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{
  "resourceType": "StructureDefinition",
  "id": "Encounter",
  "url": "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-encounter",
  "version": "1.0.0",
  "name": "EncounterEHR",
  "title": "Encounter EHR",
  "status": "active",
  "description": "An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Encounter",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Encounter",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Encounter.identifier",
        "path": "Encounter.identifier",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Encounter.identifier.type",
        "path": "Encounter.identifier.type",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/identifier-type"
        }
      },
      {
        "id": "Encounter.identifier.type.coding",
        "path": "Encounter.identifier.type.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Encounter.identifier.type.coding.system",
        "path": "Encounter.identifier.type.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Encounter.identifier.type.coding.code",
        "path": "Encounter.identifier.type.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Encounter.identifier.type.coding.display",
        "path": "Encounter.identifier.type.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Encounter.identifier.system",
        "path": "Encounter.identifier.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Encounter.identifier.value",
        "path": "Encounter.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Encounter.status",
        "path": "Encounter.status",
        "mustSupport": true
      },
      {
        "id": "Encounter.class",
        "path": "Encounter.class",
        "type": [
          {
            "code": "Coding",
            "profile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/Coding-oh-ehr"
            ]
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/encounter-class"
        }
      },
      {
        "id": "Encounter.class.display.extension:translation",
        "path": "Encounter.class.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Encounter.class.display.extension:translation.extension",
        "path": "Encounter.class.display.extension.extension",
        "min": 2
      },
      {
        "id": "Encounter.type",
        "path": "Encounter.type",
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr"
            ]
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "description": "This value set contains all Local PV1-4 Codes contributed by over 160 HIC organizations to identify the local Encounter Type",
          "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/local-encounter-type"
        }
      },
      {
        "id": "Encounter.type.coding",
        "path": "Encounter.type.coding",
        "min": 1
      },
      {
        "id": "Encounter.type.coding.display.extension:translation",
        "path": "Encounter.type.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Encounter.type.coding.display.extension:translation.extension",
        "path": "Encounter.type.coding.display.extension.extension",
        "min": 2
      },
      {
        "id": "Encounter.serviceType",
        "path": "Encounter.serviceType",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr"
            ]
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://cihi.ca/fhir/ValueSet/aac-hospital-service"
        }
      },
      {
        "id": "Encounter.serviceType.coding.display.extension:translation",
        "path": "Encounter.serviceType.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Encounter.serviceType.coding.display.extension:translation.extension",
        "path": "Encounter.serviceType.coding.display.extension.extension",
        "min": 2
      },
      {
        "id": "Encounter.priority",
        "path": "Encounter.priority",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr"
            ]
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/canadiantriageacuityscale"
        }
      },
      {
        "id": "Encounter.priority.coding",
        "path": "Encounter.priority.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Encounter.priority.coding.display.extension:translation",
        "path": "Encounter.priority.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Encounter.priority.coding.display.extension:translation.extension",
        "path": "Encounter.priority.coding.display.extension.extension",
        "min": 2
      },
      {
        "id": "Encounter.subject",
        "path": "Encounter.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.subject.reference",
        "path": "Encounter.subject.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Encounter.participant",
        "path": "Encounter.participant",
        "mustSupport": true
      },
      {
        "id": "Encounter.participant.type",
        "path": "Encounter.participant.type",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr"
            ]
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/encounter-participant-type"
        }
      },
      {
        "id": "Encounter.participant.type.coding",
        "path": "Encounter.participant.type.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Encounter.participant.type.coding.display.extension:translation",
        "path": "Encounter.participant.type.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Encounter.participant.type.coding.display.extension:translation.extension",
        "path": "Encounter.participant.type.coding.display.extension.extension",
        "min": 2
      },
      {
        "id": "Encounter.participant.individual",
        "path": "Encounter.participant.individual",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitioner"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.participant.individual.reference",
        "path": "Encounter.participant.individual.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Encounter.period",
        "path": "Encounter.period",
        "mustSupport": true
      },
      {
        "id": "Encounter.period.start",
        "path": "Encounter.period.start",
        "mustSupport": true
      },
      {
        "id": "Encounter.period.end",
        "path": "Encounter.period.end",
        "mustSupport": true
      },
      {
        "id": "Encounter.length",
        "path": "Encounter.length",
        "mustSupport": true
      },
      {
        "id": "Encounter.reasonCode",
        "path": "Encounter.reasonCode",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.reasonCode.coding",
        "path": "Encounter.reasonCode.coding",
        "max": "1"
      },
      {
        "id": "Encounter.reasonCode.coding.display.extension:translation",
        "path": "Encounter.reasonCode.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Encounter.reasonCode.coding.display.extension:translation.extension",
        "path": "Encounter.reasonCode.coding.display.extension.extension",
        "min": 2
      },
      {
        "id": "Encounter.diagnosis",
        "path": "Encounter.diagnosis",
        "mustSupport": true
      },
      {
        "id": "Encounter.diagnosis.condition",
        "path": "Encounter.diagnosis.condition",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-condition"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.diagnosis.condition.reference",
        "path": "Encounter.diagnosis.condition.reference",
        "mustSupport": true
      },
      {
        "id": "Encounter.diagnosis.use",
        "path": "Encounter.diagnosis.use",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.diagnosis.use.coding.display.extension:translation",
        "path": "Encounter.diagnosis.use.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Encounter.diagnosis.use.coding.display.extension:translation.extension",
        "path": "Encounter.diagnosis.use.coding.display.extension.extension",
        "min": 2
      },
      {
        "id": "Encounter.hospitalization",
        "path": "Encounter.hospitalization",
        "mustSupport": true
      },
      {
        "id": "Encounter.hospitalization.admitSource",
        "path": "Encounter.hospitalization.admitSource",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr"
            ]
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://cihi.ca/fhir/ValueSet/aac-admit-source"
        }
      },
      {
        "id": "Encounter.hospitalization.admitSource.coding",
        "path": "Encounter.hospitalization.admitSource.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Encounter.hospitalization.admitSource.coding.system",
        "path": "Encounter.hospitalization.admitSource.coding.system",
        "fixedUri": "http://cihi.ca/fhir/CodeSystem/aac-admit-source"
      },
      {
        "id": "Encounter.hospitalization.admitSource.coding.display.extension:translation",
        "path": "Encounter.hospitalization.admitSource.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Encounter.hospitalization.admitSource.coding.display.extension:translation.extension",
        "path": "Encounter.hospitalization.admitSource.coding.display.extension.extension",
        "min": 2
      },
      {
        "id": "Encounter.hospitalization.dischargeDisposition",
        "path": "Encounter.hospitalization.dischargeDisposition",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr"
            ]
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://cihi.ca/fhir/ValueSet/aac-discharge-disposition"
        }
      },
      {
        "id": "Encounter.hospitalization.dischargeDisposition.coding.display.extension:translation",
        "path": "Encounter.hospitalization.dischargeDisposition.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Encounter.hospitalization.dischargeDisposition.coding.display.extension:translation.extension",
        "path": "Encounter.hospitalization.dischargeDisposition.coding.display.extension.extension",
        "min": 2
      },
      {
        "id": "Encounter.location",
        "path": "Encounter.location",
        "mustSupport": true
      },
      {
        "id": "Encounter.location.location",
        "path": "Encounter.location.location",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-location"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.location.location.reference",
        "path": "Encounter.location.location.reference",
        "mustSupport": true
      },
      {
        "id": "Encounter.location.location.display",
        "path": "Encounter.location.location.display",
        "mustSupport": true
      },
      {
        "id": "Encounter.location.location.display.extension",
        "path": "Encounter.location.location.display.extension",
        "slicing": {
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Encounter.location.location.display.extension:bed-type",
        "path": "Encounter.location.location.display.extension",
        "sliceName": "bed-type",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-encounter-bed-type"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.location.status",
        "path": "Encounter.location.status",
        "mustSupport": true
      },
      {
        "id": "Encounter.location.physicalType",
        "path": "Encounter.location.physicalType",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.location.physicalType.coding",
        "path": "Encounter.location.physicalType.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Encounter.location.physicalType.coding.display.extension:translation",
        "path": "Encounter.location.physicalType.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Encounter.location.physicalType.coding.display.extension:translation.extension",
        "path": "Encounter.location.physicalType.coding.display.extension.extension",
        "min": 2
      }
    ]
  }
}