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{
"resourceType": "StructureDefinition",
"id": "8ffc4bb2-fc6e-4e04-8740-4e1ba0d4c631",
"meta": {
"lastUpdated": "2025-02-04T20:59:34.4713462+00:00"
},
"url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Encounter",
"name": "CDREncounter",
"status": "draft",
"date": "2024-04-29T14:35:28.2270511+00:00",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "cdr-v2-data-in",
"uri": "http://ehealthontario.ca"
},
{
"identity": "virtual-visit",
"name": "Virtual Visit Mapping"
}
],
"kind": "resource",
"abstract": false,
"type": "Encounter",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Encounter",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Encounter.meta",
"path": "Encounter.meta",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.meta.profile",
"path": "Encounter.meta.profile",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.contained",
"path": "Encounter.contained",
"comment": "For encounter submission and encounter read, the resource will contain patient, practitioner, and organization resources.",
"mustSupport": true
},
{
"id": "Encounter.identifier",
"path": "Encounter.identifier",
"min": 1,
"max": "1",
"mustSupport": true,
"mapping": [
{
"identity": "cdr-v2-data-in",
"map": "PV1.19 (visit number)"
},
{
"identity": "virtual-visit",
"map": "Event ID",
"comment": "Unique identifier for the Event to a single patient"
}
]
},
{
"id": "Encounter.identifier.type",
"path": "Encounter.identifier.type",
"min": 1,
"mustSupport": true
},
{
"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,
"fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203",
"mustSupport": true
},
{
"id": "Encounter.identifier.type.coding.code",
"path": "Encounter.identifier.type.coding.code",
"min": 1,
"fixedCode": "VN",
"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",
"definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.\r\n\r\nIn this implementation, this will be the visit OID.",
"comment": "Contains an OID in the urn format (urn:oid:xxxx)",
"min": 1,
"mustSupport": true,
"mapping": [
{
"identity": "cdr-v2-data-in",
"map": "PV1.19.4"
}
]
},
{
"id": "Encounter.identifier.value",
"path": "Encounter.identifier.value",
"min": 1,
"mustSupport": true,
"mapping": [
{
"identity": "cdr-v2-data-in",
"map": "PV1.19.1"
}
]
},
{
"id": "Encounter.status",
"path": "Encounter.status",
"mustSupport": true
},
{
"id": "Encounter.class",
"path": "Encounter.class",
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/acCDR-encounter-class"
},
"mapping": [
{
"identity": "cdr-v2-data-in",
"map": "PV1.2"
},
{
"identity": "virtual-visit",
"map": "Modality",
"comment": "Primary modality or channel of the virtual care event as either Video, Secure Messaging, or both"
}
]
},
{
"id": "Encounter.class.system",
"path": "Encounter.class.system",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.class.code",
"path": "Encounter.class.code",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.class.display",
"path": "Encounter.class.display",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.type",
"path": "Encounter.type",
"max": "1",
"mustSupport": true,
"binding": {
"strength": "extensible",
"description": "The type of encounter defined by local system",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/local-PV1-4values"
},
"mapping": [
{
"identity": "cdr-v2-data-in",
"map": "PV1.4"
},
{
"identity": "virtual-visit",
"map": "Event Type",
"comment": "Describes the nature of the communication between participants"
}
]
},
{
"id": "Encounter.type.coding",
"path": "Encounter.type.coding",
"min": 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.serviceType",
"path": "Encounter.serviceType",
"comment": "If hospitals send MOH defined codes, those codes will be returned in coding. If hospitals only support free text, only text field will be returned.",
"mustSupport": true,
"binding": {
"strength": "extensible",
"description": "Indicates description of the Hospital Service",
"valueSet": "http://cihi.ca/fhir/ValueSet/aac-hospital-service"
},
"mapping": [
{
"identity": "cdr-v2-data-in",
"map": "PV1.10",
"comment": "coding will be mapped to MOH codes in v2.6. Pre 2.6 will only support text"
}
]
},
{
"id": "Encounter.serviceType.coding",
"path": "Encounter.serviceType.coding",
"max": "1",
"mustSupport": true
},
{
"id": "Encounter.serviceType.coding.system",
"path": "Encounter.serviceType.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.serviceType.coding.code",
"path": "Encounter.serviceType.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.serviceType.coding.display",
"path": "Encounter.serviceType.coding.display",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.serviceType.text",
"path": "Encounter.serviceType.text",
"mustSupport": true
},
{
"id": "Encounter.priority",
"path": "Encounter.priority",
"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",
"mustSupport": true
},
{
"id": "Encounter.priority.coding.system",
"path": "Encounter.priority.coding.system",
"min": 1,
"fixedUri": "http://ctas-phctas.ca/CodeSystem/canadian-triage-acuity-scale",
"mustSupport": true
},
{
"id": "Encounter.priority.coding.code",
"path": "Encounter.priority.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.priority.coding.display",
"path": "Encounter.priority.coding.display",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.subject",
"path": "Encounter.subject",
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Patient"
]
}
],
"mustSupport": true
},
{
"id": "Encounter.participant",
"path": "Encounter.participant",
"mustSupport": true
},
{
"id": "Encounter.participant.type",
"path": "Encounter.participant.type",
"definition": "Role of participant in encounter. For virtual visit encounter, use type \"ATND\" (attender) to indicate Host Practitioner",
"min": 1,
"max": "1",
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/acCDR-encounter-participant-type"
}
},
{
"id": "Encounter.participant.type.coding",
"path": "Encounter.participant.type.coding",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Encounter.participant.type.coding.system",
"path": "Encounter.participant.type.coding.system",
"min": 1,
"fixedUri": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"mustSupport": true
},
{
"id": "Encounter.participant.type.coding.code",
"path": "Encounter.participant.type.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.participant.type.coding.display",
"path": "Encounter.participant.type.coding.display",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.participant.individual",
"path": "Encounter.participant.individual",
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-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,
"mapping": [
{
"identity": "cdr-v2-data-in",
"map": "PV1.44"
}
]
},
{
"id": "Encounter.period.end",
"path": "Encounter.period.end",
"mustSupport": true,
"mapping": [
{
"identity": "cdr-v2-data-in",
"map": "PV1.45"
}
]
},
{
"id": "Encounter.reasonCode",
"path": "Encounter.reasonCode",
"mustSupport": true,
"mapping": [
{
"identity": "virtual-visit",
"map": "Primary Diagnosis",
"comment": "Main problem, assigned by the health care provider that is deemed to be the clinically significant reason for the patient’s virtual visit and that requires evaluation and/or treatment or management. . This can be a diagnosis, condition, problem, or circumstance."
},
{
"identity": "cdr-v2-data-in",
"map": "PV2-3"
}
]
},
{
"id": "Encounter.reasonCode.coding",
"path": "Encounter.reasonCode.coding",
"max": "1",
"mustSupport": true
},
{
"id": "Encounter.reasonCode.coding.code",
"path": "Encounter.reasonCode.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.reasonCode.coding.display",
"path": "Encounter.reasonCode.coding.display",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.reasonCode.text",
"path": "Encounter.reasonCode.text",
"mustSupport": true
},
{
"id": "Encounter.diagnosis",
"path": "Encounter.diagnosis",
"mustSupport": true
},
{
"id": "Encounter.diagnosis.condition",
"path": "Encounter.diagnosis.condition",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Condition"
]
}
],
"mustSupport": true
},
{
"id": "Encounter.diagnosis.condition.reference",
"path": "Encounter.diagnosis.condition.reference",
"mustSupport": true
},
{
"id": "Encounter.diagnosis.condition.display",
"path": "Encounter.diagnosis.condition.display",
"mapping": [
{
"identity": "cdr-v2-data-in",
"map": "DG1-3.2"
}
]
},
{
"id": "Encounter.diagnosis.use",
"path": "Encounter.diagnosis.use",
"mustSupport": true
},
{
"id": "Encounter.hospitalization",
"path": "Encounter.hospitalization",
"mustSupport": true
},
{
"id": "Encounter.hospitalization.admitSource",
"path": "Encounter.hospitalization.admitSource",
"mustSupport": true,
"binding": {
"strength": "required",
"description": "indicates the last point of entry prior to being admitted as an inpatient to the reporting facility",
"valueSet": "http://cihi.ca/fhir/ValueSet/aac-admit-source"
},
"mapping": [
{
"identity": "cdr-v2-data-in",
"map": "PV1.14",
"comment": "Only supported post 2.6"
}
]
},
{
"id": "Encounter.hospitalization.admitSource.coding",
"path": "Encounter.hospitalization.admitSource.coding",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Encounter.hospitalization.admitSource.coding.system",
"path": "Encounter.hospitalization.admitSource.coding.system",
"min": 1,
"fixedUri": "http://cihi.ca/fhir/CodeSystem/aac-admit-source",
"mustSupport": true
},
{
"id": "Encounter.hospitalization.admitSource.coding.code",
"path": "Encounter.hospitalization.admitSource.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.hospitalization.admitSource.coding.display",
"path": "Encounter.hospitalization.admitSource.coding.display",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.hospitalization.dischargeDisposition",
"path": "Encounter.hospitalization.dischargeDisposition",
"mustSupport": true,
"binding": {
"strength": "required",
"description": "disposition of the patient at time of discharge (i.e., discharged to home, expired, etc.).",
"valueSet": "http://cihi.ca/fhir/ValueSet/aac-discharge-disposition"
}
},
{
"id": "Encounter.hospitalization.dischargeDisposition.coding",
"path": "Encounter.hospitalization.dischargeDisposition.coding",
"min": 1,
"max": "1",
"mapping": [
{
"identity": "cdr-v2-data-in",
"map": "PV1.36",
"comment": "This field is added in v2.6"
}
]
},
{
"id": "Encounter.hospitalization.dischargeDisposition.coding.system",
"path": "Encounter.hospitalization.dischargeDisposition.coding.system",
"min": 1,
"fixedUri": "http://cihi.ca/fhir/CodeSystem/aac-discharge-disposition"
},
{
"id": "Encounter.hospitalization.dischargeDisposition.coding.code",
"path": "Encounter.hospitalization.dischargeDisposition.coding.code",
"min": 1
},
{
"id": "Encounter.hospitalization.dischargeDisposition.coding.display",
"path": "Encounter.hospitalization.dischargeDisposition.coding.display",
"min": 1
},
{
"id": "Encounter.location",
"path": "Encounter.location",
"mustSupport": true,
"mapping": [
{
"identity": "cdr-v2-data-in",
"map": "PV1.3"
}
]
},
{
"id": "Encounter.location.location",
"path": "Encounter.location.location",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Location"
]
}
],
"mustSupport": true
},
{
"id": "Encounter.location.location.reference",
"path": "Encounter.location.location.reference",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.location.location.display",
"path": "Encounter.location.location.display",
"mustSupport": true
},
{
"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,
"isModifier": false
},
{
"id": "Encounter.location.status",
"path": "Encounter.location.status",
"comment": "SHALL be populated with \"completed\" for past locations. If it is not present, it is the current location.",
"mustSupport": true
},
{
"id": "Encounter.location.physicalType",
"path": "Encounter.location.physicalType",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.location.physicalType.coding",
"path": "Encounter.location.physicalType.coding",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Encounter.location.physicalType.coding.system",
"path": "Encounter.location.physicalType.coding.system",
"min": 1,
"fixedUri": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"mustSupport": true
},
{
"id": "Encounter.location.physicalType.coding.code",
"path": "Encounter.location.physicalType.coding.code",
"min": 1,
"fixedCode": "si",
"mustSupport": true
},
{
"id": "Encounter.location.physicalType.coding.display",
"path": "Encounter.location.physicalType.coding.display",
"min": 1,
"fixedString": "Site",
"mustSupport": true
}
]
}
}
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