{
"description": null,
"_filename": "CDREncounter.json",
"package_name": "OntarioacCDRFHIRImplementationGuide-0.10.00",
"date": "2022-02-01T21:18:19.4349921+00:00",
"derivation": "constraint",
"meta": {
"lastUpdated": "2022-02-01T21:18:49.978+00:00"
},
"publisher": null,
"fhirVersion": "4.0.1",
"name": "CDREncounter",
"mapping": [ {
"uri": "http://ehealthontario.ca",
"identity": "cdr-v2-data-in"
}, {
"name": "Virtual Visit Mapping",
"identity": "virtual-visit"
} ],
"abstract": false,
"type": "Encounter",
"experimental": null,
"resourceType": "StructureDefinition",
"title": null,
"package_version": "0.1.0",
"status": "draft",
"id": "116af200-9cba-4f7d-af72-45cdbbe061c1",
"kind": "resource",
"url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Encounter",
"version": null,
"differential": {
"element": [ {
"id": "Encounter.meta",
"path": "Encounter.meta"
}, {
"id": "Encounter.meta.profile",
"max": "1",
"min": 1,
"path": "Encounter.meta.profile",
"fixedCanonical": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Encounter"
}, {
"id": "Encounter.contained",
"path": "Encounter.contained",
"comment": "For encounter submission and encounter read, the resource will contain patient, practitioner, and organization resources.",
"mustSupport": true
}, {
"id": "Encounter.identifier",
"max": "1",
"min": 1,
"path": "Encounter.identifier",
"mapping": [ {
"map": "PV1.19 (visit number)",
"identity": "cdr-v2-data-in"
}, {
"map": "Event ID",
"comment": "Unique identifier for the Event to a single patient",
"identity": "virtual-visit"
} ],
"mustSupport": true
}, {
"id": "Encounter.identifier.system",
"min": 1,
"path": "Encounter.identifier.system",
"comment": "Contains an OID in the urn format (urn:oid:xxxx)",
"mapping": [ {
"map": "PV1.19.4",
"identity": "cdr-v2-data-in"
} ],
"mustSupport": true
}, {
"id": "Encounter.identifier.value",
"min": 1,
"path": "Encounter.identifier.value",
"mapping": [ {
"map": "PV1.19.1",
"identity": "cdr-v2-data-in"
} ],
"mustSupport": true
}, {
"id": "Encounter.status",
"path": "Encounter.status",
"mustSupport": true
}, {
"id": "Encounter.class",
"path": "Encounter.class",
"binding": {
"strength": "required",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/acCDR-encounter-class"
},
"mapping": [ {
"map": "PV1.2",
"identity": "cdr-v2-data-in"
}, {
"map": "Modality",
"comment": "Primary modality or channel of the virtual care event as either Video, Secure Messaging, or both",
"identity": "virtual-visit"
} ],
"constraint": [ {
"key": "elem-2",
"human": "Virtual Encounter class must have modality value",
"source": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Encounter",
"severity": "error"
} ],
"mustSupport": true
}, {
"id": "Encounter.type",
"max": "1",
"path": "Encounter.type",
"mapping": [ {
"map": "PV1.4",
"identity": "cdr-v2-data-in"
}, {
"map": "Event Type",
"comment": "Describes the nature of the communication between participants",
"identity": "virtual-visit"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "this",
"type": "pattern"
} ]
},
"mustSupport": true
}, {
"id": "Encounter.type:VirtualVisitModalities",
"max": "1",
"path": "Encounter.type",
"binding": {
"strength": "required",
"valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/encountertypecode",
"description": "The type of encounter for virtual visit modalities"
},
"sliceName": "VirtualVisitModalities",
"mustSupport": true
}, {
"id": "Encounter.type:AACAdmitCategories",
"max": "1",
"path": "Encounter.type",
"binding": {
"strength": "preferred",
"valueSet": "http://cihi.ca/fhir/ValueSet/aac-admit-category",
"description": "The type of encounter defined by CIHI AAC"
},
"sliceName": "AACAdmitCategories",
"mustSupport": true
}, {
"id": "Encounter.serviceType",
"path": "Encounter.serviceType",
"binding": {
"strength": "extensible",
"valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/practitionerspecialty",
"description": "Defines the clinical, medical, surgical or other healthcare-related service specialty of a practitioner who interacts, treats or provides such services to or for a patient"
},
"mustSupport": true
}, {
"id": "Encounter.serviceType.coding",
"max": "1",
"min": 1,
"path": "Encounter.serviceType.coding"
}, {
"id": "Encounter.priority",
"path": "Encounter.priority",
"binding": {
"strength": "extensible",
"valueSet": "http://ehealthontario.ca/fhir/ValueSet/acCDR-encounter-priority"
},
"mustSupport": true
}, {
"id": "Encounter.subject",
"min": 1,
"path": "Encounter.subject",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Patient" ]
} ],
"mustSupport": true
}, {
"id": "Encounter.participant",
"path": "Encounter.participant",
"mustSupport": true
}, {
"id": "Encounter.participant.type",
"max": "1",
"min": 1,
"path": "Encounter.participant.type",
"binding": {
"strength": "required"
},
"definition": "Role of participant in encounter. For virtual visit encounter, use type \"ATND\" (attender) to indicate Host Practitioner",
"mustSupport": true
}, {
"id": "Encounter.participant.individual",
"min": 1,
"path": "Encounter.participant.individual",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-practitioner" ]
} ],
"mustSupport": true
}, {
"id": "Encounter.participant.individual.reference",
"min": 1,
"path": "Encounter.participant.individual.reference"
}, {
"id": "Encounter.period",
"path": "Encounter.period",
"mustSupport": true
}, {
"id": "Encounter.period.start",
"path": "Encounter.period.start",
"mapping": [ {
"map": "Event Start Date, Event Start Time",
"identity": "virtual-visit"
} ],
"mustSupport": true
}, {
"id": "Encounter.period.end",
"path": "Encounter.period.end",
"mapping": [ {
"map": "Event End Date, Event End Time",
"identity": "virtual-visit"
} ],
"mustSupport": true
}, {
"id": "Encounter.length",
"path": "Encounter.length",
"comment": "Required for virtual visit submission",
"mapping": [ {
"map": "Clinical Service Duration",
"comment": "Length of time, in minutes, of actual clinical service provided to patient",
"identity": "virtual-visit"
} ],
"mustSupport": true
}, {
"id": "Encounter.length.value",
"min": 1,
"path": "Encounter.length.value",
"mustSupport": true
}, {
"id": "Encounter.length.unit",
"min": 1,
"path": "Encounter.length.unit",
"mustSupport": true
}, {
"id": "Encounter.reasonCode",
"path": "Encounter.reasonCode",
"mapping": [ {
"map": "Primary Diagnosis",
"comment": "Main problem, assigned by the health care provider that is deemed to be the clinically significant reason for the patient’s virtual visit and that requires evaluation and/or treatment or management. . This can be a diagnosis, condition, problem, or circumstance.",
"identity": "virtual-visit"
} ],
"mustSupport": true
}, {
"id": "Encounter.reasonCode.coding",
"max": "1",
"min": 1,
"path": "Encounter.reasonCode.coding",
"mustSupport": true
}, {
"id": "Encounter.reasonCode.coding.system",
"min": 1,
"path": "Encounter.reasonCode.coding.system",
"mustSupport": true
}, {
"id": "Encounter.reasonCode.coding.code",
"min": 1,
"path": "Encounter.reasonCode.coding.code"
}, {
"id": "Encounter.reasonCode.coding.display",
"min": 1,
"path": "Encounter.reasonCode.coding.display"
}, {
"id": "Encounter.reasonCode.text",
"path": "Encounter.reasonCode.text",
"mustSupport": true
}, {
"id": "Encounter.reasonReference",
"path": "Encounter.reasonReference",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-Condition" ]
} ],
"mustSupport": true
}, {
"id": "Encounter.reasonReference.reference",
"min": 1,
"path": "Encounter.reasonReference.reference",
"mustSupport": true
}, {
"id": "Encounter.diagnosis",
"path": "Encounter.diagnosis",
"mustSupport": true
}, {
"id": "Encounter.diagnosis.condition",
"path": "Encounter.diagnosis.condition",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-Condition" ]
} ],
"mustSupport": true
}, {
"id": "Encounter.diagnosis.condition.reference",
"min": 1,
"path": "Encounter.diagnosis.condition.reference",
"mustSupport": true
}, {
"id": "Encounter.diagnosis.use",
"path": "Encounter.diagnosis.use",
"mustSupport": true
}, {
"id": "Encounter.hospitalization.dischargeDisposition",
"path": "Encounter.hospitalization.dischargeDisposition",
"mustSupport": true
}, {
"id": "Encounter.location",
"max": "1",
"path": "Encounter.location",
"mapping": [ {
"map": "Patient Location(s)",
"identity": "virtual-visit"
} ]
}, {
"id": "Encounter.location.location.reference",
"min": 1,
"path": "Encounter.location.location.reference",
"mustSupport": true
}, {
"id": "Encounter.serviceProvider",
"path": "Encounter.serviceProvider",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Organization" ]
} ],
"short": "The organization (facility) responsible for this encounter. For virtual visit, this is the solution",
"comment": "For virtual visit, use identifier and display fields to support th solution ID",
"mapping": [ {
"map": "Solution ID",
"comment": "Unique identifier for the solution that supported the virtual visit",
"identity": "virtual-visit"
} ],
"mustSupport": true
}, {
"id": "Encounter.serviceProvider.identifier",
"path": "Encounter.serviceProvider.identifier",
"mustSupport": true
}, {
"id": "Encounter.serviceProvider.display",
"path": "Encounter.serviceProvider.display",
"mustSupport": true
} ]
},
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Encounter"
}