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{
  "resourceType": "StructureDefinition",
  "id": "structuredefinition-profile-iar-encounter",
  "url": "http://ontariohealth.ca/fhir/iar/StructureDefinition/profile-encounter",
  "version": "1.0.0",
  "name": "EncounterIAR",
  "title": "Encounter IAR",
  "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.contained",
        "path": "Encounter.contained",
        "short": "Tracks balance, charges, for patient or cost center",
        "definition": "A financial tool for tracking value accrued for a particular purpose.  In the healthcare field, used to track charges for a patient, cost centers, etc.",
        "alias": [
          "Cost center",
          "Record"
        ],
        "type": [
          {
            "code": "Resource",
            "profile": [
              "http://ontariohealth.ca/fhir/iar/StructureDefinition/profile-account",
              "http://ontariohealth.ca/fhir/iar/StructureDefinition/profile-coverage",
              "http://ontariohealth.ca/fhir/iar/StructureDefinition/profile-location"
            ]
          }
        ],
        "constraint": [
          {
            "key": "dom-2",
            "severity": "error",
            "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression": "contained.contained.empty()",
            "xpath": "not(parent::f:contained and f:contained)",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-4",
            "severity": "error",
            "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-3",
            "severity": "error",
            "human": "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",
            "expression": "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()",
            "xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-6",
            "severity": "warning",
            "human": "A resource should have narrative for robust management",
            "expression": "text.`div`.exists()",
            "xpath": "exists(f:text/h:div)",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-5",
            "severity": "error",
            "human": "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression": "contained.meta.security.empty()",
            "xpath": "not(exists(f:contained/*/f:meta/f:security))",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "Account"
          }
        ]
      },
      {
        "id": "Encounter.identifier",
        "path": "Encounter.identifier",
        "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",
          "valueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/program-type"
        }
      },
      {
        "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.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.period",
        "path": "Encounter.period",
        "min": 1,
        "mustSupport": true,
        "isSummary": true
      },
      {
        "id": "Encounter.period.start",
        "path": "Encounter.period.start",
        "min": 1,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "interRAI",
            "map": "iB2 (Date Stay began/Case opened), cihiB2 (Return date), AD4b (Program start date)"
          }
        ]
      },
      {
        "id": "Encounter.period.end",
        "path": "Encounter.period.end",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "interRAI",
            "map": "iT1 (Last day of stay), AD4c (Program end date)"
          }
        ]
      },
      {
        "id": "Encounter.reasonCode",
        "path": "Encounter.reasonCode",
        "mustSupport": false
      },
      {
        "id": "Encounter.reasonCode.coding.display.extension:translation",
        "path": "Encounter.reasonCode.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Encounter.reasonCode.coding.display.extension:translation.url",
        "path": "Encounter.reasonCode.coding.display.extension.url",
        "fixedUri": "translation"
      },
      {
        "id": "Encounter.account",
        "path": "Encounter.account",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/iar/StructureDefinition/profile-account"
            ],
            "aggregation": [
              "contained"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.account.reference",
        "path": "Encounter.account.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Encounter.hospitalization",
        "path": "Encounter.hospitalization",
        "mustSupport": true
      },
      {
        "id": "Encounter.hospitalization.origin",
        "path": "Encounter.hospitalization.origin",
        "mustSupport": true
      },
      {
        "id": "Encounter.hospitalization.origin.reference",
        "path": "Encounter.hospitalization.origin.reference",
        "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.reAdmission",
        "path": "Encounter.hospitalization.reAdmission",
        "mustSupport": true
      },
      {
        "id": "Encounter.hospitalization.reAdmission.coding",
        "path": "Encounter.hospitalization.reAdmission.coding",
        "type": [
          {
            "code": "Coding",
            "profile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/Coding-oh-ehr"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.hospitalization.reAdmission.coding.display.extension:translation",
        "path": "Encounter.hospitalization.reAdmission.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Encounter.hospitalization.reAdmission.coding.display.extension:translation.extension",
        "path": "Encounter.hospitalization.reAdmission.coding.display.extension.extension",
        "min": 2
      },
      {
        "id": "Encounter.hospitalization.destination",
        "path": "Encounter.hospitalization.destination",
        "mustSupport": true
      },
      {
        "id": "Encounter.hospitalization.destination.reference",
        "path": "Encounter.hospitalization.destination.reference",
        "mustSupport": true
      },
      {
        "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/iar/StructureDefinition/profile-location"
            ],
            "aggregation": [
              "contained"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.location.location.reference",
        "path": "Encounter.location.location.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Encounter.location.period",
        "path": "Encounter.location.period",
        "mustSupport": true
      },
      {
        "id": "Encounter.location.period.start",
        "path": "Encounter.location.period.start",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Encounter.location.period.end",
        "path": "Encounter.location.period.end",
        "mustSupport": true
      },
      {
        "id": "Encounter.serviceProvider",
        "path": "Encounter.serviceProvider",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-organization"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.serviceProvider.reference",
        "path": "Encounter.serviceProvider.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Encounter.partOf",
        "path": "Encounter.partOf",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/iar/StructureDefinition/profile-encounter"
            ],
            "aggregation": [
              "contained"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Encounter.partOf.reference",
        "path": "Encounter.partOf.reference",
        "min": 1,
        "mustSupport": true
      }
    ]
  }
}