CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
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CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v2.0.0-cibuild) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ACH Daily Event Encounter

Official URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-encounter Version: 2.0.0-cibuild
Standards status: Trial-use Maturity Level: 1 Computable Name: AcuteCareHospitalDailyEventEncounter

This profile contains Required and Must Support data elements for reporting encounter information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile inherits from the QI Core 6.0.0 Encounter profile, which inherits from the US Core 6.1.0 Encounter profile.

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 1.0.0:

  • New Content

    • Formal Views of Profile Content

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

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Encounter C 0..* QICoreEncounter(6.0.0) An interaction during which services are provided to the patient
    Constraints: encounter-ach-daily-initial-population, encounter-location-type-initial-population
    ... id Σ 1..1 id Logical id of this artifact
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    .... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
    Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
    .... type SΣ 0..1 CodeableConcept Description of identifier
    Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
    .... system SΣ 1..1 uri (USCDI) The namespace for the identifier value
    Example General: http://www.acme.com/identifiers/patient
    .... value SΣ 1..1 string (USCDI) The value that is unique
    Example General: 123456
    .... period SΣ 0..1 Period Time period when id is/was valid for use
    ... status ?!SΣ 1..1 code triaged | in-progress | finished | onleave | entered-in-error
    Binding: ACH Daily Encounter Status ValueSet (required)
    ... class SΣ 1..1 Coding (USCDI) Classification of patient encounter
    Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.
    ... classHistory S 0..* BackboneElement List of past encounter classes
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
    Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.
    .... period 1..1 Period The time that the episode was in the specified class
    ... type SΣ 1..* CodeableConcept (USCDI) Specific type of encounter
    Binding: USCoreEncounterType (6.1.0) (extensible): Valueset to describe the Encounter Type
    ... subject SΣ 1..1 Reference(Cross-Measure Patient Profile) (QI-Core)(USCDI) The patient or group present at the encounter
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    ... participant SΣ 0..* BackboneElement (QI-Core)(USCDI) List of participants involved in the encounter
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... type SΣ 0..* CodeableConcept (USCDI) Role of participant in encounter
    Binding: ParticipantType (extensible): Role of participant in encounter.
    .... period S 0..1 Period (USCDI) Period of time during the encounter that the participant participated
    .... individual SΣ 0..1 Reference(QICore Practitioner | QICore PractitionerRole | QICore RelatedPerson) (QI-Core)(USCDI) Persons involved in the encounter other than the patient
    ... period S 1..1 Period (USCDI) The start and end time of the encounter
    ... reasonCode SΣ 0..* CodeableConcept (USCDI) Coded reason the encounter takes place
    Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
    ... reasonReference SΣ 0..* Reference(QICore Condition Problems Health Concerns | QICore Condition Encounter Diagnosis | QICore Procedure | QICore Simple Observation | QICore ImmunizationRecommendation) (QI-Core)(USCDI) Reason the encounter takes place (reference)
    ... hospitalization S 0..1 BackboneElement (QI-Core)(USCDI) Details about the admission to a healthcare service
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... admitSource S 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
    Binding: AdmitSource (preferred): From where the patient was admitted.
    .... reAdmission S 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 (preferred)
    .... dischargeDisposition S 0..1 CodeableConcept (QI-Core)(USCDI) Category or kind of location after discharge
    Binding: DischargeDisposition (extensible)
    ... location S 1..* BackboneElement List of locations where the patient has been. Used in part to discern whether the patient is Inpatient, Emergency and or Observation status.
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... location S 1..1 Reference(QICore Location) (QI-Core)(USCDI) Location the encounter takes place
    ..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... status S 0..1 code planned | active | reserved | completed
    Binding: EncounterLocationStatus (required): The status of the location.
    .... period 1..1 Period (QI-Core) Time period during which the patient was present at the location
    ... serviceProvider S 0..1 Reference(QICore Organization) (QI-Core)(USCDI) The organization (facility) responsible for this encounter

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Encounter.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
    Encounter.identifier.​type Base extensible IdentifierType 📦4.0.1 FHIR Std.
    Encounter.status Base required ACH Daily Encounter Status ValueSet 📦2.0.0-cibuild This IG
    Encounter.class Base extensible ActEncounterCode 📍3.0.0 THO v6.5
    Encounter.classHistory.​class Base extensible ActEncounterCode 📍3.0.0 THO v6.5
    Encounter.type Base extensible US Core Encounter Type 📍6.1.0 US Core v6.1
    Encounter.participant.​type Base extensible Participant type 📦4.0.1 FHIR Std.
    Encounter.reasonCode Base preferred Encounter Reason Codes 📦4.0.1 FHIR Std.
    Encounter.hospitalization.​admitSource Base preferred Admit source 📦4.0.1 FHIR Std.
    Encounter.hospitalization.​reAdmission Base preferred hl7VS-re-admissionIndicator 📦2.0.0 THO v6.5
    Encounter.hospitalization.​dischargeDisposition Base extensible Discharge disposition 📦4.0.1 FHIR Std.
    Encounter.location.status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    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())
    encounter-ach-daily-initial-population error Encounter Encounter: (class must be from ACH Daily encounter class) or (type from 'Encounter Inpatient' or 'Observation Services') or (Encounter location type from 'Inpatient, Emergency, and Observation Locations') class.memberOf('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/ValueSet/ach-daily-encounter-class') or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307')).exists() or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143')).exists() or where(location.location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists())
    encounter-location-type-initial-population warning Encounter Encounter: references at least one Location where type is from 'Inpatient, Emergency, and Observation Locations' location.where(location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() or location.where(location.resolve().partOf.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists()
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

    This structure is derived from QICoreEncounter

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Encounter C 0..* QICoreEncounter(6.0.0) An interaction during which services are provided to the patient
    Constraints: encounter-ach-daily-initial-population, encounter-location-type-initial-population
    ... id 1..1 id Logical id of this artifact
    ... meta
    .... Slices for extension Content/Rules for all slices
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    ... identifier 1..* Identifier (USCDI) Identifier(s) by which this encounter is known
    .... use S 0..1 code usual | official | temp | secondary | old (If known)
    .... type S 0..1 CodeableConcept Description of identifier
    .... period S 0..1 Period Time period when id is/was valid for use
    ... classHistory S 0..* BackboneElement List of past encounter classes
    ... subject 1..1 Reference(Cross-Measure Patient Profile) (QI-Core)(USCDI) The patient or group present at the encounter
    .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
    ... period 1..1 Period (USCDI) The start and end time of the encounter
    ... hospitalization
    .... admitSource S 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
    .... reAdmission S 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 (preferred)
    .... dischargeDisposition 0..1 CodeableConcept (QI-Core)(USCDI) Category or kind of location after discharge
    Binding: DischargeDisposition (extensible)
    ... location 1..* BackboneElement List of locations where the patient has been. Used in part to discern whether the patient is Inpatient, Emergency and or Observation status.
    .... location
    ..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
    .... status S 0..1 code planned | active | reserved | completed
    .... period 1..1 Period (QI-Core) Time period during which the patient was present at the location

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Encounter.status Base required ACH Daily Encounter Status ValueSet 📦2.0.0-cibuild This IG
    Encounter.hospitalization.​reAdmission Base preferred hl7VS-re-admissionIndicator 📦2.0.0 THO v6.5
    Encounter.hospitalization.​dischargeDisposition Base extensible Discharge disposition 📦4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    encounter-ach-daily-initial-population error Encounter Encounter: (class must be from ACH Daily encounter class) or (type from 'Encounter Inpatient' or 'Observation Services') or (Encounter location type from 'Inpatient, Emergency, and Observation Locations') class.memberOf('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/ValueSet/ach-daily-encounter-class') or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307')).exists() or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143')).exists() or where(location.location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists())
    encounter-location-type-initial-population warning Encounter Encounter: references at least one Location where type is from 'Inpatient, Emergency, and Observation Locations' location.where(location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() or location.where(location.resolve().partOf.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists()
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Encounter C 0..* QICoreEncounter(6.0.0) An interaction during which services are provided to the patient
    Constraints: encounter-ach-daily-initial-population, encounter-location-type-initial-population
    ... id Σ 1..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    .... id 0..1 string Unique id for inter-element referencing
    .... Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    .... versionId Σ 0..1 id Version specific identifier
    .... lastUpdated Σ 0..1 instant When the resource version last changed
    .... source Σ 0..1 uri Identifies where the resource comes from
    .... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
    .... security Σ 0..* Coding Security Labels applied to this resource
    Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
    .... tag Σ 0..* Coding Tags applied to this resource
    Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
    ... 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 BindingsPurpose
    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
    ... extension 0..* Extension Additional content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier SΣ 1..* Identifier (USCDI) Identifier(s) by which this encounter is known
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
    Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
    .... type SΣ 0..1 CodeableConcept Description of identifier
    Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
    .... system SΣ 1..1 uri (USCDI) The namespace for the identifier value
    Example General: http://www.acme.com/identifiers/patient
    .... value SΣ 1..1 string (USCDI) The value that is unique
    Example General: 123456
    .... period SΣ 0..1 Period Time period when id is/was valid for use
    .... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
    ... status ?!SΣ 1..1 code triaged | in-progress | finished | onleave | entered-in-error
    Binding: ACH Daily Encounter Status ValueSet (required)
    ... 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 SΣ 1..1 Coding (USCDI) Classification of patient encounter
    Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.
    ... classHistory S 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 (3.0.0) (extensible): Classification of the encounter.
    .... period 1..1 Period The time that the episode was in the specified class
    ... type SΣ 1..* CodeableConcept (USCDI) Specific type of encounter
    Binding: USCoreEncounterType (6.1.0) (extensible): Valueset to describe the Encounter Type
    ... serviceType Σ 0..1 CodeableConcept Specific type of service
    Binding: ServiceType (example): Broad categorization of the service that is to be provided.
    ... priority 0..1 CodeableConcept Indicates the urgency of the encounter
    Binding: ActPriority (3.0.0) (example): Indicates the urgency of the encounter.
    ... subject SΣ 1..1 Reference(Cross-Measure Patient Profile) (QI-Core)(USCDI) The patient or group present at the encounter
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... 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 SΣ 0..* BackboneElement (QI-Core)(USCDI) 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 SΣ 0..* CodeableConcept (USCDI) Role of participant in encounter
    Binding: ParticipantType (extensible): Role of participant in encounter.
    .... period S 0..1 Period (USCDI) Period of time during the encounter that the participant participated
    .... individual SΣ 0..1 Reference(QICore Practitioner | QICore PractitionerRole | QICore RelatedPerson) (QI-Core)(USCDI) Persons involved in the encounter other than the patient
    ... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
    ... period S 1..1 Period (USCDI) The start and end time of the encounter
    ... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
    ... reasonCode SΣ 0..* CodeableConcept (USCDI) Coded reason the encounter takes place
    Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
    ... reasonReference SΣ 0..* Reference(QICore Condition Problems Health Concerns | QICore Condition Encounter Diagnosis | QICore Procedure | QICore Simple Observation | QICore ImmunizationRecommendation) (QI-Core)(USCDI) 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 S 0..1 BackboneElement (QI-Core)(USCDI) 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(QICore Location) The location/organization from which the patient came before admission
    .... admitSource S 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
    Binding: AdmitSource (preferred): From where the patient was admitted.
    .... reAdmission S 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 (preferred)
    .... 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(QICore Location) Location/organization to which the patient is discharged
    .... dischargeDisposition S 0..1 CodeableConcept (QI-Core)(USCDI) Category or kind of location after discharge
    Binding: DischargeDisposition (extensible)
    ... location S 1..* BackboneElement List of locations where the patient has been. Used in part to discern whether the patient is Inpatient, Emergency and or Observation status.
    .... 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(QICore Location) (QI-Core)(USCDI) Location the encounter takes place
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    ..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    ..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    ..... display Σ 0..1 string Text alternative for the resource
    .... status S 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 1..1 Period (QI-Core) Time period during which the patient was present at the location
    ... serviceProvider S 0..1 Reference(QICore Organization) (QI-Core)(USCDI) The organization (facility) responsible for this encounter
    ... partOf 0..1 Reference(QICore Encounter) Another Encounter this encounter is part of

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Encounter.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
    Encounter.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
    Encounter.language Base preferred Common Languages 📦4.0.1 FHIR Std.
    Encounter.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
    Encounter.identifier.​type Base extensible IdentifierType 📦4.0.1 FHIR Std.
    Encounter.status Base required ACH Daily Encounter Status ValueSet 📦2.0.0-cibuild This IG
    Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
    Encounter.class Base extensible ActEncounterCode 📍3.0.0 THO v6.5
    Encounter.classHistory.​class Base extensible ActEncounterCode 📍3.0.0 THO v6.5
    Encounter.type Base extensible US Core Encounter Type 📍6.1.0 US Core v6.1
    Encounter.serviceType Base example Service type 📦4.0.1 FHIR Std.
    Encounter.priority Base example ActPriority 📍3.0.0 THO v6.5
    Encounter.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
    Encounter.participant.​type Base extensible Participant type 📦4.0.1 FHIR Std.
    Encounter.reasonCode Base preferred Encounter Reason Codes 📦4.0.1 FHIR Std.
    Encounter.diagnosis.​use Base preferred DiagnosisRole 📦4.0.1 FHIR Std.
    Encounter.hospitalization.​admitSource Base preferred Admit source 📦4.0.1 FHIR Std.
    Encounter.hospitalization.​reAdmission Base preferred hl7VS-re-admissionIndicator 📦2.0.0 THO v6.5
    Encounter.hospitalization.​dietPreference Base example Diet 📦4.0.1 FHIR Std.
    Encounter.hospitalization.​specialCourtesy Base preferred Special courtesy 📦4.0.1 FHIR Std.
    Encounter.hospitalization.​specialArrangement Base preferred Special arrangements 📦4.0.1 FHIR Std.
    Encounter.hospitalization.​dischargeDisposition Base extensible Discharge disposition 📦4.0.1 FHIR Std.
    Encounter.location.location.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
    Encounter.location.status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
    Encounter.location.physicalType Base example Location type 📦4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    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())
    encounter-ach-daily-initial-population error Encounter Encounter: (class must be from ACH Daily encounter class) or (type from 'Encounter Inpatient' or 'Observation Services') or (Encounter location type from 'Inpatient, Emergency, and Observation Locations') class.memberOf('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/ValueSet/ach-daily-encounter-class') or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307')).exists() or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143')).exists() or where(location.location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists())
    encounter-location-type-initial-population warning Encounter Encounter: references at least one Location where type is from 'Inpatient, Emergency, and Observation Locations' location.where(location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() or location.where(location.resolve().partOf.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists()
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

    This structure is derived from QICoreEncounter

    Summary

    Mandatory: 7 elements
    Must-Support: 9 elements

    Structures

    This structure refers to these other structures:

    Extensions

    This structure refers to these extensions:

    Maturity: 1

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Encounter C 0..* QICoreEncounter(6.0.0) An interaction during which services are provided to the patient
    Constraints: encounter-ach-daily-initial-population, encounter-location-type-initial-population
    ... id Σ 1..1 id Logical id of this artifact
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    .... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
    Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
    .... type SΣ 0..1 CodeableConcept Description of identifier
    Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
    .... system SΣ 1..1 uri (USCDI) The namespace for the identifier value
    Example General: http://www.acme.com/identifiers/patient
    .... value SΣ 1..1 string (USCDI) The value that is unique
    Example General: 123456
    .... period SΣ 0..1 Period Time period when id is/was valid for use
    ... status ?!SΣ 1..1 code triaged | in-progress | finished | onleave | entered-in-error
    Binding: ACH Daily Encounter Status ValueSet (required)
    ... class SΣ 1..1 Coding (USCDI) Classification of patient encounter
    Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.
    ... classHistory S 0..* BackboneElement List of past encounter classes
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
    Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.
    .... period 1..1 Period The time that the episode was in the specified class
    ... type SΣ 1..* CodeableConcept (USCDI) Specific type of encounter
    Binding: USCoreEncounterType (6.1.0) (extensible): Valueset to describe the Encounter Type
    ... subject SΣ 1..1 Reference(Cross-Measure Patient Profile) (QI-Core)(USCDI) The patient or group present at the encounter
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    ... participant SΣ 0..* BackboneElement (QI-Core)(USCDI) List of participants involved in the encounter
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... type SΣ 0..* CodeableConcept (USCDI) Role of participant in encounter
    Binding: ParticipantType (extensible): Role of participant in encounter.
    .... period S 0..1 Period (USCDI) Period of time during the encounter that the participant participated
    .... individual SΣ 0..1 Reference(QICore Practitioner | QICore PractitionerRole | QICore RelatedPerson) (QI-Core)(USCDI) Persons involved in the encounter other than the patient
    ... period S 1..1 Period (USCDI) The start and end time of the encounter
    ... reasonCode SΣ 0..* CodeableConcept (USCDI) Coded reason the encounter takes place
    Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
    ... reasonReference SΣ 0..* Reference(QICore Condition Problems Health Concerns | QICore Condition Encounter Diagnosis | QICore Procedure | QICore Simple Observation | QICore ImmunizationRecommendation) (QI-Core)(USCDI) Reason the encounter takes place (reference)
    ... hospitalization S 0..1 BackboneElement (QI-Core)(USCDI) Details about the admission to a healthcare service
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... admitSource S 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
    Binding: AdmitSource (preferred): From where the patient was admitted.
    .... reAdmission S 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 (preferred)
    .... dischargeDisposition S 0..1 CodeableConcept (QI-Core)(USCDI) Category or kind of location after discharge
    Binding: DischargeDisposition (extensible)
    ... location S 1..* BackboneElement List of locations where the patient has been. Used in part to discern whether the patient is Inpatient, Emergency and or Observation status.
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... location S 1..1 Reference(QICore Location) (QI-Core)(USCDI) Location the encounter takes place
    ..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... status S 0..1 code planned | active | reserved | completed
    Binding: EncounterLocationStatus (required): The status of the location.
    .... period 1..1 Period (QI-Core) Time period during which the patient was present at the location
    ... serviceProvider S 0..1 Reference(QICore Organization) (QI-Core)(USCDI) The organization (facility) responsible for this encounter

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Encounter.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
    Encounter.identifier.​type Base extensible IdentifierType 📦4.0.1 FHIR Std.
    Encounter.status Base required ACH Daily Encounter Status ValueSet 📦2.0.0-cibuild This IG
    Encounter.class Base extensible ActEncounterCode 📍3.0.0 THO v6.5
    Encounter.classHistory.​class Base extensible ActEncounterCode 📍3.0.0 THO v6.5
    Encounter.type Base extensible US Core Encounter Type 📍6.1.0 US Core v6.1
    Encounter.participant.​type Base extensible Participant type 📦4.0.1 FHIR Std.
    Encounter.reasonCode Base preferred Encounter Reason Codes 📦4.0.1 FHIR Std.
    Encounter.hospitalization.​admitSource Base preferred Admit source 📦4.0.1 FHIR Std.
    Encounter.hospitalization.​reAdmission Base preferred hl7VS-re-admissionIndicator 📦2.0.0 THO v6.5
    Encounter.hospitalization.​dischargeDisposition Base extensible Discharge disposition 📦4.0.1 FHIR Std.
    Encounter.location.status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    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())
    encounter-ach-daily-initial-population error Encounter Encounter: (class must be from ACH Daily encounter class) or (type from 'Encounter Inpatient' or 'Observation Services') or (Encounter location type from 'Inpatient, Emergency, and Observation Locations') class.memberOf('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/ValueSet/ach-daily-encounter-class') or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307')).exists() or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143')).exists() or where(location.location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists())
    encounter-location-type-initial-population warning Encounter Encounter: references at least one Location where type is from 'Inpatient, Emergency, and Observation Locations' location.where(location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() or location.where(location.resolve().partOf.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists()
    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 QICoreEncounter

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Encounter C 0..* QICoreEncounter(6.0.0) An interaction during which services are provided to the patient
    Constraints: encounter-ach-daily-initial-population, encounter-location-type-initial-population
    ... id 1..1 id Logical id of this artifact
    ... meta
    .... Slices for extension Content/Rules for all slices
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    ... identifier 1..* Identifier (USCDI) Identifier(s) by which this encounter is known
    .... use S 0..1 code usual | official | temp | secondary | old (If known)
    .... type S 0..1 CodeableConcept Description of identifier
    .... period S 0..1 Period Time period when id is/was valid for use
    ... classHistory S 0..* BackboneElement List of past encounter classes
    ... subject 1..1 Reference(Cross-Measure Patient Profile) (QI-Core)(USCDI) The patient or group present at the encounter
    .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
    ... period 1..1 Period (USCDI) The start and end time of the encounter
    ... hospitalization
    .... admitSource S 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
    .... reAdmission S 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 (preferred)
    .... dischargeDisposition 0..1 CodeableConcept (QI-Core)(USCDI) Category or kind of location after discharge
    Binding: DischargeDisposition (extensible)
    ... location 1..* BackboneElement List of locations where the patient has been. Used in part to discern whether the patient is Inpatient, Emergency and or Observation status.
    .... location
    ..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
    .... status S 0..1 code planned | active | reserved | completed
    .... period 1..1 Period (QI-Core) Time period during which the patient was present at the location

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Encounter.status Base required ACH Daily Encounter Status ValueSet 📦2.0.0-cibuild This IG
    Encounter.hospitalization.​reAdmission Base preferred hl7VS-re-admissionIndicator 📦2.0.0 THO v6.5
    Encounter.hospitalization.​dischargeDisposition Base extensible Discharge disposition 📦4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    encounter-ach-daily-initial-population error Encounter Encounter: (class must be from ACH Daily encounter class) or (type from 'Encounter Inpatient' or 'Observation Services') or (Encounter location type from 'Inpatient, Emergency, and Observation Locations') class.memberOf('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/ValueSet/ach-daily-encounter-class') or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307')).exists() or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143')).exists() or where(location.location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists())
    encounter-location-type-initial-population warning Encounter Encounter: references at least one Location where type is from 'Inpatient, Emergency, and Observation Locations' location.where(location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() or location.where(location.resolve().partOf.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists()

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Encounter C 0..* QICoreEncounter(6.0.0) An interaction during which services are provided to the patient
    Constraints: encounter-ach-daily-initial-population, encounter-location-type-initial-population
    ... id Σ 1..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    .... id 0..1 string Unique id for inter-element referencing
    .... Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    .... versionId Σ 0..1 id Version specific identifier
    .... lastUpdated Σ 0..1 instant When the resource version last changed
    .... source Σ 0..1 uri Identifies where the resource comes from
    .... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
    .... security Σ 0..* Coding Security Labels applied to this resource
    Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
    .... tag Σ 0..* Coding Tags applied to this resource
    Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
    ... 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 BindingsPurpose
    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
    ... extension 0..* Extension Additional content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier SΣ 1..* Identifier (USCDI) Identifier(s) by which this encounter is known
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
    Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
    .... type SΣ 0..1 CodeableConcept Description of identifier
    Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
    .... system SΣ 1..1 uri (USCDI) The namespace for the identifier value
    Example General: http://www.acme.com/identifiers/patient
    .... value SΣ 1..1 string (USCDI) The value that is unique
    Example General: 123456
    .... period SΣ 0..1 Period Time period when id is/was valid for use
    .... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
    ... status ?!SΣ 1..1 code triaged | in-progress | finished | onleave | entered-in-error
    Binding: ACH Daily Encounter Status ValueSet (required)
    ... 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 SΣ 1..1 Coding (USCDI) Classification of patient encounter
    Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.
    ... classHistory S 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 (3.0.0) (extensible): Classification of the encounter.
    .... period 1..1 Period The time that the episode was in the specified class
    ... type SΣ 1..* CodeableConcept (USCDI) Specific type of encounter
    Binding: USCoreEncounterType (6.1.0) (extensible): Valueset to describe the Encounter Type
    ... serviceType Σ 0..1 CodeableConcept Specific type of service
    Binding: ServiceType (example): Broad categorization of the service that is to be provided.
    ... priority 0..1 CodeableConcept Indicates the urgency of the encounter
    Binding: ActPriority (3.0.0) (example): Indicates the urgency of the encounter.
    ... subject SΣ 1..1 Reference(Cross-Measure Patient Profile) (QI-Core)(USCDI) The patient or group present at the encounter
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... 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 SΣ 0..* BackboneElement (QI-Core)(USCDI) 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 SΣ 0..* CodeableConcept (USCDI) Role of participant in encounter
    Binding: ParticipantType (extensible): Role of participant in encounter.
    .... period S 0..1 Period (USCDI) Period of time during the encounter that the participant participated
    .... individual SΣ 0..1 Reference(QICore Practitioner | QICore PractitionerRole | QICore RelatedPerson) (QI-Core)(USCDI) Persons involved in the encounter other than the patient
    ... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
    ... period S 1..1 Period (USCDI) The start and end time of the encounter
    ... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
    ... reasonCode SΣ 0..* CodeableConcept (USCDI) Coded reason the encounter takes place
    Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
    ... reasonReference SΣ 0..* Reference(QICore Condition Problems Health Concerns | QICore Condition Encounter Diagnosis | QICore Procedure | QICore Simple Observation | QICore ImmunizationRecommendation) (QI-Core)(USCDI) 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 S 0..1 BackboneElement (QI-Core)(USCDI) 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(QICore Location) The location/organization from which the patient came before admission
    .... admitSource S 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
    Binding: AdmitSource (preferred): From where the patient was admitted.
    .... reAdmission S 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 (preferred)
    .... 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(QICore Location) Location/organization to which the patient is discharged
    .... dischargeDisposition S 0..1 CodeableConcept (QI-Core)(USCDI) Category or kind of location after discharge
    Binding: DischargeDisposition (extensible)
    ... location S 1..* BackboneElement List of locations where the patient has been. Used in part to discern whether the patient is Inpatient, Emergency and or Observation status.
    .... 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(QICore Location) (QI-Core)(USCDI) Location the encounter takes place
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    ..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    ..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    ..... display Σ 0..1 string Text alternative for the resource
    .... status S 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 1..1 Period (QI-Core) Time period during which the patient was present at the location
    ... serviceProvider S 0..1 Reference(QICore Organization) (QI-Core)(USCDI) The organization (facility) responsible for this encounter
    ... partOf 0..1 Reference(QICore Encounter) Another Encounter this encounter is part of

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Encounter.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
    Encounter.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
    Encounter.language Base preferred Common Languages 📦4.0.1 FHIR Std.
    Encounter.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
    Encounter.identifier.​type Base extensible IdentifierType 📦4.0.1 FHIR Std.
    Encounter.status Base required ACH Daily Encounter Status ValueSet 📦2.0.0-cibuild This IG
    Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
    Encounter.class Base extensible ActEncounterCode 📍3.0.0 THO v6.5
    Encounter.classHistory.​class Base extensible ActEncounterCode 📍3.0.0 THO v6.5
    Encounter.type Base extensible US Core Encounter Type 📍6.1.0 US Core v6.1
    Encounter.serviceType Base example Service type 📦4.0.1 FHIR Std.
    Encounter.priority Base example ActPriority 📍3.0.0 THO v6.5
    Encounter.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
    Encounter.participant.​type Base extensible Participant type 📦4.0.1 FHIR Std.
    Encounter.reasonCode Base preferred Encounter Reason Codes 📦4.0.1 FHIR Std.
    Encounter.diagnosis.​use Base preferred DiagnosisRole 📦4.0.1 FHIR Std.
    Encounter.hospitalization.​admitSource Base preferred Admit source 📦4.0.1 FHIR Std.
    Encounter.hospitalization.​reAdmission Base preferred hl7VS-re-admissionIndicator 📦2.0.0 THO v6.5
    Encounter.hospitalization.​dietPreference Base example Diet 📦4.0.1 FHIR Std.
    Encounter.hospitalization.​specialCourtesy Base preferred Special courtesy 📦4.0.1 FHIR Std.
    Encounter.hospitalization.​specialArrangement Base preferred Special arrangements 📦4.0.1 FHIR Std.
    Encounter.hospitalization.​dischargeDisposition Base extensible Discharge disposition 📦4.0.1 FHIR Std.
    Encounter.location.location.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
    Encounter.location.status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
    Encounter.location.physicalType Base example Location type 📦4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    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())
    encounter-ach-daily-initial-population error Encounter Encounter: (class must be from ACH Daily encounter class) or (type from 'Encounter Inpatient' or 'Observation Services') or (Encounter location type from 'Inpatient, Emergency, and Observation Locations') class.memberOf('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/ValueSet/ach-daily-encounter-class') or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307')).exists() or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143')).exists() or where(location.location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists())
    encounter-location-type-initial-population warning Encounter Encounter: references at least one Location where type is from 'Inpatient, Emergency, and Observation Locations' location.where(location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() or location.where(location.resolve().partOf.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists()
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

    This structure is derived from QICoreEncounter

    Summary

    Mandatory: 7 elements
    Must-Support: 9 elements

    Structures

    This structure refers to these other structures:

    Extensions

    This structure refers to these extensions:

    Maturity: 1

     

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