AU Patient Summary Implementation Guide
0.2.0-preview - Preview

AU Patient Summary Implementation Guide - Local Development build (v0.2.0-preview) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: AU PS Encounter

Official URL: http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-encounter | Version: 0.2.0-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 Core Encounter profile, and applies the additional constraints for use in a patient summary context consistent with the profiling conventions of IPS.

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

### Profile specific implementation guidance

- See the guidance on implementing the Encounter resource in AU Core.

Usages:

- Use this Profile: AU PS Bundle
- Refer to this 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 AUCoreEncounter

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | AUCoreEncounter | An encounter in an Australian healthcare context
subject |  | 1..1 | Reference(AU PS Patient) | The patient or group present at the encounter
participant |  |  |  |
individual |  | 0..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS RelatedPerson) | Persons involved in the encounter other than the patient
reasonReference |  | 0..* | Reference(AU PS Condition | Observation | AU PS Procedure) | Reason the encounter takes place (reference)
serviceProvider |  | 0..1 | Reference(AU PS Organization) | The organization (facility) responsible for this encounter
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | AUCoreEncounter | 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 |  |  |  | Content/Rules for all slices
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 | ?!SO Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
class | SO Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode - AU Extended (extensible)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
serviceType | SO Σ | 0..1 | CodeableConcept | Specific type of service Binding: Service Type (preferred)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
subject | SO Σ | 1..1 | Reference(AU PS Patient) | The patient or group present at the encounter
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
participant | SO Σ | 0..* | BackboneElement | List of participants involved in the encounter
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | SO Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
individual | SO Σ | 0..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS RelatedPerson) | Persons involved in the encounter other than the patient
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
period | SO | 0..1 | Period | The start and end time of the encounter
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
reasonCode | SO Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Reason For Encounter (preferred)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
reasonReference | SO Σ | 0..* | Reference(AU PS Condition | Observation | AU PS Procedure) | Reason the encounter takes place (reference)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
location | SO | 0..* | BackboneElement | List of locations where the patient has been
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
location | SO | 1..1 | Reference(AU Core Location) | Location the encounter takes place
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
serviceProvider | SO | 0..1 | Reference(AU PS Organization) | The organization (facility) responsible for this encounter
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
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 | ReasonForEncounter `https://healthterminologies.gov.au/fhir/ValueSet/reason-for-encounter-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..* | AUCoreEncounter | 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 | ?!SO Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core 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 | SO Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode - AU Extended (extensible)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
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 | SO Σ | 0..1 | CodeableConcept | Specific type of service Binding: Service Type (preferred)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject | SO Σ | 1..1 | Reference(AU PS Patient) | The patient or group present at the encounter
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core 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 | SO Σ | 0..* | BackboneElement | List of participants involved in the encounter
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core 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 | SO Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
period |  | 0..1 | Period | Period of time during the encounter that the participant participated
individual | SO Σ | 0..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS RelatedPerson) | Persons involved in the encounter other than the patient
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter
period | SO | 0..1 | Period | The start and end time of the encounter
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
length |  | 0..1 | Duration | Quantity of time the encounter lasted (less time absent)
reasonCode | SO Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Reason For Encounter (preferred)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
reasonReference | SO Σ | 0..* | Reference(AU PS Condition | Observation | AU PS Procedure) | Reason the encounter takes place (reference)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
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 | SO | 0..* | BackboneElement | List of locations where the patient has been
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core 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
location | SO | 1..1 | Reference(AU Core Location) | Location the encounter takes place
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
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 | SO | 0..1 | Reference(AU PS Organization) | The organization (facility) responsible for this encounter
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core 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 | 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 AUCoreEncounter

Summary

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 PS Organization (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-organization)

Maturity: 0

Differential View

This structure is derived from AUCoreEncounter

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | AUCoreEncounter | An encounter in an Australian healthcare context
subject |  | 1..1 | Reference(AU PS Patient) | The patient or group present at the encounter
participant |  |  |  |
individual |  | 0..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS RelatedPerson) | Persons involved in the encounter other than the patient
reasonReference |  | 0..* | Reference(AU PS Condition | Observation | AU PS Procedure) | Reason the encounter takes place (reference)
serviceProvider |  | 0..1 | Reference(AU PS Organization) | The organization (facility) responsible for this encounter
Documentation for this format

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | AUCoreEncounter | 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 |  |  |  | Content/Rules for all slices
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 | ?!SO Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
class | SO Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode - AU Extended (extensible)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
serviceType | SO Σ | 0..1 | CodeableConcept | Specific type of service Binding: Service Type (preferred)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
subject | SO Σ | 1..1 | Reference(AU PS Patient) | The patient or group present at the encounter
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
participant | SO Σ | 0..* | BackboneElement | List of participants involved in the encounter
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | SO Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
individual | SO Σ | 0..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS RelatedPerson) | Persons involved in the encounter other than the patient
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
period | SO | 0..1 | Period | The start and end time of the encounter
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
reasonCode | SO Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Reason For Encounter (preferred)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
reasonReference | SO Σ | 0..* | Reference(AU PS Condition | Observation | AU PS Procedure) | Reason the encounter takes place (reference)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
location | SO | 0..* | BackboneElement | List of locations where the patient has been
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
location | SO | 1..1 | Reference(AU Core Location) | Location the encounter takes place
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
serviceProvider | SO | 0..1 | Reference(AU PS Organization) | The organization (facility) responsible for this encounter
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
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 | ReasonForEncounter `https://healthterminologies.gov.au/fhir/ValueSet/reason-for-encounter-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..* | AUCoreEncounter | 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 | ?!SO Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core 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 | SO Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode - AU Extended (extensible)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
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 | SO Σ | 0..1 | CodeableConcept | Specific type of service Binding: Service Type (preferred)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject | SO Σ | 1..1 | Reference(AU PS Patient) | The patient or group present at the encounter
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core 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 | SO Σ | 0..* | BackboneElement | List of participants involved in the encounter
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core 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 | SO Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
period |  | 0..1 | Period | Period of time during the encounter that the participant participated
individual | SO Σ | 0..1 | Reference(AU PS Practitioner | AU PS PractitionerRole | AU PS RelatedPerson) | Persons involved in the encounter other than the patient
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter
period | SO | 0..1 | Period | The start and end time of the encounter
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
length |  | 0..1 | Duration | Quantity of time the encounter lasted (less time absent)
reasonCode | SO Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Reason For Encounter (preferred)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
reasonReference | SO Σ | 0..* | Reference(AU PS Condition | Observation | AU PS Procedure) | Reason the encounter takes place (reference)
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
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 | SO | 0..* | BackboneElement | List of locations where the patient has been
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core 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
location | SO | 1..1 | Reference(AU Core Location) | Location the encounter takes place
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core Encounter
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 | SO | 0..1 | Reference(AU PS Organization) | The organization (facility) responsible for this encounter
Obligations | Actor
SHALL:populate-if-known | AU Core Responder | from AU Core Encounter
SHALL:no-error | AU Core Requester | from AU Core 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 | 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 AUCoreEncounter

Summary

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 PS Organization (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-organization)

Maturity: 0

Other representations of profile: CSV, Excel, Schematron