{
"description": "Constrained version of CareConnect-Encounter-1 Profile (v1.1.0) to facilitate Supported Hospital Discharges (SHD) to Social Care. The Supported Hospital Discharge API enables full digitisation of the process for safely discharging Patients where Social Care intervention may be required.",
"_filename": "CareConnect-SHD-Encounter-1.StructureDefinition.json",
"package_name": "SupportedHospitalDischarge.STU3",
"date": "2020-02-18T13:03:56.0083376+00:00",
"derivation": "constraint",
"meta": {
"lastUpdated": "2020-02-18T13:03:56.068+00:00"
},
"publisher": null,
"fhirVersion": "3.0.2",
"purpose": "The CareConnect-SHD-Encounter-1 resource can be used to share details of the hospital admission that requires a supported hospital discharge",
"name": "CareConnect-SHD-Encounter-1",
"abstract": false,
"copyright": "Copyright © Nottinghamshire County Council 2020",
"type": "Encounter",
"experimental": null,
"resourceType": "StructureDefinition",
"title": null,
"package_version": "0.1.0",
"status": "active",
"id": "13b2d3cb-f9f0-4d6a-a1e2-be232830d6ee",
"kind": "resource",
"url": "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-SHD-Encounter-1",
"version": "0.0.1",
"differential": {
"element": [ {
"id": "Encounter.extension",
"path": "Encounter.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Encounter.extension:medicallyFitForDischarge",
"min": 1,
"path": "Encounter.extension",
"type": [ {
"code": "Extension",
"profile": "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/Extension-SHD-MedicallyFitDetails"
} ],
"short": "Medically Fit for Discharge",
"sliceName": "medicallyFitForDischarge",
"definition": "Whether the patient is fit for discharge, i.e. all health/medical activities required fro a safe discharge have been completed",
"mustSupport": true
}, {
"id": "Encounter.identifier",
"max": "1",
"min": 1,
"path": "Encounter.identifier",
"comment": "The consumer (e.g. Hospital) must provide a unique identifier for encounter - the same identifier willl also need to be referenced when sharing any updates (e.g. chnage to Predicted Discharge Date)",
"mustSupport": true
}, {
"id": "Encounter.status",
"path": "Encounter.status",
"comment": "in-progress = use for initial referral and when sharing updates of an exising case finished = use when communicating the patient has been discharged normally (i.e. to social care) cancelled = use when communicating the patient has died/self-discharged or the referral is no longer required",
"mustSupport": true
}, {
"id": "Encounter.statusHistory",
"path": "Encounter.statusHistory",
"comment": "Encounter MUST have a statusHistory for the previous status if Encounter.status = 'cancelled'",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "StatusHistory"
} ],
"mustSupport": true
}, {
"id": "Encounter.statusHistory.extension",
"path": "Encounter.statusHistory.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Encounter.statusHistory.extension:encounterStatusChangeReason",
"path": "Encounter.statusHistory.extension",
"type": [ {
"code": "Extension",
"profile": "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/Extension-SHD-EncounterStatusChangeReason"
} ],
"sliceName": "encounterStatusChangeReason"
}, {
"id": "Encounter.type",
"min": 1,
"path": "Encounter.type",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "coding.system",
"type": "value"
}, {
"path": "coding.code",
"type": "value"
} ]
}
}, {
"id": "Encounter.type:supportedHospitalDischarge",
"max": "1",
"min": 1,
"path": "Encounter.type",
"sliceName": "supportedHospitalDischarge"
}, {
"id": "Encounter.type:supportedHospitalDischarge.coding",
"min": 1,
"path": "Encounter.type.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "system",
"type": "value"
} ]
}
}, {
"id": "Encounter.type:supportedHospitalDischarge.coding.system",
"min": 1,
"path": "Encounter.type.coding.system",
"fixedUri": "https://fhir.nottinghamshire.gov.uk/encounter/type"
}, {
"id": "Encounter.type:supportedHospitalDischarge.coding.code",
"min": 1,
"path": "Encounter.type.coding.code",
"fixedCode": "supported-discharge"
}, {
"id": "Encounter.participant",
"max": "1",
"path": "Encounter.participant",
"short": "Lead Clinician",
"definition": "The details of the person at the hospital who is leading the patient’s care.",
"mustSupport": true,
"requirements": "A reference to the Lead Clinician practitioner who accepts overall responsibility for the Patient's Encounter"
}, {
"id": "Encounter.participant.individual",
"min": 1,
"path": "Encounter.participant.individual",
"type": [ {
"code": "Reference",
"targetProfile": "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-SHD-Practitioner-1"
} ]
}, {
"id": "Encounter.period",
"min": 1,
"path": "Encounter.period",
"mustSupport": true
}, {
"id": "Encounter.period.start",
"min": 1,
"path": "Encounter.period.start",
"short": "Admission Date"
}, {
"id": "Encounter.period.end",
"path": "Encounter.period.end",
"short": "Discharge Date (Planned/Actual)",
"mustSupport": true,
"requirements": "If status = 'in-progress' this is the current Predicted Discharge Date (PDD).\r\nIf status = 'cancelled' this is the last recorded Predicted Discharge Date (PDD).\r\nIf status = 'finished' this is the Actual Discharge Date.\r\n\r\nThe PDD SHOULD be shared if recorded on the source system, however as there will be occasions when it is not populated, period.end is NOT mandatory when status = 'in-progress' or 'cancelled'.\r\n\r\nThe Actual Discharge Date MUST be shared when the Patient has been discharged, as such period.end IS mandatory when status = 'finished'.\r\n\r\nPDD may also be known as EDD or PDMS"
}, {
"id": "Encounter.reason",
"max": "1",
"min": 1,
"path": "Encounter.reason",
"mustSupport": true
}, {
"id": "Encounter.reason.text",
"min": 1,
"path": "Encounter.reason.text",
"short": "Reason for Admission to Hospital",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"definition": "Summary of why the Patient was admitted to hospital."
}, {
"id": "Encounter.location",
"max": "1",
"min": 1,
"path": "Encounter.location",
"short": "Ward the Patient is located",
"mustSupport": true
}, {
"id": "Encounter.location.location",
"path": "Encounter.location.location",
"type": [ {
"code": "Reference",
"targetProfile": "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-SHD-Location-1"
} ]
} ]
},
"baseDefinition": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1"
}