AU Patient Summary Implementation Guide
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## Resource Profile: AU PS Encounter

Official URL: http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-encounter | Version: 0.1.0-preview
Standards status: Draft | Maturity Level: 0 | Computable Name: AUPSEncounter
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved.

This profile sets minimum expectations for an Encounter resource in the context of a patient summary in an Australian context. It is based on the AU Base Encounter profile, and applies the constraints of AU Core Encounter and IPS.

See Comparison with other national and international IGs for a comparison between AU Core profiles and profiles in other implementation guides.

### Profile specific implementation guidance

- The Encounter resource can represent a clinical indication with `Encounter.reasonCode`, or a reference with `Encounter.reasonReference` to a Condition or other resource.

Usage:

- Use this Resource Profile: AU PS Bundle
- Refer to this Resource Profile: AU PS MedicationRequest and AU PS Procedure

### 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 AUBaseEncounter

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Encounter |  | 0..* | AUBaseEncounter | An encounter in an Australian healthcare context This profile also complies with the profile AU Core Encounter
status | S | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled +
class | S | 1..1 | Coding | Classification of patient encounter
serviceType | S | 0..1 | CodeableConcept | Specific type of service Binding: Service Type (preferred)
subject | S | 1..1 | Reference(AU PS Patient) | The patient or group present at the encounter
participant | S | 0..* | BackboneElement | List of participants involved in the encounter
type | S | 0..* | CodeableConcept | Role of participant in encounter
individual | S | 0..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS RelatedPerson) | Persons involved in the encounter other than the patient
period | S | 0..1 | Period | The start and end time of the encounter
reasonCode | S | 0..* | CodeableConcept | Coded reason the encounter takes place
reasonReference | S | 0..* | Reference(AU PS Condition | Observation | AU PS Procedure) | Reason the encounter takes place (reference)
location | S | 0..* | BackboneElement | List of locations where the patient has been
location | S | 1..1 | Reference(AU Core Location) | Location the encounter takes place
serviceProvider | S | 0..1 | Reference(AU PS Organization) | The organization (facility) responsible for this encounter
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Encounter.serviceType | preferred | ServiceType `https://healthterminologies.gov.au/fhir/ValueSet/service-type-1` from https://tx.ontoserver.csiro.au/fhir

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Encounter |  | 0..* | AUBaseEncounter | An encounter in an Australian healthcare context This profile also complies with the profile AU Core Encounter 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 |  |  |  | Content/Rules for all slices
extension: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 | ?!S 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 | S Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode - AU Extended (extensible) ele-1: All FHIR elements must have a @value or children
serviceType | S Σ | 0..1 | CodeableConcept | Specific type of service Binding: Service Type (preferred) ele-1: All FHIR elements must have a @value or children
subject | S Σ | 1..1 | Reference(AU PS Patient) | The patient or group present at the encounter ele-1: All FHIR elements must have a @value or children
participant | S Σ | 0..* | BackboneElement | List of participants involved in the encounter 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
type | S Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. ele-1: All FHIR elements must have a @value or children
individual | S Σ | 0..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS RelatedPerson) | Persons involved in the encounter other than the patient ele-1: All FHIR elements must have a @value or children
period | S | 0..1 | Period | The start and end time of the encounter ele-1: All FHIR elements must have a @value or children
reasonCode | S Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. ele-1: All FHIR elements must have a @value or children
reasonReference | S Σ | 0..* | Reference(AU PS Condition | Observation | AU PS Procedure) | Reason the encounter takes place (reference) ele-1: All FHIR elements must have a @value or children
location | S | 0..* | BackboneElement | List of locations where the patient has been 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
location | S | 1..1 | Reference(AU Core Location) | Location the encounter takes place ele-1: All FHIR elements must have a @value or children
serviceProvider | S | 0..1 | Reference(AU PS Organization) | The organization (facility) responsible for this encounter ele-1: All FHIR elements must have a @value or children
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`
Encounter.serviceType | preferred | ServiceType `https://healthterminologies.gov.au/fhir/ValueSet/service-type-1` from https://tx.ontoserver.csiro.au/fhir
Encounter.participant.type | extensible | ParticipantType `http://hl7.org/fhir/ValueSet/encounter-participant-type` from the FHIR Standard
Encounter.reasonCode | preferred | EncounterReasonCodes `http://hl7.org/fhir/ValueSet/encounter-reason` 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() |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Encounter |  | 0..* | AUBaseEncounter | An encounter in an Australian healthcare context This profile also complies with the profile AU Core Encounter
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
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 | ?!S 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 | S 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 | S 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 | S Σ | 1..1 | Reference(AU PS Patient) | 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 | S 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 | S 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 | S Σ | 0..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS RelatedPerson) | Persons involved in the encounter other than the patient
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter
period | S | 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 | S Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference | S Σ | 0..* | Reference(AU PS Condition | Observation | AU PS Procedure) | 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 | S | 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 | S | 1..1 | Reference(AU Core 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 | S | 0..1 | Reference(AU PS 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`
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 | EncounterReasonCodes `http://hl7.org/fhir/ValueSet/encounter-reason` from the FHIR Standard
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 AUBaseEncounter

Summary

Mandatory: 1 element
Must-Support: 13 elements

Structures

This structure refers to these other structures:

- AU PS Patient (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-patient)
- AU PS Practitioner (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-practitioner)
- AU PS PractitionerRole (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-practitionerrole)
- AU PS RelatedPerson (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-relatedperson)
- AU PS Condition (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-condition)
- AU PS Procedure (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-procedure)
- AU Core Location (http://hl7.org.au/fhir/core/StructureDefinition/au-core-location)
- AU PS Organization (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-organization)

Maturity: 0

Differential View

This structure is derived from AUBaseEncounter

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Encounter |  | 0..* | AUBaseEncounter | An encounter in an Australian healthcare context This profile also complies with the profile AU Core Encounter
status | S | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled +
class | S | 1..1 | Coding | Classification of patient encounter
serviceType | S | 0..1 | CodeableConcept | Specific type of service Binding: Service Type (preferred)
subject | S | 1..1 | Reference(AU PS Patient) | The patient or group present at the encounter
participant | S | 0..* | BackboneElement | List of participants involved in the encounter
type | S | 0..* | CodeableConcept | Role of participant in encounter
individual | S | 0..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS RelatedPerson) | Persons involved in the encounter other than the patient
period | S | 0..1 | Period | The start and end time of the encounter
reasonCode | S | 0..* | CodeableConcept | Coded reason the encounter takes place
reasonReference | S | 0..* | Reference(AU PS Condition | Observation | AU PS Procedure) | Reason the encounter takes place (reference)
location | S | 0..* | BackboneElement | List of locations where the patient has been
location | S | 1..1 | Reference(AU Core Location) | Location the encounter takes place
serviceProvider | S | 0..1 | Reference(AU PS Organization) | The organization (facility) responsible for this encounter
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Encounter.serviceType | preferred | ServiceType `https://healthterminologies.gov.au/fhir/ValueSet/service-type-1` from https://tx.ontoserver.csiro.au/fhir

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Encounter |  | 0..* | AUBaseEncounter | An encounter in an Australian healthcare context This profile also complies with the profile AU Core Encounter 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 |  |  |  | Content/Rules for all slices
extension: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 | ?!S 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 | S Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode - AU Extended (extensible) ele-1: All FHIR elements must have a @value or children
serviceType | S Σ | 0..1 | CodeableConcept | Specific type of service Binding: Service Type (preferred) ele-1: All FHIR elements must have a @value or children
subject | S Σ | 1..1 | Reference(AU PS Patient) | The patient or group present at the encounter ele-1: All FHIR elements must have a @value or children
participant | S Σ | 0..* | BackboneElement | List of participants involved in the encounter 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
type | S Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. ele-1: All FHIR elements must have a @value or children
individual | S Σ | 0..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS RelatedPerson) | Persons involved in the encounter other than the patient ele-1: All FHIR elements must have a @value or children
period | S | 0..1 | Period | The start and end time of the encounter ele-1: All FHIR elements must have a @value or children
reasonCode | S Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. ele-1: All FHIR elements must have a @value or children
reasonReference | S Σ | 0..* | Reference(AU PS Condition | Observation | AU PS Procedure) | Reason the encounter takes place (reference) ele-1: All FHIR elements must have a @value or children
location | S | 0..* | BackboneElement | List of locations where the patient has been 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
location | S | 1..1 | Reference(AU Core Location) | Location the encounter takes place ele-1: All FHIR elements must have a @value or children
serviceProvider | S | 0..1 | Reference(AU PS Organization) | The organization (facility) responsible for this encounter ele-1: All FHIR elements must have a @value or children
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`
Encounter.serviceType | preferred | ServiceType `https://healthterminologies.gov.au/fhir/ValueSet/service-type-1` from https://tx.ontoserver.csiro.au/fhir
Encounter.participant.type | extensible | ParticipantType `http://hl7.org/fhir/ValueSet/encounter-participant-type` from the FHIR Standard
Encounter.reasonCode | preferred | EncounterReasonCodes `http://hl7.org/fhir/ValueSet/encounter-reason` 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() |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Encounter |  | 0..* | AUBaseEncounter | An encounter in an Australian healthcare context This profile also complies with the profile AU Core Encounter
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
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 | ?!S 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 | S 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 | S 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 | S Σ | 1..1 | Reference(AU PS Patient) | 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 | S 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 | S 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 | S Σ | 0..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS RelatedPerson) | Persons involved in the encounter other than the patient
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter
period | S | 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 | S Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference | S Σ | 0..* | Reference(AU PS Condition | Observation | AU PS Procedure) | 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 | S | 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 | S | 1..1 | Reference(AU Core 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 | S | 0..1 | Reference(AU PS 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`
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 | EncounterReasonCodes `http://hl7.org/fhir/ValueSet/encounter-reason` from the FHIR Standard
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 AUBaseEncounter

Summary

Mandatory: 1 element
Must-Support: 13 elements

Structures

This structure refers to these other structures:

- AU PS Patient (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-patient)
- AU PS Practitioner (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-practitioner)
- AU PS PractitionerRole (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-practitionerrole)
- AU PS RelatedPerson (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-relatedperson)
- AU PS Condition (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-condition)
- AU PS Procedure (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-procedure)
- AU Core Location (http://hl7.org.au/fhir/core/StructureDefinition/au-core-location)
- AU PS Organization (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-organization)

Maturity: 0

Other representations of profile: CSV, Excel, Schematron