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5.9.8 Resource Encounter - Formal Definitions

Formal definitions for the elements in the Encounter resource.

Encounter
Definition 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.
Control 1..1
Aliases Visit
Encounter.identifier
Definition Identifier(s) by which this encounter is known.
Control 0..*
Type Identifier
Summary true
Encounter.status
Definition planned | in progress | onleave | finished | cancelled.
Control 1..1
Binding EncounterState: Current state of the encounter (see http://hl7.org/fhir/encounter-state for values)
Type code
Is Modifier true
Summary true
Encounter.class
Definition inpatient | outpatient | ambulatory | emergency +.
Control 1..1
Binding EncounterClass: Classification of the encounter (see http://hl7.org/fhir/encounter-class for values)
Type code
Is Modifier true
Summary true
Encounter.type
Definition Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).
Control 0..*
Binding EncounterType: A specific code indicating type of service provided ( See http://hl7.org/fhir/vs/encounter-type )
Type CodeableConcept
Summary true
Comments Since there are many ways to further classify encounters, this element is 0..*.
Encounter.subject
Definition The patient present at the encounter.
Control 0..1
Type Resource ( Patient )
Aliases patient
Summary true
Comments While the encounter is always about the patient, the patient may not actually be known in all contexts of use.
Encounter.participant
Definition The main practitioner responsible for providing the service.
Control 0..*
Summary true
Encounter.participant.type
Definition Role of participant in encounter.
Control 0..*
Binding ParticipantType: ( See http://hl7.org/fhir/vs/encounter-participant-type )
Type CodeableConcept
Summary true
Encounter.participant.individual
Definition Persons involved in the encounter other than the patient.
Control 0..1
Type Resource ( Practitioner | RelatedPerson )
Summary true
Encounter.period
Definition The start and end time of the encounter.
Control 0..1
Type Period
Comments If not (yet) known, the end of the Period may be omitted.
Encounter.length
Definition Quantity of time the encounter lasted. This excludes the time during leaves of absence.
Control 0..1
Type Duration
Comments May differ from the time the Encounter.period lasted because of leave of absence.
Encounter.reason
Definition Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.
Control 0..1
Binding EncounterReason: ( See http://hl7.org/fhir/vs/encounter-reason )
Type CodeableConcept
Summary true
Encounter.indication
Definition Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis.
Control 0..1
Type Resource ( Any )
Aliases Admission diagnosis
Encounter.priority
Definition Indicates the urgency of the encounter.
Control 0..1
Binding Priority: ( See http://hl7.org/fhir/vs/encounter-priority )
Type CodeableConcept
Encounter.hospitalization
Definition Details about an admission to a clinic.
Control 0..1
Encounter.hospitalization.preAdmissionIdentifier
Definition Pre-admission identifier.
Control 0..1
Type Identifier
Encounter.hospitalization.origin
Definition The location from which the patient came before admission.
Control 0..1
Type Resource ( Location )
Encounter.hospitalization.admitSource
Definition From where patient was admitted (physician referral, transfer).
Control 0..1
Binding AdmitSource: ( See http://hl7.org/fhir/vs/encounter-admit-source )
Type CodeableConcept
Encounter.hospitalization.period
Definition Period during which the patient was admitted.
Control 0..1
Type Period
Comments May differ from start + length, since length excludes leaves of absence.
Encounter.hospitalization.accomodation
Definition Where the patient stays during this encounter.
Control 0..*
Encounter.hospitalization.accomodation.bed
Definition The bed that is assigned to the patient.
Control 0..1
Type Resource ( Location )
Encounter.hospitalization.accomodation.period
Definition Period during which the patient was assigned the bed.
Control 0..1
Type Period
Encounter.hospitalization.diet
Definition Dietary restrictions for the patient.
Control 0..1
Binding PatientDiet: ( See http://hl7.org/fhir/vs/encounter-diet )
Type CodeableConcept
Requirements Track patients reported dietary restrictions to help with catering requirements.
Encounter.hospitalization.specialCourtesy
Definition Special courtesies (VIP, board member).
Control 0..*
Binding Courtesies: ( See http://hl7.org/fhir/vs/encounter-special-courtesy )
Type CodeableConcept
Encounter.hospitalization.specialArrangement
Definition Wheelchair, translator, stretcher, etc.
Control 0..*
Binding Arrangements: ( See http://hl7.org/fhir/vs/encounter-special-arrangements )
Type CodeableConcept
Encounter.hospitalization.destination
Definition Location to which the patient is discharged.
Control 0..1
Type Resource ( Location )
Encounter.hospitalization.dischargeDisposition
Definition Category or kind of location after discharge.
Control 0..1
Binding DischargeDisp: ( See http://hl7.org/fhir/vs/encounter-discharge-disposition )
Type CodeableConcept
Encounter.hospitalization.dischargeDiagnosis
Definition The final diagnosis given a patient before release from the hospital after all testing, surgery, and workup are complete.
Control 0..1
Type Resource ( Any )
Encounter.hospitalization.reAdmission
Definition Whether this hospitalization is a readmission.
Control 0..1
Type boolean
To Do Need a harmonization proposal for this.
Encounter.location
Definition List of locations at which the patient has been.
Control 0..*
Encounter.location.location
Definition The location where the encounter takes place.
Control 1..1
Type Resource ( Location )
Encounter.location.period
Definition Time period during which the patient was present at the location.
Control 1..1
Type Period
Encounter.serviceProvider
Definition Department or team providing care.
Control 0..1
Type Resource ( Organization )
Encounter.partOf
Definition Another Encounter of which this encounter is a part of (administratively or in time).
Control 0..1
Type Resource ( Encounter )

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