description: Base StructureDefinition for Encounter Resource
package_name: hl7.fhir.r2b.core
derivation: specialization
name: Encounter
type: null
elements:
  patient:
    isModifier: false
    short: The patient present at the encounter
    index: 8
    comments: While the encounter is always about the patient, the patient may not actually be known in all contexts of use.
    type: Reference
    mustSupport: false
    maxLength: 0
    base: {max: '1', min: 0, path: Encounter.patient}
    isSummary: true
  appointment:
    isModifier: false
    short: The appointment that scheduled this encounter
    type: Reference
    mustSupport: false
    maxLength: 0
    base: {max: '1', min: 0, path: Encounter.appointment}
    isSummary: true
    index: 15
  indication:
    isModifier: false
    short: Reason the encounter takes place (resource)
    index: 19
    comments: For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).
    type: Reference
    mustSupport: false
    array: true
    maxLength: 0
    base: {max: '*', min: 0, path: Encounter.indication}
    isSummary: false
  serviceProvider:
    isModifier: false
    short: The custodian organization of this Encounter record
    type: Reference
    mustSupport: false
    maxLength: 0
    base: {max: '1', min: 0, path: Encounter.serviceProvider}
    isSummary: false
    index: 36
  episodeOfCare:
    isModifier: false
    short: Episode(s) of care that this encounter should be recorded against
    index: 9
    type: Reference
    mustSupport: false
    array: true
    maxLength: 0
    base: {max: '*', min: 0, path: Encounter.episodeOfCare}
    isSummary: true
  type:
    isModifier: false
    short: Specific type of encounter
    index: 6
    comments: Since there are many ways to further classify encounters, this element is 0..*.
    type: CodeableConcept
    mustSupport: false
    array: true
    maxLength: 0
    base: {max: '*', min: 0, path: Encounter.type}
    isSummary: true
  participant:
    isModifier: false
    short: List of participants involved in the encounter
    index: 11
    type: BackboneElement
    mustSupport: false
    array: true
    elements:
      type:
        isModifier: false
        short: Role of participant in encounter
        index: 12
        comments: The participant type indicates how an individual partitipates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.
        type: CodeableConcept
        mustSupport: false
        array: true
        maxLength: 0
        base: {max: '*', min: 0, path: Encounter.participant.type}
        isSummary: true
      period:
        isModifier: false
        short: Period of time during the encounter participant was present
        type: Period
        mustSupport: false
        maxLength: 0
        base: {max: '1', min: 0, path: Encounter.participant.period}
        isSummary: false
        index: 13
      individual:
        isModifier: false
        short: Persons involved in the encounter other than the patient
        type: Reference
        mustSupport: false
        maxLength: 0
        base: {max: '1', min: 0, path: Encounter.participant.individual}
        isSummary: true
        index: 14
    maxLength: 0
    base: {max: '*', min: 0, path: Encounter.participant}
    isSummary: true
  incomingReferral:
    isModifier: false
    short: The ReferralRequest that initiated this encounter
    index: 10
    type: Reference
    mustSupport: false
    array: true
    maxLength: 0
    base: {max: '*', min: 0, path: Encounter.incomingReferral}
    isSummary: false
  reason:
    isModifier: false
    short: Reason the encounter takes place (code)
    index: 18
    comments: For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).
    type: CodeableConcept
    mustSupport: false
    array: true
    maxLength: 0
    base: {max: '*', min: 0, path: Encounter.reason}
    isSummary: true
  priority:
    isModifier: false
    short: Indicates the urgency of the encounter
    type: CodeableConcept
    mustSupport: false
    maxLength: 0
    base: {max: '1', min: 0, path: Encounter.priority}
    isSummary: false
    index: 7
  status:
    isModifier: true
    short: planned | arrived | in-progress | onleave | finished | cancelled
    index: 1
    type: code
    mustSupport: false
    maxLength: 0
    base: {max: '1', min: 0, path: Encounter.status}
    isSummary: true
  class:
    isModifier: false
    short: inpatient | outpatient | ambulatory | emergency +
    type: code
    mustSupport: false
    maxLength: 0
    base: {max: '1', min: 0, path: Encounter.class}
    isSummary: true
    index: 5
  length:
    isModifier: false
    short: Quantity of time the encounter lasted (less time absent)
    index: 17
    comments: May differ from the time the Encounter.period lasted because of leave of absence.
    type: Quantity
    mustSupport: false
    maxLength: 0
    base: {max: '1', min: 0, path: Encounter.length}
    isSummary: false
  identifier:
    isModifier: false
    short: Identifier(s) by which this encounter is known
    index: 0
    type: Identifier
    mustSupport: false
    array: true
    maxLength: 0
    base: {max: '*', min: 0, path: Encounter.identifier}
    isSummary: true
  hospitalization:
    isModifier: false
    short: Details about the admission to a healthcare service
    index: 20
    comments: An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included.  The duration recorded in the period of this encounter covers the entire scope of this hospitalization record.
    type: BackboneElement
    mustSupport: false
    elements:
      dischargeDisposition:
        isModifier: false
        short: Category or kind of location after discharge
        type: CodeableConcept
        mustSupport: false
        maxLength: 0
        base: {max: '1', min: 0, path: Encounter.hospitalization.dischargeDisposition}
        isSummary: false
        index: 30
      preAdmissionIdentifier:
        isModifier: false
        short: Pre-admission identifier
        type: Identifier
        mustSupport: false
        maxLength: 0
        base: {max: '1', min: 0, path: Encounter.hospitalization.preAdmissionIdentifier}
        isSummary: false
        index: 21
      admittingDiagnosis:
        isModifier: false
        short: The admitting diagnosis as reported by admitting practitioner
        index: 24
        type: Reference
        mustSupport: false
        array: true
        maxLength: 0
        base: {max: '*', min: 0, path: Encounter.hospitalization.admittingDiagnosis}
        isSummary: false
      specialArrangement:
        isModifier: false
        short: Wheelchair, translator, stretcher, etc.
        index: 28
        type: CodeableConcept
        mustSupport: false
        array: true
        maxLength: 0
        base: {max: '*', min: 0, path: Encounter.hospitalization.specialArrangement}
        isSummary: false
      dietPreference:
        isModifier: false
        short: Diet preferences reported by the patient
        index: 26
        comments: For example a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive).
        type: CodeableConcept
        mustSupport: false
        array: true
        maxLength: 0
        base: {max: '*', min: 0, path: Encounter.hospitalization.dietPreference}
        isSummary: false
      admitSource:
        isModifier: false
        short: From where patient was admitted (physician referral, transfer)
        type: CodeableConcept
        mustSupport: false
        maxLength: 0
        base: {max: '1', min: 0, path: Encounter.hospitalization.admitSource}
        isSummary: false
        index: 23
      specialCourtesy:
        isModifier: false
        short: Special courtesies (VIP, board member)
        index: 27
        type: CodeableConcept
        mustSupport: false
        array: true
        maxLength: 0
        base: {max: '*', min: 0, path: Encounter.hospitalization.specialCourtesy}
        isSummary: false
      reAdmission:
        isModifier: false
        short: The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
        type: CodeableConcept
        mustSupport: false
        maxLength: 0
        base: {max: '1', min: 0, path: Encounter.hospitalization.reAdmission}
        isSummary: false
        index: 25
      origin:
        isModifier: false
        short: The location from which the patient came before admission
        type: Reference
        mustSupport: false
        maxLength: 0
        base: {max: '1', min: 0, path: Encounter.hospitalization.origin}
        isSummary: false
        index: 22
      dischargeDiagnosis:
        isModifier: false
        short: The final diagnosis given a patient before release from the hospital after all testing, surgery, and workup are complete
        index: 31
        type: Reference
        mustSupport: false
        array: true
        maxLength: 0
        base: {max: '*', min: 0, path: Encounter.hospitalization.dischargeDiagnosis}
        isSummary: false
      destination:
        isModifier: false
        short: Location to which the patient is discharged
        type: Reference
        mustSupport: false
        maxLength: 0
        base: {max: '1', min: 0, path: Encounter.hospitalization.destination}
        isSummary: false
        index: 29
    maxLength: 0
    base: {max: '1', min: 0, path: Encounter.hospitalization}
    isSummary: false
  period:
    isModifier: false
    short: The start and end time of the encounter
    index: 16
    comments: If not (yet) known, the end of the Period may be omitted.
    type: Period
    mustSupport: false
    maxLength: 0
    base: {max: '1', min: 0, path: Encounter.period}
    isSummary: false
  partOf:
    isModifier: false
    short: Another Encounter this encounter is part of
    type: Reference
    mustSupport: false
    maxLength: 0
    base: {max: '1', min: 0, path: Encounter.partOf}
    isSummary: false
    index: 37
  location:
    isModifier: false
    short: List of locations where the patient has been
    index: 32
    comments: Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual".
    type: BackboneElement
    mustSupport: false
    array: true
    elements:
      location:
        isModifier: false
        short: Location the encounter takes place
        index: 33
        type: Reference
        mustSupport: false
        maxLength: 0
        base: {max: '1', min: 0, path: Encounter.location.location}
        isSummary: false
      status:
        isModifier: false
        short: planned | active | reserved | completed
        index: 34
        comments: When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.
        type: code
        mustSupport: false
        maxLength: 0
        base: {max: '1', min: 0, path: Encounter.location.status}
        isSummary: false
      period:
        isModifier: false
        short: Time period during which the patient was present at the location
        type: Period
        mustSupport: false
        maxLength: 0
        base: {max: '1', min: 0, path: Encounter.location.period}
        isSummary: false
        index: 35
    maxLength: 0
    base: {max: '*', min: 0, path: Encounter.location}
    required: [location]
    isSummary: false
  statusHistory:
    isModifier: false
    short: List of past encounter statuses
    index: 2
    comments: The current status is always found in the current version of the resource, not the status history.
    type: BackboneElement
    mustSupport: false
    array: true
    elements:
      status:
        isModifier: false
        short: planned | arrived | in-progress | onleave | finished | cancelled
        index: 3
        type: code
        mustSupport: false
        maxLength: 0
        base: {max: '1', min: 0, path: Encounter.statusHistory.status}
        isSummary: false
      period:
        isModifier: false
        short: The time that the episode was in the specified status
        index: 4
        type: Period
        mustSupport: false
        maxLength: 0
        base: {max: '1', min: 0, path: Encounter.statusHistory.period}
        isSummary: false
    maxLength: 0
    base: {max: '*', min: 0, path: Encounter.statusHistory}
    required: [status, period]
    isSummary: false
package_version: 1.4.0
class: resource
kind: resource
url: http://hl7.org/fhir/StructureDefinition/Encounter
base: http://hl7.org/fhir/StructureDefinition/DomainResource
version: null
required: [status]