Profile Comparison between http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-encounter vs http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-encounter

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter	http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter|6.0.0	Values Differ
copyright
description	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 is based on the [HL7 FHIR® US Core Encounter Profile v3.1.1](http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-encounter.html).	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](https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-encounter.html) profile, which inherits from the US Core 6.1.0 [Encounter](https://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-encounter.html) profile. This resource is required for the ACH Daily Measure and must be referenced in all Individual MeasureReport resources for this measure.	Values Differ
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	AcuteCareHospitalDailyEventEncounter
publisher	CDC National Healthcare Safety Network (NHSN)
purpose
status	active
title	ACH Daily Event Encounter
type	Encounter
url	http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-encounter

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
Encounter	C	0..*	USCoreEncounterProfile	An interaction during which services are provided to the patient Constraints: encounter-ach-daily-initial-population, encounter-location-type-initial-population	SC	1..*	QICoreEncounter(6.0.0)	(NHSN-MS) An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient during the NHSN ACH Daily reporting period. This resource is required for the ACH Daily Measure and must be referenced in all Individual MeasureReport resources for this measure. Constraints: encounter-ach-daily-initial-population, encounter-location-type-initial-population	Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '0' vs '1'
id	Σ	1..1	id	Logical id of this artifact	SΣ	1..1	id	(NHSN-MS) Logical id of this artifact	Elements differ in definition for mustSupport: 'false' vs 'true'
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing		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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (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	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? 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		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		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	Identifier(s) by which this encounter is known	SΣ	1..*	Identifier	(NHSN-MS)(USCDI) Identifier(s) by which this encounter is known
id		0..1	string	Unique id for inter-element referencing		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		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: ?? (required): Identifies the purpose for this identifier, if known .	?!SΣ	0..1	code	(NHSN-MS) usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.	SΣ	0..1	CodeableConcept	(NHSN-MS) Description of identifier Binding: ?? (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	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient	SΣ	1..1	uri	(NHSN-MS)(USCDI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456	SΣ	1..1	string	(NHSN-MS)(USCDI) The value that is unique Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use	SΣ	0..1	Period	(NHSN-MS) Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)	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: ?? (required)	?!SΣ	1..1	code	(NHSN-MS) triaged | in-progress | finished | onleave | entered-in-error Binding: ?? (required)
statusHistory		0..*	BackboneElement	List of past encounter statuses		0..*	BackboneElement	List of past encounter statuses
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: ?? (required): Current state of the encounter.		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: ?? (required): Current state of the encounter.
period		1..1	Period	The time that the episode was in the specified status		1..1	Period	The time that the episode was in the specified status
class	SΣ	1..1	Coding	Classification of patient encounter Binding: ?? (extensible): Classification of the encounter.	SΣ	1..1	Coding	(NHSN-MS)(USCDI) Classification of patient encounter Binding: ?? (extensible): Classification of the encounter.
classHistory	S	0..*	BackboneElement	List of past encounter classes	S	0..*	BackboneElement	(NHSN-MS) List of past encounter classes
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ?? (extensible): Classification of the encounter.	S	1..1	Coding	(NHSN-MS) inpatient | outpatient | ambulatory | emergency + Binding: ?? (extensible): Classification of the encounter.	Elements differ in definition for mustSupport: 'false' vs 'true'
period		1..1	Period	The time that the episode was in the specified class	S	1..1	Period	(NHSN-MS) The time that the episode was in the specified class	Elements differ in definition for mustSupport: 'false' vs 'true'
type	SΣ	1..*	CodeableConcept	Specific type of encounter Binding: ?? (extensible): Valueset to describe the Encounter Type	SΣ	1..*	CodeableConcept	(NHSN-MS)(USCDI) Specific type of encounter Binding: ?? (extensible): Valueset to describe the Encounter Type
serviceType	Σ	0..1	CodeableConcept	Specific type of service Binding: ?? (example): Broad categorization of the service that is to be provided.	Σ	0..1	CodeableConcept	Specific type of service Binding: ?? (example): Broad categorization of the service that is to be provided.
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ?? (example): Indicates the urgency of the encounter.		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ?? (example): Indicates the urgency of the encounter.
subject	SΣ	1..1	Reference(US Core Patient Profile)	The patient or group present at the encounter	SΣ	1..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS)(QI-Core)(USCDI) The patient or group present at the encounter
id		0..1	string	Unique id for inter-element referencing		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		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	SΣC	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	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	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		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
participant	SΣ	0..*	BackboneElement	List of participants involved in the encounter	SΣ	0..*	BackboneElement	(QI-Core)(USCDI) List of participants involved in the encounter
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..*	CodeableConcept	Role of participant in encounter Binding: ?? (extensible): Role of participant in encounter.	SΣ	0..*	CodeableConcept	(USCDI) Role of participant in encounter Binding: ?? (extensible): Role of participant in encounter.
period	S	0..1	Period	Period of time during the encounter that the participant participated	S	0..1	Period	(USCDI) Period of time during the encounter that the participant participated
individual	SΣ	0..1	Reference(US Core Practitioner Profile)	Persons involved in the encounter other than the patient	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	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period	S	1..1	Period	The start and end time of the encounter	S	1..1	Period	(NHSN-MS)(USCDI) The start and end time of the encounter
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	SΣ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: ?? (preferred): Reason why the encounter takes place.	SΣ	0..*	CodeableConcept	(NHSN-MS)(USCDI) Coded reason the encounter takes place Binding: ?? (preferred): Reason why the encounter takes place.
reasonReference	Σ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)	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)	Elements differ in definition for mustSupport: 'false' vs 'true'
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!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	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: ?? (preferred): The type of diagnosis this condition represents.		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: ?? (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)		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		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization	S	0..1	BackboneElement	Details about the admission to a healthcare service	S	0..1	BackboneElement	(NHSN-MS)(QI-Core)(USCDI) Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier		0..1	Identifier	Pre-admission identifier
origin		0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission		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: ?? (preferred): From where the patient was admitted.	S	0..1	CodeableConcept	(NHSN-MS) From where patient was admitted (physician referral, transfer) Binding: ?? (extensible)
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: ?? (preferred)	S	0..1	CodeableConcept	(NHSN-MS) 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: ?? (preferred)	Example/preferred bindings differ at Encounter.hospitalization.reAdmission using binding from AcuteCareHospitalDailyEventEncounter
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: ?? (example): Medical, cultural or ethical food preferences to help with catering requirements.		0..*	CodeableConcept	Diet preferences reported by the patient Binding: ?? (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: ?? (preferred): Special courtesies.		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: ?? (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: ?? (preferred): Special arrangements.		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: ?? (preferred): Special arrangements.
destination		0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged		0..1	Reference(QICore Location)	Location/organization to which the patient is discharged
dischargeDisposition	S	0..1	CodeableConcept	Category or kind of location after discharge Binding: ?? (required)	S	0..1	CodeableConcept	(NHSN-MS)(USCDI) Category or kind of location after discharge Binding: ?? (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.	S	1..*	BackboneElement	(NHSN-MS)(QI-Core)(USCDI) 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		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(Location)	Location the encounter takes place	S	1..1	Reference(QICore Location) {b}	(NHSN-MS)(QI-Core)(USCDI) Location the encounter takes place
id		0..1	string	Unique id for inter-element referencing		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		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	SΣC	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
status	S	0..1	code	planned | active | reserved | completed Binding: ?? (required): The status of the location.	S	0..1	code	(NHSN-MS) planned | active | reserved | completed Binding: ?? (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: ?? (example): Physical form of the location.		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: ?? (example): Physical form of the location.
period		1..1	Period	Time period during which the patient was present at the location	S	1..1	Period	(NHSN-MS)(QI-Core) Time period during which the patient was present at the location	Elements differ in definition for mustSupport: 'false' vs 'true'
serviceProvider		0..1	Reference(Organization)	The organization (facility) responsible for this encounter	S	0..1	Reference(QICore Organization)	(QI-Core)(USCDI) The organization (facility) responsible for this encounter	Elements differ in definition for mustSupport: 'false' vs 'true'
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of		0..1	Reference(QICore Encounter)	Another Encounter this encounter is part of
Documentation for this format