This
page
is
part
of
the
FHIR
Specification
(v0.0.82:
(v1.0.2:
DSTU
1).
2).
The
current
version
which
supercedes
this
version
is
5.0.0
.
For
a
full
list
of
available
versions,
see
the
Directory
of
published
versions
.
Page
versions:
R5
R4B
R4
R3
R2
Formal
definitions
Detailed
Descriptions
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 |
| Alternate Names | Visit |
| Encounter.identifier | |
| Definition |
Identifier(s) by which this encounter is known. |
| Note | This is a business identifer, not a resource identifier (see discussion ) |
| Control | 0..* |
| Type | Identifier |
| Summary | true |
| Encounter.status | |
| Definition |
planned
|
|
| Control | 1..1 |
| Binding |
EncounterState:
Current
state
of
the
encounter
|
| Type | code |
| Is Modifier | true |
| Summary | true |
|
|
|
| Definition | The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them. |
| Control | 0..* |
| Comments | The current status is always found in the current version of the resource, not the status history. |
| Encounter.statusHistory.status | |
| Definition |
planned
|
|
| Control | 1..1 |
| Binding |
|
| Type | code |
| Encounter.statusHistory.period | |
| Definition |
The time that the episode was in the specified status. |
| Control |
|
| Type | Period |
| Encounter.class | |
| Definition | inpatient | outpatient | ambulatory | emergency +. |
| Control | 0..1 |
| Binding | EncounterClass: Classification of the encounter ( Required ) |
| Type | code |
| Summary | true |
| Encounter.type | |
| Definition |
Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation). |
| Control | 0..* |
| Binding |
EncounterType:
|
| Type | CodeableConcept |
| Summary | true |
| Comments |
Since there are many ways to further classify encounters, this element is 0..*. |
|
|
|
| Definition | Indicates the urgency of the encounter. |
| Control | 0..1 |
| Binding | Encounter Priority: Indicates the urgency of the encounter. ( Example ) |
| Type | CodeableConcept |
| Encounter.patient | |
| Definition |
The patient present at the encounter. |
| Control | 0..1 |
| Type |
|
| Alternate Names | patient |
| Summary | true |
| Comments |
While the encounter is always about the patient, the patient may not actually be known in all contexts of use. |
|
|
|
| Definition | Where a specific encounter should be classified as a part of a specific episode(s) of care this field should be used. This association can facilitate grouping of related encounters together for a specific purpose, such as government reporting, issue tracking, association via a common problem. The association is recorded on the encounter as these are typically created after the episode of care, and grouped on entry rather than editing the episode of care to append another encounter to it (the episode of care could span years). |
| Control | 0..* |
| Type | Reference ( EpisodeOfCare ) |
| Summary | true |
| Encounter.incomingReferral | |
| Definition |
The
|
| Control | 0..* |
| Type | Reference ( ReferralRequest ) |
| Encounter.participant | |
| Definition | The list of people responsible for providing the service. |
| Control | 0..* |
| Summary | true |
| Encounter.participant.type | |
| Definition |
Role of participant in encounter. |
| Control | 0..* |
| Binding |
ParticipantType:
|
| Type | CodeableConcept |
| Summary | true |
| Comments | The participant type indicates how an individual partitipates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc. |
|
|
|
| Definition | The period of time that the specified participant was present during the encounter. These can overlap or be sub-sets of the overall encounters period. |
| Control | 0..1 |
| Type | Period |
| Encounter.participant.individual | |
| Definition |
Persons involved in the encounter other than the patient. |
| Control | 0..1 |
| Type |
|
| Summary | true |
|
|
|
| Definition | The appointment that scheduled this encounter. |
| Control | 0..1 |
| Type | Reference ( Appointment ) |
| 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 |
|
| Binding |
|
| Type | CodeableConcept |
| Alternate Names | Indication; Admission diagnosis |
| Summary | true |
| Comments | For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis). |
| Encounter.indication | |
| Definition |
Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure. |
| Control |
|
| Type |
|
| Alternate Names | Admission diagnosis |
|
|
For
systems
that
need
to
know
which
was
the
|
|
|
|
| Definition |
Details
about
|
| Control | 0..1 |
| Comments | An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included. The duration recorded in the period of this encounter covers the entire scope of this hospitalization record. |
| 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 |
|
| Encounter.hospitalization.admitSource | |
| Definition |
From where patient was admitted (physician referral, transfer). |
| Control | 0..1 |
| Binding |
AdmitSource:
|
| Type | CodeableConcept |
|
|
|
| Definition |
The
admitting
diagnosis
field
is
used
to
record
the
|
| Control |
|
| Type |
|
|
|
|
| Definition |
Whether
this
|
| Control |
|
| Binding |
|
| Type |
|
|
|
|
|
|
|
| Definition |
Diet preferences reported by the patient. |
| Control |
|
| Binding |
|
| Type | CodeableConcept |
| Requirements |
Used
to
track
patient's
diet
restrictions
and/or
preference.
For
a
complete
description
of
the
nutrition
needs
of
a
patient
during
their
stay,
one
should
use
the
nutritionOrder
resource
which
links
to
|
| Comments | For example a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive). |
| Encounter.hospitalization.specialCourtesy | |
| Definition |
Special courtesies (VIP, board member). |
| Control | 0..* |
| Binding |
|
| Type | CodeableConcept |
| Encounter.hospitalization.specialArrangement | |
| Definition |
Wheelchair, translator, stretcher, etc. |
| Control | 0..* |
| Binding |
|
| Type | CodeableConcept |
| Encounter.hospitalization.destination | |
| Definition |
Location to which the patient is discharged. |
| Control | 0..1 |
| Type |
|
| Encounter.hospitalization.dischargeDisposition | |
| Definition |
Category or kind of location after discharge. |
| Control | 0..1 |
| Binding |
|
| 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 |
|
| Type |
|
|
|
|
| Definition |
List
of
locations
where
the
patient
has
been
during
this
|
| Control |
|
|
|
Virtual
encounters
can
be
recorded
in
the
Encounter
by
specifying
a
|
|
|
|
| Definition |
The
location
where
the
|
| Control |
|
| Type | Reference ( Location ) |
|
|
|
| Definition |
The
status
of
the
participants'
presence
at
the
specified
location
|
| Control |
|
|
|
|
| Type | code |
| Comments | When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed. |
| Encounter.location.period | |
| Definition |
Time period during which the patient was present at the location. |
| Control |
|
| Type | Period |
| Encounter.serviceProvider | |
| Definition |
An
organization
that
is
in
charge
of
maintaining
the
information
of
this
Encounter
(e.g.
who
maintains
the
report
or
|
| Control | 0..1 |
| Type |
|
| Encounter.partOf | |
| Definition |
Another Encounter of which this encounter is a part of (administratively or in time). |
| Control | 0..1 |
| Type |
|