AU Base Implementation Guide
6.0.0-draft - Draft

Publication Build: This will be filled in by the publication tooling

## Resource Profile: AU Base Encounter

Official URL: http://hl7.org.au/fhir/StructureDefinition/au-encounter | Version: 6.0.0-draft
Standards status: Trial-use | Maturity Level: 1 | Computable Name: AUBaseEncounter
Copyright/Legal: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved.

This profile defines an encounter structure that localises core concepts, including terminology, for use in an Australian context. This profile is intended to be applicable for recording details of ambulatory and non-ambulatory patient encounters in an Australian healthcare context. The purpose of this profile is to provide national level agreement on core localised concepts. This profile does not force conformance to core localised concepts. It enables implementers and modellers to make their own rules, i.e. profiling, about how to support these concepts for specific implementation needs.

### Usage Notes

Usages:

- Examples for this Profile: Encounter/example0 and Encounter/example1

Changes since version 5.0.0:

- The data elements list has changed

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from Encounter

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An encounter in an Australian healthcare context
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:associatedHealthcareService |  | 0..* | Reference(HealthcareService) | Associated healthcare service URL: http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice
class |  | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode - AU Extended (extensible)
type |  | 0..* | CodeableConcept | Specific type of encounter Binding: Encounter Type (preferred)
serviceType |  | 0..1 | CodeableConcept | Specific type of service Binding: Service Type (preferred)
reasonCode |  | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Reason For Encounter (preferred)
hospitalization |  | 0..1 | BackboneElement | Details about the admission to a healthcare service
dischargeDisposition |  | 0..1 | CodeableConcept | Separation Mode Binding: Separation Mode (extensible)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Encounter.class | extensible | ActEncounterCodeAUExtended `http://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extended` From this IG
Encounter.type | preferred | EncounterType `https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1` From https://tx.ontoserver.csiro.au/fhir
Encounter.serviceType | preferred | ServiceType `https://healthterminologies.gov.au/fhir/ValueSet/service-type-1` From https://tx.ontoserver.csiro.au/fhir
Encounter.reasonCode | preferred | ReasonForEncounter `https://healthterminologies.gov.au/fhir/ValueSet/reason-for-encounter-1` From https://tx.ontoserver.csiro.au/fhir
Encounter.hospitalization.dischargeDisposition | extensible | SeparationMode (a valid code from `https://healthterminologies.gov.au/fhir/CodeSystem/separation-mode-1`) `https://healthterminologies.gov.au/fhir/ValueSet/separation-mode-1` From https://tx.ontoserver.csiro.au/fhir

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An encounter in an Australian healthcare context
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:associatedHealthcareService |  | 0..* | Reference(HealthcareService) | Associated healthcare service URL: http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode - AU Extended (extensible)
type | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: Encounter Type (preferred)
serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: Service Type (preferred)
reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Reason For Encounter (preferred)
hospitalization |  | 0..1 | BackboneElement | Details about the admission to a healthcare service
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
dischargeDisposition |  | 0..1 | CodeableConcept | Separation Mode Binding: Separation Mode (extensible)
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Encounter.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` From the FHIR Standard
Encounter.class | extensible | ActEncounterCodeAUExtended `http://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extended` From this IG
Encounter.type | preferred | EncounterType `https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1` From https://tx.ontoserver.csiro.au/fhir
Encounter.serviceType | preferred | ServiceType `https://healthterminologies.gov.au/fhir/ValueSet/service-type-1` From https://tx.ontoserver.csiro.au/fhir
Encounter.reasonCode | preferred | ReasonForEncounter `https://healthterminologies.gov.au/fhir/ValueSet/reason-for-encounter-1` From https://tx.ontoserver.csiro.au/fhir
Encounter.hospitalization.dischargeDisposition | extensible | SeparationMode (a valid code from `https://healthterminologies.gov.au/fhir/CodeSystem/separation-mode-1`) `https://healthterminologies.gov.au/fhir/ValueSet/separation-mode-1` From https://tx.ontoserver.csiro.au/fhir

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Encounter | 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 : 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() |
dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An encounter in an Australian healthcare context
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:associatedHealthcareService |  | 0..* | Reference(HealthcareService) | Associated healthcare service URL: http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known
status | ?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory |  | 0..* | BackboneElement | List of past encounter statuses
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status |  | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period |  | 1..1 | Period | The time that the episode was in the specified status
class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode - AU Extended (extensible)
classHistory |  | 0..* | BackboneElement | List of past encounter classes
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
class |  | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period |  | 1..1 | Period | The time that the episode was in the specified class
type | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: Encounter Type (preferred)
serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: Service Type (preferred)
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject | Σ | 0..1 | Reference(Patient | Group) | The patient or group present at the encounter
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against
basedOn |  | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter
participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period |  | 0..1 | Period | Period of time during the encounter that the participant participated
individual | Σ | 0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson) | Persons involved in the encounter other than the patient
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter
period |  | 0..1 | Period | The start and end time of the encounter
length |  | 0..1 | Duration | Quantity of time the encounter lasted (less time absent)
reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Reason For Encounter (preferred)
reasonReference | Σ | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference)
diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
condition | Σ | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter
use |  | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank |  | 0..1 | positiveInt | Ranking of the diagnosis (for each role type)
account |  | 0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter
hospitalization |  | 0..1 | BackboneElement | Details about the admission to a healthcare service
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier |  | 0..1 | Identifier | Pre-admission identifier
origin |  | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission
admitSource |  | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission |  | 0..1 | CodeableConcept | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
dietPreference |  | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy |  | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement |  | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination |  | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged
dischargeDisposition |  | 0..1 | CodeableConcept | Separation Mode Binding: Separation Mode (extensible)
location |  | 0..* | BackboneElement | List of locations where the patient has been
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
location |  | 1..1 | Reference(Location) | Location the encounter takes place
status |  | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType |  | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
period |  | 0..1 | Period | Time period during which the patient was present at the location
serviceProvider |  | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter
partOf |  | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Encounter.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Encounter.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` From the FHIR Standard
Encounter.statusHistory.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` From the FHIR Standard
Encounter.class | extensible | ActEncounterCodeAUExtended `http://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extended` From this IG
Encounter.classHistory.class | extensible | ActEncounterCode `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode`
Encounter.type | preferred | EncounterType `https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1` From https://tx.ontoserver.csiro.au/fhir
Encounter.serviceType | preferred | ServiceType `https://healthterminologies.gov.au/fhir/ValueSet/service-type-1` From https://tx.ontoserver.csiro.au/fhir
Encounter.priority | example | ActPriority `http://terminology.hl7.org/ValueSet/v3-ActPriority`
Encounter.participant.type | extensible | ParticipantType `http://hl7.org/fhir/ValueSet/encounter-participant-type` From the FHIR Standard
Encounter.reasonCode | preferred | ReasonForEncounter `https://healthterminologies.gov.au/fhir/ValueSet/reason-for-encounter-1` From https://tx.ontoserver.csiro.au/fhir
Encounter.diagnosis.use | preferred | DiagnosisRole `http://hl7.org/fhir/ValueSet/diagnosis-role` From the FHIR Standard
Encounter.hospitalization.admitSource | preferred | AdmitSource `http://hl7.org/fhir/ValueSet/encounter-admit-source` From the FHIR Standard
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicator `http://terminology.hl7.org/ValueSet/v2-0092`
Encounter.hospitalization.dietPreference | example | Diet `http://hl7.org/fhir/ValueSet/encounter-diet` From the FHIR Standard
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesy `http://hl7.org/fhir/ValueSet/encounter-special-courtesy` From the FHIR Standard
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangements `http://hl7.org/fhir/ValueSet/encounter-special-arrangements` From the FHIR Standard
Encounter.hospitalization.dischargeDisposition | extensible | SeparationMode (a valid code from `https://healthterminologies.gov.au/fhir/CodeSystem/separation-mode-1`) `https://healthterminologies.gov.au/fhir/ValueSet/separation-mode-1` From https://tx.ontoserver.csiro.au/fhir
Encounter.location.status | required | EncounterLocationStatus `http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1` From the FHIR Standard
Encounter.location.physicalType | example | LocationType `http://hl7.org/fhir/ValueSet/location-physical-type` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Encounter | 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 : 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() |
dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from Encounter

Summary

Extensions

This structure refers to these extensions:

- http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice

Maturity: 1

Differential View

This structure is derived from Encounter

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An encounter in an Australian healthcare context
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:associatedHealthcareService |  | 0..* | Reference(HealthcareService) | Associated healthcare service URL: http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice
class |  | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode - AU Extended (extensible)
type |  | 0..* | CodeableConcept | Specific type of encounter Binding: Encounter Type (preferred)
serviceType |  | 0..1 | CodeableConcept | Specific type of service Binding: Service Type (preferred)
reasonCode |  | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Reason For Encounter (preferred)
hospitalization |  | 0..1 | BackboneElement | Details about the admission to a healthcare service
dischargeDisposition |  | 0..1 | CodeableConcept | Separation Mode Binding: Separation Mode (extensible)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Encounter.class | extensible | ActEncounterCodeAUExtended `http://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extended` From this IG
Encounter.type | preferred | EncounterType `https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1` From https://tx.ontoserver.csiro.au/fhir
Encounter.serviceType | preferred | ServiceType `https://healthterminologies.gov.au/fhir/ValueSet/service-type-1` From https://tx.ontoserver.csiro.au/fhir
Encounter.reasonCode | preferred | ReasonForEncounter `https://healthterminologies.gov.au/fhir/ValueSet/reason-for-encounter-1` From https://tx.ontoserver.csiro.au/fhir
Encounter.hospitalization.dischargeDisposition | extensible | SeparationMode (a valid code from `https://healthterminologies.gov.au/fhir/CodeSystem/separation-mode-1`) `https://healthterminologies.gov.au/fhir/ValueSet/separation-mode-1` From https://tx.ontoserver.csiro.au/fhir

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An encounter in an Australian healthcare context
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:associatedHealthcareService |  | 0..* | Reference(HealthcareService) | Associated healthcare service URL: http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode - AU Extended (extensible)
type | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: Encounter Type (preferred)
serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: Service Type (preferred)
reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Reason For Encounter (preferred)
hospitalization |  | 0..1 | BackboneElement | Details about the admission to a healthcare service
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
dischargeDisposition |  | 0..1 | CodeableConcept | Separation Mode Binding: Separation Mode (extensible)
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Encounter.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` From the FHIR Standard
Encounter.class | extensible | ActEncounterCodeAUExtended `http://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extended` From this IG
Encounter.type | preferred | EncounterType `https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1` From https://tx.ontoserver.csiro.au/fhir
Encounter.serviceType | preferred | ServiceType `https://healthterminologies.gov.au/fhir/ValueSet/service-type-1` From https://tx.ontoserver.csiro.au/fhir
Encounter.reasonCode | preferred | ReasonForEncounter `https://healthterminologies.gov.au/fhir/ValueSet/reason-for-encounter-1` From https://tx.ontoserver.csiro.au/fhir
Encounter.hospitalization.dischargeDisposition | extensible | SeparationMode (a valid code from `https://healthterminologies.gov.au/fhir/CodeSystem/separation-mode-1`) `https://healthterminologies.gov.au/fhir/ValueSet/separation-mode-1` From https://tx.ontoserver.csiro.au/fhir

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Encounter | 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 : 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() |
dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An encounter in an Australian healthcare context
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:associatedHealthcareService |  | 0..* | Reference(HealthcareService) | Associated healthcare service URL: http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known
status | ?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory |  | 0..* | BackboneElement | List of past encounter statuses
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status |  | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period |  | 1..1 | Period | The time that the episode was in the specified status
class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode - AU Extended (extensible)
classHistory |  | 0..* | BackboneElement | List of past encounter classes
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
class |  | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period |  | 1..1 | Period | The time that the episode was in the specified class
type | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: Encounter Type (preferred)
serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: Service Type (preferred)
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject | Σ | 0..1 | Reference(Patient | Group) | The patient or group present at the encounter
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against
basedOn |  | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter
participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period |  | 0..1 | Period | Period of time during the encounter that the participant participated
individual | Σ | 0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson) | Persons involved in the encounter other than the patient
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter
period |  | 0..1 | Period | The start and end time of the encounter
length |  | 0..1 | Duration | Quantity of time the encounter lasted (less time absent)
reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Reason For Encounter (preferred)
reasonReference | Σ | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference)
diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
condition | Σ | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter
use |  | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank |  | 0..1 | positiveInt | Ranking of the diagnosis (for each role type)
account |  | 0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter
hospitalization |  | 0..1 | BackboneElement | Details about the admission to a healthcare service
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier |  | 0..1 | Identifier | Pre-admission identifier
origin |  | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission
admitSource |  | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission |  | 0..1 | CodeableConcept | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
dietPreference |  | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy |  | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement |  | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination |  | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged
dischargeDisposition |  | 0..1 | CodeableConcept | Separation Mode Binding: Separation Mode (extensible)
location |  | 0..* | BackboneElement | List of locations where the patient has been
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
location |  | 1..1 | Reference(Location) | Location the encounter takes place
status |  | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType |  | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
period |  | 0..1 | Period | Time period during which the patient was present at the location
serviceProvider |  | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter
partOf |  | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Encounter.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Encounter.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` From the FHIR Standard
Encounter.statusHistory.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` From the FHIR Standard
Encounter.class | extensible | ActEncounterCodeAUExtended `http://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extended` From this IG
Encounter.classHistory.class | extensible | ActEncounterCode `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode`
Encounter.type | preferred | EncounterType `https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1` From https://tx.ontoserver.csiro.au/fhir
Encounter.serviceType | preferred | ServiceType `https://healthterminologies.gov.au/fhir/ValueSet/service-type-1` From https://tx.ontoserver.csiro.au/fhir
Encounter.priority | example | ActPriority `http://terminology.hl7.org/ValueSet/v3-ActPriority`
Encounter.participant.type | extensible | ParticipantType `http://hl7.org/fhir/ValueSet/encounter-participant-type` From the FHIR Standard
Encounter.reasonCode | preferred | ReasonForEncounter `https://healthterminologies.gov.au/fhir/ValueSet/reason-for-encounter-1` From https://tx.ontoserver.csiro.au/fhir
Encounter.diagnosis.use | preferred | DiagnosisRole `http://hl7.org/fhir/ValueSet/diagnosis-role` From the FHIR Standard
Encounter.hospitalization.admitSource | preferred | AdmitSource `http://hl7.org/fhir/ValueSet/encounter-admit-source` From the FHIR Standard
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicator `http://terminology.hl7.org/ValueSet/v2-0092`
Encounter.hospitalization.dietPreference | example | Diet `http://hl7.org/fhir/ValueSet/encounter-diet` From the FHIR Standard
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesy `http://hl7.org/fhir/ValueSet/encounter-special-courtesy` From the FHIR Standard
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangements `http://hl7.org/fhir/ValueSet/encounter-special-arrangements` From the FHIR Standard
Encounter.hospitalization.dischargeDisposition | extensible | SeparationMode (a valid code from `https://healthterminologies.gov.au/fhir/CodeSystem/separation-mode-1`) `https://healthterminologies.gov.au/fhir/ValueSet/separation-mode-1` From https://tx.ontoserver.csiro.au/fhir
Encounter.location.status | required | EncounterLocationStatus `http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1` From the FHIR Standard
Encounter.location.physicalType | example | LocationType `http://hl7.org/fhir/ValueSet/location-physical-type` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Encounter | 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 : 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() |
dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from Encounter

Summary

Extensions

This structure refers to these extensions:

- http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice

Maturity: 1

Other representations of profile: CSV, Excel, Schematron