going on leave from the hospital (Encounter.extension:leavePeriod.start).

FHIR-element Description Event See Encounter example
Encounter.period.start Start hospital stay, i.e. the actual beginning of the meeting between the health care professional and patient Patient’s physical attendance at the hospital HospitalNotification Encounter - STIN and HospitalNotification Encounter - STAA
Encounter.period.end End hospital stay, i.e. the actual end of the meeting between the health care professional and patient Patient leaves the hospital after discharge or when a patient dies (on arrival or during hospital stay) HospitalNotification Encounter - SLHJ (inpatient) and HospitalNotification Encounter - MORS (inpatient)
Encounter.extension:leavePeriod.start Patient starts leave, i.e. the actual beginning of a leave-period Patient leaves the hospital to go on leave. HospitalNotification Encounter - STOR
Encounter.extension:leavePeriod.end Patient ends leave, i.e. the actual end of a leave-period Patient’s physical attendance at the hospital after a period of leave HospitalNotification Encounter - SLOR

Start and end of hospital stay

As described above, the timestamp of start and end of hospital stay are included in the elements Encounter.period.start and Encounter.period.end, respectively. Encounter.period.start shall always be present, also when sending a HospitalNotification describing a period of leave or end or hospital stay.

In cases where a patient is transferred to a hospital in the same region or in another region, or a hospitalisation changes from ‘acute ambulant’ to ‘inpatient’, a new start hospital stay HospitalNotification shall be sent. These three cases shall result in a new instance of the Encounter profile which has a new Encounter.period.start representing the time of the change in the hospitalisation. All cases are described in the Clinical guidelines for application.

Leave

To express the timestamps for a period of leave, the MedComHospitalNotificationLeavePeriodExtension shall be used.

When a patient goes on leave the Encounter.extension:leavePeriod.start shall be used, and when the patient returns from leave both Encounter.extension:leavePeriod.start and Encounter.extension:leavePeriod.end shall be present.

The cardinality of MedComHospitalNotificationLeavePeriodExtension is 0..1 meaning that only one period of leave can be included in a HospitalNotification to avoid confusion about which period of leave is the current. In case a patient goes on leave several times during the same hospitalisation, the period shall be described in separate HospitalNotifications, that are being sent when each period of leave occurs.

Death

When a patient dies either on arrival or during hospital stay, the timestamp Encounter.period.end represents the time the encounter ended i.e the time of death. The Encounter.period.start shall also be populated. If a patient dies on arrival Encounter.period.start shall be equal to Encounter.period.end, and if the patient dies during hospital stay Encounter.period.start shall represent the actual beginning of the hospital stay. A HospitalNotification can only be interpreted as describing a deceased patient when the element Patient.deaceased = ‘true’.

Usage:

Formal Views of Profile Content

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

This structure is derived from MedComCoreEncounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter C0..*MedComCoreEncounterAn interaction during which services are provided to the patient
medcom-hospitalNotification-6: When the status = 'onleave', the timestamp for beginning of a leave (extension.valuePeriod.start) shall be present.
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... leavePeriod SΣ0..1PeriodMedComHospitalNotificationLeavePeriodExtension
URL: http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-hospitalnotifiation-leave-period-extension
... status 1..1codein-progress | onleave | finished | entered-in-error
Binding: MedComHospitalNotificationEncounterStatusCodes (required)
... type 0..0
... serviceType 0..0
... priority 0..0
... episodeOfCare 1..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
.... reference 0..0
.... identifier 1..1IdentifierLogical reference, when literal reference is not known
... episodeOfCare:lpr3identifier 0..1Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
.... reference 0..0
.... identifier SΣ1..1Lpr3IdentifierAn identifier intended for computation
... basedOn 0..0
... participant 0..0
... appointment 0..0
... period S1..1PeriodThe start and end time of the encounter
.... start S1..1dateTimeEncounter start time.
.... end S0..1dateTimeEncounter end time.
... length 0..0
... reasonCode 0..0
... reasonReference 0..0
... diagnosis 0..0
... account 0..0Reference(Account)
... hospitalization 0..0
... location 0..0
... serviceProvider 1..1Reference(MedComCoreOrganization) {b}The organization (facility) responsible for this encounter
... partOf 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Encounter.statusrequiredMedComHospitalNotificationEncounterStatus
Encounter.classrequiredMedComHospitalNotificationEncounterClass

Constraints

IdGradePath(s)DetailsRequirements
medcom-hospitalNotification-6errorEncounterWhen the status = 'onleave', the timestamp for beginning of a leave (extension.valuePeriod.start) shall be present.
: where(status = 'onleave').extension.value.start.exists() or status != 'onleave'
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter C0..*MedComCoreEncounterAn interaction during which services are provided to the patient
medcom-hospitalNotification-6: When the status = 'onleave', the timestamp for beginning of a leave (extension.valuePeriod.start) shall be present.
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... leavePeriod SΣ0..1PeriodMedComHospitalNotificationLeavePeriodExtension
URL: http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-hospitalnotifiation-leave-period-extension
... status ?!SΣ1..1codein-progress | onleave | finished | entered-in-error
Binding: MedComHospitalNotificationEncounterStatusCodes (required)
... class SΣ1..1Codinginpatient | emergency | other
Binding: MedComHospitalNotificationEncounterClassCodes (required)
... subject SΣ1..1Reference(MedComCorePatient) {b}The patient or group present at the encounter
... Slices for episodeOfCare SΣ1..*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 SΣ1..1IdentifierLogical reference, when literal reference is not known
.... episodeOfCare:lpr3identifier SΣ0..1Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
..... identifier SΣ1..1Lpr3IdentifierAn identifier intended for computation
... period S1..1PeriodThe start and end time of the encounter
.... start SΣC1..1dateTimeEncounter start time.
.... end SΣC0..1dateTimeEncounter end time.
... serviceProvider S1..1Reference(MedComCoreOrganization) {b}The organization (facility) responsible for this encounter

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Encounter.statusrequiredMedComHospitalNotificationEncounterStatus
Encounter.classrequiredMedComHospitalNotificationEncounterClass

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
medcom-hospitalNotification-6errorEncounterWhen the status = 'onleave', the timestamp for beginning of a leave (extension.valuePeriod.start) shall be present.
: where(status = 'onleave').extension.value.start.exists() or status != 'onleave'
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter C0..*MedComCoreEncounterAn interaction during which services are provided to the patient
medcom-hospitalNotification-6: When the status = 'onleave', the timestamp for beginning of a leave (extension.valuePeriod.start) shall be present.
... 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
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... leavePeriod SΣ0..1PeriodMedComHospitalNotificationLeavePeriodExtension
URL: http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-hospitalnotifiation-leave-period-extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifier(s) by which this encounter is known
... status ?!SΣ1..1codein-progress | onleave | finished | entered-in-error
Binding: MedComHospitalNotificationEncounterStatusCodes (required)
... statusHistory 0..*BackboneElementList of past encounter statuses
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... status 1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified status
... class SΣ1..1Codinginpatient | emergency | other
Binding: MedComHospitalNotificationEncounterClassCodes (required)
... classHistory 0..*BackboneElementList of past encounter classes
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... class 1..1Codinginpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified class
... subject SΣ1..1Reference(MedComCorePatient) {b}The patient or group present at the encounter
... Slices for episodeOfCare SΣ1..*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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier SΣ1..1IdentifierLogical reference, when literal reference is not known
..... display Σ0..1stringText alternative for the resource
.... episodeOfCare:lpr3identifier SΣ0..1Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier SΣ1..1Lpr3IdentifierAn identifier intended for computation
..... display Σ0..1stringText alternative for the resource
... period S1..1PeriodThe start and end time of the encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC1..1dateTimeEncounter start time.
.... end SΣC0..1dateTimeEncounter end time.
... serviceProvider S1..1Reference(MedComCoreOrganization) {b}The organization (facility) responsible for this encounter

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Encounter.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Encounter.statusrequiredMedComHospitalNotificationEncounterStatus
Encounter.statusHistory.statusrequiredEncounterStatus
Encounter.classrequiredMedComHospitalNotificationEncounterClass
Encounter.classHistory.classextensibleActEncounterCode
Encounter.episodeOfCare.typeextensibleResourceType
Encounter.episodeOfCare:lpr3identifier.typeextensibleResourceType
Encounter.participant.typeextensibleParticipantType
Encounter.diagnosis.usepreferredDiagnosisRole
Encounter.hospitalization.admitSourcepreferredAdmitSource
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
Encounter.hospitalization.dietPreferenceexampleDiet
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
Encounter.location.statusrequiredEncounterLocationStatus
Encounter.location.physicalTypeexampleLocationType

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from MedComCoreEncounter

Summary

Mandatory: 5 elements
Must-Support: 5 elements
Prohibited: 15 elements

Extensions

This structure refers to these extensions:

Differential View

This structure is derived from MedComCoreEncounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter C0..*MedComCoreEncounterAn interaction during which services are provided to the patient
medcom-hospitalNotification-6: When the status = 'onleave', the timestamp for beginning of a leave (extension.valuePeriod.start) shall be present.
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... leavePeriod SΣ0..1PeriodMedComHospitalNotificationLeavePeriodExtension
URL: http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-hospitalnotifiation-leave-period-extension
... status 1..1codein-progress | onleave | finished | entered-in-error
Binding: MedComHospitalNotificationEncounterStatusCodes (required)
... type 0..0
... serviceType 0..0
... priority 0..0
... episodeOfCare 1..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
.... reference 0..0
.... identifier 1..1IdentifierLogical reference, when literal reference is not known
... episodeOfCare:lpr3identifier 0..1Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
.... reference 0..0
.... identifier SΣ1..1Lpr3IdentifierAn identifier intended for computation
... basedOn 0..0
... participant 0..0
... appointment 0..0
... period S1..1PeriodThe start and end time of the encounter
.... start S1..1dateTimeEncounter start time.
.... end S0..1dateTimeEncounter end time.
... length 0..0
... reasonCode 0..0
... reasonReference 0..0
... diagnosis 0..0
... account 0..0Reference(Account)
... hospitalization 0..0
... location 0..0
... serviceProvider 1..1Reference(MedComCoreOrganization) {b}The organization (facility) responsible for this encounter
... partOf 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Encounter.statusrequiredMedComHospitalNotificationEncounterStatus
Encounter.classrequiredMedComHospitalNotificationEncounterClass

Constraints

IdGradePath(s)DetailsRequirements
medcom-hospitalNotification-6errorEncounterWhen the status = 'onleave', the timestamp for beginning of a leave (extension.valuePeriod.start) shall be present.
: where(status = 'onleave').extension.value.start.exists() or status != 'onleave'

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter C0..*MedComCoreEncounterAn interaction during which services are provided to the patient
medcom-hospitalNotification-6: When the status = 'onleave', the timestamp for beginning of a leave (extension.valuePeriod.start) shall be present.
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... leavePeriod SΣ0..1PeriodMedComHospitalNotificationLeavePeriodExtension
URL: http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-hospitalnotifiation-leave-period-extension
... status ?!SΣ1..1codein-progress | onleave | finished | entered-in-error
Binding: MedComHospitalNotificationEncounterStatusCodes (required)
... class SΣ1..1Codinginpatient | emergency | other
Binding: MedComHospitalNotificationEncounterClassCodes (required)
... subject SΣ1..1Reference(MedComCorePatient) {b}The patient or group present at the encounter
... Slices for episodeOfCare SΣ1..*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 SΣ1..1IdentifierLogical reference, when literal reference is not known
.... episodeOfCare:lpr3identifier SΣ0..1Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
..... identifier SΣ1..1Lpr3IdentifierAn identifier intended for computation
... period S1..1PeriodThe start and end time of the encounter
.... start SΣC1..1dateTimeEncounter start time.
.... end SΣC0..1dateTimeEncounter end time.
... serviceProvider S1..1Reference(MedComCoreOrganization) {b}The organization (facility) responsible for this encounter

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Encounter.statusrequiredMedComHospitalNotificationEncounterStatus
Encounter.classrequiredMedComHospitalNotificationEncounterClass

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
medcom-hospitalNotification-6errorEncounterWhen the status = 'onleave', the timestamp for beginning of a leave (extension.valuePeriod.start) shall be present.
: where(status = 'onleave').extension.value.start.exists() or status != 'onleave'

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter C0..*MedComCoreEncounterAn interaction during which services are provided to the patient
medcom-hospitalNotification-6: When the status = 'onleave', the timestamp for beginning of a leave (extension.valuePeriod.start) shall be present.
... 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
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... leavePeriod SΣ0..1PeriodMedComHospitalNotificationLeavePeriodExtension
URL: http://medcomfhir.dk/ig/hospitalnotification/StructureDefinition/medcom-hospitalnotifiation-leave-period-extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifier(s) by which this encounter is known
... status ?!SΣ1..1codein-progress | onleave | finished | entered-in-error
Binding: MedComHospitalNotificationEncounterStatusCodes (required)
... statusHistory 0..*BackboneElementList of past encounter statuses
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... status 1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified status
... class SΣ1..1Codinginpatient | emergency | other
Binding: MedComHospitalNotificationEncounterClassCodes (required)
... classHistory 0..*BackboneElementList of past encounter classes
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... class 1..1Codinginpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified class
... subject SΣ1..1Reference(MedComCorePatient) {b}The patient or group present at the encounter
... Slices for episodeOfCare SΣ1..*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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier SΣ1..1IdentifierLogical reference, when literal reference is not known
..... display Σ0..1stringText alternative for the resource
.... episodeOfCare:lpr3identifier SΣ0..1Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier SΣ1..1Lpr3IdentifierAn identifier intended for computation
..... display Σ0..1stringText alternative for the resource
... period S1..1PeriodThe start and end time of the encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC1..1dateTimeEncounter start time.
.... end SΣC0..1dateTimeEncounter end time.
... serviceProvider S1..1Reference(MedComCoreOrganization) {b}The organization (facility) responsible for this encounter

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Encounter.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Encounter.statusrequiredMedComHospitalNotificationEncounterStatus
Encounter.statusHistory.statusrequiredEncounterStatus
Encounter.classrequiredMedComHospitalNotificationEncounterClass
Encounter.classHistory.classextensibleActEncounterCode
Encounter.episodeOfCare.typeextensibleResourceType
Encounter.episodeOfCare:lpr3identifier.typeextensibleResourceType
Encounter.participant.typeextensibleParticipantType
Encounter.diagnosis.usepreferredDiagnosisRole
Encounter.hospitalization.admitSourcepreferredAdmitSource
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
Encounter.hospitalization.dietPreferenceexampleDiet
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
Encounter.location.statusrequiredEncounterLocationStatus
Encounter.location.physicalTypeexampleLocationType

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from MedComCoreEncounter

Summary

Mandatory: 5 elements
Must-Support: 5 elements
Prohibited: 15 elements

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron