Encounter

Base

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.

PathCard.TypeDescription & Constraints
Encounter0..*An interaction during which services are provided to the patient
.idΣ0..1StringLogical id of this artifact
.metaΣ0..1MetaMetadata about the resource
.implicitRules?!Σ0..1uriA set of rules under which this content was created
.language0..1codeLanguage of the resource content
Bindinglanguages(preferred)
.text0..1NarrativeText summary of the resource, for human interpretation
.contained0..*ResourceContained, inline Resources
.extension0..*ExtensionAdditional content defined by implementations
.modifierExtension?!0..*ExtensionExtensions that cannot be ignored
.identifierΣ0..*IdentifierIdentifier(s) by which this encounter is known
.status?!Σ1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Bindingencounter-status(required)
.statusHistory0..*BackboneElementList of past encounter statuses
.id0..1StringUnique id for inter-element referencing
.extension0..*ExtensionAdditional content defined by implementations
.modifierExtension?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.status1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Bindingencounter-status(required)
.period1..1PeriodThe time that the episode was in the specified status
.classΣ1..1CodingClassification of patient encounter
Bindingv3-ActEncounterCode(extensible)
.classHistory0..*BackboneElementList of past encounter classes
.id0..1StringUnique id for inter-element referencing
.extension0..*ExtensionAdditional content defined by implementations
.modifierExtension?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.class1..1Codinginpatient | outpatient | ambulatory | emergency +
Bindingv3-ActEncounterCode(extensible)
.period1..1PeriodThe time that the episode was in the specified class
.typeΣ0..*CodeableConceptSpecific type of encounter
Bindingencounter-type(example)
.serviceTypeΣ0..1CodeableConceptSpecific type of service
Bindingservice-type(example)
.priority0..1CodeableConceptIndicates the urgency of the encounter
Bindingv3-ActPriority(example)
.subjectΣ0..1Reference(Patient | Group)The patient or group present at the encounter
.episodeOfCareΣ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
.basedOn0..*Reference(ServiceRequest)The ServiceRequest that initiated this encounter
.participantΣ0..*BackboneElementList of participants involved in the encounter
.id0..1StringUnique id for inter-element referencing
.extension0..*ExtensionAdditional content defined by implementations
.modifierExtension?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.typeΣ0..*CodeableConceptRole of participant in encounter
Bindingencounter-participant-type(extensible)
.period0..1PeriodPeriod of time during the encounter that the participant participated
.individualΣ0..1Reference(Practitioner | PractitionerRole | RelatedPerson)Persons involved in the encounter other than the patient
.appointmentΣ0..*Reference(Appointment)The appointment that scheduled this encounter
.period0..1PeriodThe start and end time of the encounter
.length0..1DurationQuantity of time the encounter lasted (less time absent)
.reasonCodeΣ0..*CodeableConceptCoded reason the encounter takes place
Bindingencounter-reason(preferred)
.reasonReferenceΣ0..*Reference(Condition | Procedure | Observation | ImmunizationRecommendation)Reason the encounter takes place (reference)
.diagnosisΣ0..*BackboneElementThe list of diagnosis relevant to this encounter
.id0..1StringUnique id for inter-element referencing
.extension0..*ExtensionAdditional content defined by implementations
.modifierExtension?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.conditionΣ1..1Reference(Condition | Procedure)The diagnosis or procedure relevant to the encounter
.use0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Bindingdiagnosis-role(preferred)
.rank0..1positiveIntRanking of the diagnosis (for each role type)
.account0..*Reference(Account)The set of accounts that may be used for billing for this Encounter
.hospitalization0..1BackboneElementDetails about the admission to a healthcare service
.id0..1StringUnique id for inter-element referencing
.extension0..*ExtensionAdditional content defined by implementations
.modifierExtension?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.preAdmissionIdentifier0..1IdentifierPre-admission identifier
.origin0..1Reference(Location | Organization)The location/organization from which the patient came before admission
.admitSource0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Bindingencounter-admit-source(preferred)
.reAdmission0..1CodeableConceptThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Bindingv2-0092(example)
.dietPreference0..*CodeableConceptDiet preferences reported by the patient
Bindingencounter-diet(example)
.specialCourtesy0..*CodeableConceptSpecial courtesies (VIP, board member)
Bindingencounter-special-courtesy(preferred)
.specialArrangement0..*CodeableConceptWheelchair, translator, stretcher, etc.
Bindingencounter-special-arrangements(preferred)
.destination0..1Reference(Location | Organization)Location/organization to which the patient is discharged
.dischargeDisposition0..1CodeableConceptCategory or kind of location after discharge
Bindingencounter-discharge-disposition(example)
.location0..*BackboneElementList of locations where the patient has been
.id0..1StringUnique id for inter-element referencing
.extension0..*ExtensionAdditional content defined by implementations
.modifierExtension?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.location1..1Reference(Location)Location the encounter takes place
.status0..1codeplanned | active | reserved | completed
Bindingencounter-location-status(required)
.physicalType0..1CodeableConceptThe physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Bindinglocation-physical-type(example)
.period0..1PeriodTime period during which the patient was present at the location
.serviceProvider0..1Reference(Organization)The organization (facility) responsible for this encounter
.partOf0..1Reference(Encounter)Another Encounter this encounter is part of