{
"description": "Proposed constraints and extensions on the Encounter Resource",
"_filename": "StructureDefinition-profile-encounter.json",
"package_name": "ca.on.oh.mha-pds",
"date": "2020-07-29",
"derivation": "constraint",
"publisher": "HL7 Canada - FHIR Implementation Work Group",
"fhirVersion": "4.0.1",
"jurisdiction": [ {
"coding": [ {
"code": "CA",
"system": "urn:iso:std:iso:3166"
} ]
} ],
"name": "Encounter",
"mapping": [ {
"uri": "http://hl7.org/fhir/workflow",
"name": "Workflow Pattern",
"identity": "workflow"
}, {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
}, {
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern Mapping",
"identity": "w5"
}, {
"uri": "http://hl7.org/v2",
"name": "HL7 v2 Mapping",
"identity": "v2"
}, {
"name": "MHA PDS Mapping",
"identity": "MHA-PDS-Mapping"
} ],
"abstract": false,
"type": "Encounter",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "MHA Encounter Profile",
"package_version": "0.9.0-alpha-1.9.3",
"status": "draft",
"id": "1cbb49bc-73d4-40cd-ae96-212f943d8b86",
"kind": "resource",
"url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-encounter",
"version": "0.1.0",
"differential": {
"element": [ {
"id": "Encounter",
"path": "Encounter",
"short": "Encounter",
"definition": "The Encounter Profile is based upon the core FHIR Encounter Resource",
"mustSupport": true
}, {
"id": "Encounter.meta",
"min": 1,
"path": "Encounter.meta",
"mustSupport": true
}, {
"id": "Encounter.meta.profile",
"max": "1",
"min": 1,
"path": "Encounter.meta.profile",
"mustSupport": true
}, {
"id": "Encounter.extension",
"min": 0,
"path": "Encounter.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Encounter.extension:directMinutes",
"min": 0,
"path": "Encounter.extension",
"type": [ {
"code": "Extension",
"profile": [ "https://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-directminutes" ]
} ],
"mapping": [ {
"map": "Direct Minutes",
"identity": "MHA-PDS-Mapping"
} ],
"sliceName": "directMinutes",
"definition": "Time spent providing service to a client, with direct client interaction",
"mustSupport": true
}, {
"id": "Encounter.extension:directMinutes.value[x]",
"path": "Encounter.extension.value[x]",
"mapping": [ {
"map": "Direct Minutes",
"identity": "MHA-PDS-Mapping"
} ],
"mustSupport": true
}, {
"id": "Encounter.extension:indirectMinutes",
"min": 0,
"path": "Encounter.extension",
"type": [ {
"code": "Extension",
"profile": [ "https://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-indirectminutes" ]
} ],
"mapping": [ {
"map": "Indirect Minutes",
"identity": "MHA-PDS-Mapping"
} ],
"sliceName": "indirectMinutes",
"definition": "Time spent providing service to a client, without direct client interaction",
"mustSupport": true
}, {
"id": "Encounter.extension:indirectMinutes.value[x]",
"path": "Encounter.extension.value[x]",
"mustSupport": true
}, {
"id": "Encounter.identifier",
"max": "1",
"min": 1,
"path": "Encounter.identifier",
"mustSupport": true
}, {
"id": "Encounter.identifier.system",
"min": 1,
"path": "Encounter.identifier.system",
"mustSupport": true
}, {
"id": "Encounter.identifier.value",
"min": 1,
"path": "Encounter.identifier.value",
"comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.\r\n\r\nThe unique identifier assigned to each service event with a health service.",
"mapping": [ {
"map": "Health Service Event ID",
"identity": "MHA-PDS-Mapping"
} ],
"mustSupport": true
}, {
"id": "Encounter.class",
"path": "Encounter.class",
"binding": {
"strength": "extensible",
"valueSet": "https://terminology.hl7.org/2.1.0/ValueSet-v3-ActEncounterCode.html",
"description": "Classification of patient encounter"
},
"mustSupport": true
}, {
"id": "Encounter.class.system",
"min": 1,
"path": "Encounter.class.system",
"mustSupport": true
}, {
"id": "Encounter.class.code",
"min": 1,
"path": "Encounter.class.code",
"mapping": [ {
"map": "Service Modality",
"identity": "MHA-PDS-Mapping"
} ],
"mustSupport": true
}, {
"id": "Encounter.class.display",
"min": 1,
"path": "Encounter.class.display",
"mustSupport": true
}, {
"id": "Encounter.type",
"max": "1",
"min": 1,
"path": "Encounter.type",
"binding": {
"strength": "extensible",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/EncounterTypeCode",
"description": "Valueset to describe the Encounter Type"
},
"comment": "The binding strength of this element is [Preferred](https://www.hl7.org/fhir/terminologies.html#strength), meaning that codes are encouraged to draw from the SNOMED CT code system for interoperability purposes but are not required to do so to be considered conformant.",
"mapping": [ {
"map": "Service Modality",
"identity": "MHA-PDS-Mapping"
} ],
"mustSupport": true
}, {
"id": "Encounter.type.coding",
"path": "Encounter.type.coding",
"binding": {
"strength": "extensible",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/EncounterTypeCode"
}
}, {
"id": "Encounter.type.coding.system",
"min": 1,
"path": "Encounter.type.coding.system",
"mustSupport": true
}, {
"id": "Encounter.type.coding.code",
"min": 1,
"path": "Encounter.type.coding.code",
"mustSupport": true
}, {
"id": "Encounter.type.coding.display",
"min": 1,
"path": "Encounter.type.coding.display",
"mustSupport": true
}, {
"id": "Encounter.subject",
"min": 1,
"path": "Encounter.subject",
"short": "The patient present at the encounter",
"mustSupport": true
}, {
"id": "Encounter.subject.reference",
"path": "Encounter.subject.reference",
"mustSupport": true
}, {
"id": "Encounter.episodeOfCare",
"path": "Encounter.episodeOfCare",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-EpisodeOfCare" ]
} ],
"mustSupport": true
}, {
"id": "Encounter.basedOn",
"path": "Encounter.basedOn",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-servicerequest" ]
} ],
"mustSupport": true
}, {
"id": "Encounter.basedOn.reference",
"path": "Encounter.basedOn.reference",
"mustSupport": true
}, {
"id": "Encounter.participant",
"path": "Encounter.participant",
"short": "A list of Practitioners participating in the encounter"
}, {
"id": "Encounter.participant.individual",
"path": "Encounter.participant.individual",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitionerrole" ]
} ]
}, {
"id": "Encounter.period",
"path": "Encounter.period",
"mustSupport": true
}, {
"id": "Encounter.period.start",
"path": "Encounter.period.start",
"comment": "If the low element is missing, the meaning is that the low boundary is not known.\r\n\r\nThe last date direct service was provided to client as part of the service.",
"mapping": [ {
"map": "Encounter Date",
"identity": "MHA-PDS-Mapping"
} ],
"mustSupport": true
}, {
"id": "Encounter.reasonReference",
"path": "Encounter.reasonReference",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-condition", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-procedure", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-observation", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-immunizationrecommendation" ]
} ]
}, {
"id": "Encounter.diagnosis.condition",
"path": "Encounter.diagnosis.condition",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-condition", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-procedure" ]
} ]
}, {
"id": "Encounter.diagnosis.rank",
"path": "Encounter.diagnosis.rank",
"mustSupport": true
}, {
"id": "Encounter.hospitalization.origin",
"path": "Encounter.hospitalization.origin",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-location", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization" ]
} ]
}, {
"id": "Encounter.hospitalization.destination",
"path": "Encounter.hospitalization.destination",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-location", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization" ]
} ]
}, {
"id": "Encounter.hospitalization.dischargeDisposition",
"path": "Encounter.hospitalization.dischargeDisposition",
"binding": {
"strength": "preferred",
"valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/encounterdischargedisposition"
}
}, {
"id": "Encounter.location.location",
"path": "Encounter.location.location",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-location" ]
} ]
}, {
"id": "Encounter.serviceProvider",
"path": "Encounter.serviceProvider",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization" ]
} ]
}, {
"id": "Encounter.partOf",
"path": "Encounter.partOf",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-encounter" ]
} ]
} ]
},
"contact": [ {
"telecom": [ {
"value": "https://infocentral.infoway-inforoute.ca/en/collaboration/wg/fhir-implementations",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Encounter"
}