FHIR IG Statistics: StructureDefinition/profile-encounter

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Narrative

Note: links and images are rebased to the (stated) source

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	Encounter Profile
identifier	S	0..*	Identifier	Identifier(s) by which this encounter is known
status	S	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled +
class	S	1..1	Coding	Classification of patient encounter
type	S	0..*	CodeableConcept	Specific type of encounter Binding: Encounter Type (preferred): Valueset to describe the Encounter Type
subject	S	1..1	Reference(Patient Profile)	The patient present at the encounter
participant	S	0..*	BackboneElement	A list of Practitioners participating in the encounter
individual		0..1	Reference(Practitioner Profile (General) | PractitionerRole Profile (General))	Persons involved in the encounter other than the patient
reasonCode	S	0..*	CodeableConcept	Coded reason the encounter takes place
reasonReference		0..*	Reference(Condition Profile | Procedure Profile | Observation Profile (General Use) | ImmunizationRecommendation Profile)	Reason the encounter takes place (reference)
diagnosis	S	0..*	BackboneElement	The list of diagnosis relevant to this encounter
condition		1..1	Reference(Condition Profile | Procedure Profile)	The diagnosis or procedure relevant to the encounter
rank	S	0..1	positiveInt	Ranking of the diagnosis (for each role type)
hospitalization	S	0..1	BackboneElement	Details about the admission to a healthcare service
origin		0..1	Reference(Location Profile | Organization Profile)	The location/organization from which the patient came before admission
destination		0..1	Reference(Location Profile | Organization Profile)	Location/organization to which the patient is discharged
dischargeDisposition		0..1	CodeableConcept	Category or kind of location after discharge Binding: https://fhir.infoway-inforoute.ca/ValueSet/encounterdischargedisposition (preferred): Discharge Disposition.
location
location		1..1	Reference(Location Profile)	Location the encounter takes place
serviceProvider		0..1	Reference(Organization Profile)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter Profile)	Another Encounter this encounter is part of
Documentation for this format

Source

{
  "resourceType": "StructureDefinition",
  "id": "profile-encounter",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-Encounter",
  "version": "2.0.0",
  "name": "EncounterV2Draft",
  "title": "MHA Encounter Profile",
  "status": "draft",
  "date": "2022-08-22T20:17:06.3613088+00:00",
  "publisher": "HL7 Canada - FHIR Implementation Work Group",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "https://infocentral.infoway-inforoute.ca/en/collaboration/wg/fhir-implementations"
        }
      ]
    }
  ],
  "description": "Proposed constraints and extensions on the Encounter Resource",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "CA"
        }
      ]
    }
  ],
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "MHA-PDS-Mapping",
      "name": "MHA PDS Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Encounter",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Encounter",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Encounter",
        "path": "Encounter",
        "short": "Encounter",
        "definition": "The Encounter Profile is based upon the core FHIR Encounter Resource",
        "constraint": [
          {
            "key": "enc-key-1",
            "severity": "error",
            "human": "Reason For Discharge must be provided if Organization Discharge Date is provided.",
            "expression": "period.end.hasValue() implies hospitalization.dischargeDisposition.hasValue()"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.meta",
        "path": "Encounter.meta",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Encounter.meta.profile",
        "path": "Encounter.meta.profile",
        "min": 1,
        "max": "1",
        "fixedCanonical": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-encounter",
        "mustSupport": true
      },
      {
        "id": "Encounter.extension:directMinutes",
        "path": "Encounter.extension",
        "sliceName": "directMinutes",
        "definition": "Time spent providing service to a client, with direct client interaction",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-directminutes"
            ]
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "MHA-PDS-Mapping",
            "map": "Direct Minutes"
          }
        ]
      },
      {
        "id": "Encounter.extension:directMinutes.value[x]",
        "path": "Encounter.extension.value[x]",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "MHA-PDS-Mapping",
            "map": "Direct Minutes"
          }
        ]
      },
      {
        "id": "Encounter.extension:indirectMinutes",
        "path": "Encounter.extension",
        "sliceName": "indirectMinutes",
        "definition": "Time spent providing service to a client, without direct client interaction",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-indirectminutes"
            ]
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "MHA-PDS-Mapping",
            "map": "Indirect Minutes"
          }
        ]
      },
      {
        "id": "Encounter.extension:indirectMinutes.value[x]",
        "path": "Encounter.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Encounter.identifier",
        "path": "Encounter.identifier",
        "min": 1,
        "max": "2",
        "mustSupport": true
      },
      {
        "id": "Encounter.identifier.system",
        "path": "Encounter.identifier.system",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "The identifier URIs for encounters",
          "valueSet": "http://ontariohealth.ca/fhir/ValueSet/mha/Encounter-identifier-system"
        }
      },
      {
        "id": "Encounter.identifier.value",
        "path": "Encounter.identifier.value",
        "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.\r\n\r\nThe unique identifier assigned to each service event with a health service.",
        "min": 1,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "MHA-PDS-Mapping",
            "map": "Health Service Event ID"
          }
        ]
      },
      {
        "id": "Encounter.status",
        "path": "Encounter.status",
        "mustSupport": true
      },
      {
        "id": "Encounter.class",
        "path": "Encounter.class",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Classification of patient encounter"
        }
      },
      {
        "id": "Encounter.class.system",
        "path": "Encounter.class.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "mustSupport": true
      },
      {
        "id": "Encounter.class.code",
        "path": "Encounter.class.code",
        "min": 1,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "MHA-PDS-Mapping",
            "map": "Service Modality"
          }
        ]
      },
      {
        "id": "Encounter.class.display",
        "path": "Encounter.class.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Encounter.type",
        "path": "Encounter.type",
        "comment": "The binding strength of this element is [Preferred](https://www.hl7.org/fhir/terminologies.html#strength), meaning that codes are encouraged to draw from the SNOMED CT code system for interoperability purposes but are not required to do so to be considered conformant.",
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "description": "Valueset to describe the Encounter Type",
          "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/EncounterTypeCode"
        },
        "mapping": [
          {
            "identity": "MHA-PDS-Mapping",
            "map": "Service Modality"
          }
        ]
      },
      {
        "id": "Encounter.type.coding",
        "path": "Encounter.type.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Encounter.type.coding.system",
        "path": "Encounter.type.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Encounter.type.coding.code",
        "path": "Encounter.type.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Encounter.type.coding.display",
        "path": "Encounter.type.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Encounter.subject",
        "path": "Encounter.subject",
        "short": "The patient present at the encounter",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.subject.reference",
        "path": "Encounter.subject.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Encounter.episodeOfCare",
        "path": "Encounter.episodeOfCare",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-EpisodeOfCare"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.basedOn",
        "path": "Encounter.basedOn",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-servicerequest"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.basedOn.reference",
        "path": "Encounter.basedOn.reference",
        "mustSupport": true
      },
      {
        "id": "Encounter.participant",
        "path": "Encounter.participant",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Encounter.appointment",
        "path": "Encounter.appointment",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-Appointment"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.appointment.reference",
        "path": "Encounter.appointment.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Encounter.period",
        "path": "Encounter.period",
        "mustSupport": true
      },
      {
        "id": "Encounter.period.start",
        "path": "Encounter.period.start",
        "comment": "If the low element is missing, the meaning is that the low boundary is not known.\r\n\r\nThe last date direct service was provided to client as part of the service.",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "MHA-PDS-Mapping",
            "map": "Encounter Date"
          }
        ]
      },
      {
        "id": "Encounter.period.end",
        "path": "Encounter.period.end",
        "mustSupport": true
      },
      {
        "id": "Encounter.diagnosis.rank",
        "path": "Encounter.diagnosis.rank",
        "mustSupport": true
      },
      {
        "id": "Encounter.hospitalization",
        "path": "Encounter.hospitalization",
        "mustSupport": true
      },
      {
        "id": "Encounter.hospitalization.dischargeDisposition",
        "path": "Encounter.hospitalization.dischargeDisposition",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "identifies the reason for discharge",
          "valueSet": "http://ontariohealth.ca/fhir/ValueSet/mha-organization-admission-discharge-reason"
        }
      },
      {
        "id": "Encounter.location",
        "path": "Encounter.location",
        "mustSupport": true
      },
      {
        "id": "Encounter.location.location",
        "path": "Encounter.location.location",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-location"
            ]
          }
        ]
      }
    ]
  }
}