AU Base Implementation Guide
5.0.0 - Working Standard
AU Base Implementation Guide
5.0.0 - Working Standard
This page is part of the Australian Base IG (v5.0.0: R4) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org.au/fhir/StructureDefinition/au-encounter | Version: 5.0.0 | |||
| Standards status: Trial-use | Maturity Level: 1 | Computable Name: AUBaseEncounter | ||
Copyright/Legal: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved. |
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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.
Implementers should note that there are changes to the ActEncounterCode - AU Extended value set removing codes PHONE, VIDEO, EMAIL and SMS (ActCode AU code system). These are agreed to be child concepts of the VR ActEncounterCode term and therefore cannot be used as the FHIR R4 Encounter.class element has an existing extensible binding to HL7 v3 Value Set ActEncounterCode. Consequently use of PHONE, VIDEO, EMAIL and SMS in preference to the VR code is invalid in Encounter.class.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Encounter
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Encounter |
0..* | Encounter | An encounter in an Australian healthcare context | |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   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) | |
 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 | ||||
| Path | Conformance | ValueSet | URI |
| Encounter.class | extensible | ActEncounterCodeAUExtendedhttp://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extendedfrom this IG | |
| Encounter.type | preferred | EncounterType https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1 | |
| Encounter.serviceType | preferred | ServiceType https://healthterminologies.gov.au/fhir/ValueSet/service-type-1 | |
| 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 |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter |
0..* | Encounter | An encounter in an Australian healthcare context dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| associatedHealthcareService |
0..* | Reference(HealthcareService) | Associated healthcare service URL: http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| status |
?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. ele-1: All FHIR elements must have a @value or children |
 class |
Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode - AU Extended (extensible) ele-1: All FHIR elements must have a @value or children |
| type |
Σ | 0..* | CodeableConcept | Specific type of encounter Binding: Encounter Type (preferred)ele-1: All FHIR elements must have a @value or children |
| serviceType |
Σ | 0..1 | CodeableConcept | Specific type of service Binding: Service Type (preferred)ele-1: All FHIR elements must have a @value or children |
| hospitalization |
0..1 | BackboneElement | Details about the admission to a healthcare service ele-1: All FHIR elements must have a @value or children | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| dischargeDisposition |
0..1 | CodeableConcept | Separation Mode Binding: Separation Mode (extensible)ele-1: All FHIR elements must have a @value or children | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1from the FHIR Standard | |
| Encounter.class | extensible | ActEncounterCodeAUExtendedhttp://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extendedfrom this IG | |
| Encounter.type | preferred | EncounterType https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1 | |
| Encounter.serviceType | preferred | ServiceType https://healthterminologies.gov.au/fhir/ValueSet/service-type-1 | |
| 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 |
| 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 | ||||
|---|---|---|---|---|---|---|---|---|
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| 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: EncounterReasonCodes (preferred): Reason why the encounter takes place. | ||||
| 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Encounter.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1from the FHIR Standard | ||||
| Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1from the FHIR Standard | ||||
| Encounter.class | extensible | ActEncounterCodeAUExtendedhttp://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extendedfrom this IG | ||||
| Encounter.classHistory.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
| Encounter.type | preferred | EncounterType https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1 | ||||
| Encounter.serviceType | preferred | ServiceType https://healthterminologies.gov.au/fhir/ValueSet/service-type-1 | ||||
| Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | ||||
| Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-typefrom the FHIR Standard | ||||
| Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reasonfrom the FHIR Standard | ||||
| Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-rolefrom the FHIR Standard | ||||
| Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-sourcefrom the FHIR Standard | ||||
| Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
| Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-dietfrom the FHIR Standard | ||||
| Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesyfrom the FHIR Standard | ||||
| Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangementsfrom 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 | ||||
| Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1from the FHIR Standard | ||||
| Encounter.location.physicalType | example | LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-typefrom the FHIR Standard |
| 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() |
Differential View
This structure is derived from Encounter
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter |
0..* | Encounter | An encounter in an Australian healthcare context | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| 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) | |
| 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 | ||||
| Path | Conformance | ValueSet | URI |
| Encounter.class | extensible | ActEncounterCodeAUExtendedhttp://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extendedfrom this IG | |
| Encounter.type | preferred | EncounterType https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1 | |
| Encounter.serviceType | preferred | ServiceType https://healthterminologies.gov.au/fhir/ValueSet/service-type-1 | |
| 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 |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Encounter |
0..* | Encounter | An encounter in an Australian healthcare context dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| associatedHealthcareService |
0..* | Reference(HealthcareService) | Associated healthcare service URL: http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| status |
?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. ele-1: All FHIR elements must have a @value or children |
| class |
Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode - AU Extended (extensible) ele-1: All FHIR elements must have a @value or children |
| type |
Σ | 0..* | CodeableConcept | Specific type of encounter Binding: Encounter Type (preferred)ele-1: All FHIR elements must have a @value or children |
| serviceType |
Σ | 0..1 | CodeableConcept | Specific type of service Binding: Service Type (preferred)ele-1: All FHIR elements must have a @value or children |
| hospitalization |
0..1 | BackboneElement | Details about the admission to a healthcare service ele-1: All FHIR elements must have a @value or children | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| dischargeDisposition |
0..1 | CodeableConcept | Separation Mode Binding: Separation Mode (extensible)ele-1: All FHIR elements must have a @value or children | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1from the FHIR Standard | |
| Encounter.class | extensible | ActEncounterCodeAUExtendedhttp://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extendedfrom this IG | |
| Encounter.type | preferred | EncounterType https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1 | |
| Encounter.serviceType | preferred | ServiceType https://healthterminologies.gov.au/fhir/ValueSet/service-type-1 | |
| 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 |
| 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 | ||||
|---|---|---|---|---|---|---|---|---|
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| 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: EncounterReasonCodes (preferred): Reason why the encounter takes place. | ||||
| 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Encounter.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1from the FHIR Standard | ||||
| Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1from the FHIR Standard | ||||
| Encounter.class | extensible | ActEncounterCodeAUExtendedhttp://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extendedfrom this IG | ||||
| Encounter.classHistory.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
| Encounter.type | preferred | EncounterType https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1 | ||||
| Encounter.serviceType | preferred | ServiceType https://healthterminologies.gov.au/fhir/ValueSet/service-type-1 | ||||
| Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | ||||
| Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-typefrom the FHIR Standard | ||||
| Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reasonfrom the FHIR Standard | ||||
| Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-rolefrom the FHIR Standard | ||||
| Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-sourcefrom the FHIR Standard | ||||
| Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
| Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-dietfrom the FHIR Standard | ||||
| Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesyfrom the FHIR Standard | ||||
| Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangementsfrom 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 | ||||
| Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1from the FHIR Standard | ||||
| Encounter.location.physicalType | example | LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-typefrom the FHIR Standard |
| 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() |
Other representations of profile: CSV, Excel, Schematron
IG © 2017+ HL7 Australia. Package hl7.fhir.au.base#5.0.0 based on FHIR 4.0.1. Generated 2025-01-15
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