{
"description": null,
"_filename": "Encounter.json",
"package_name": "ca.on.dhdr.r4.v4",
"date": "2023-04-17T14:49:02.7032158+00:00",
"derivation": "constraint",
"meta": {
"lastUpdated": "2023-09-19T19:28:21.1802421+00:00"
},
"publisher": null,
"fhirVersion": "4.0.1",
"name": "Encounter",
"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": "Encounter",
"package_version": "0.0.5-beta",
"status": "draft",
"id": "1e7e27b7-e97d-4d3f-b197-b35d82d2e535",
"kind": "resource",
"url": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-Encounter",
"version": "4.0.1",
"differential": {
"element": [ {
"id": "Encounter.meta",
"min": 1,
"path": "Encounter.meta",
"mustSupport": true
}, {
"id": "Encounter.meta.profile",
"min": 1,
"path": "Encounter.meta.profile",
"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.type",
"min": 1,
"path": "Encounter.identifier.type",
"mustSupport": true
}, {
"id": "Encounter.identifier.type.coding",
"max": "1",
"min": 1,
"path": "Encounter.identifier.type.coding",
"mustSupport": true
}, {
"id": "Encounter.identifier.type.coding.system",
"min": 1,
"path": "Encounter.identifier.type.coding.system",
"fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203",
"mustSupport": true
}, {
"id": "Encounter.identifier.type.coding.code",
"min": 1,
"path": "Encounter.identifier.type.coding.code",
"fixedCode": "VN",
"mustSupport": true
}, {
"id": "Encounter.identifier.type.coding.display",
"min": 1,
"path": "Encounter.identifier.type.coding.display",
"fixedString": "Visit Number",
"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"
} ],
"definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.\r\n\r\nIn this implementation, this will be the visit OID.",
"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",
"fixedCode": "in-progress",
"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",
"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:slice-local-Encounter-Type",
"max": "1",
"path": "Encounter.type",
"binding": {
"strength": "required",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/local-PV1-4values"
},
"sliceName": "slice-local-Encounter-Type",
"mustSupport": true
}, {
"id": "Encounter.type:slice-local-Encounter-Type.coding",
"max": "1",
"min": 1,
"path": "Encounter.type.coding",
"mustSupport": true
}, {
"id": "Encounter.type:slice-local-Encounter-Type.coding.system",
"min": 1,
"path": "Encounter.type.coding.system",
"mustSupport": true
}, {
"id": "Encounter.type:slice-local-Encounter-Type.coding.code",
"min": 1,
"path": "Encounter.type.coding.code",
"mustSupport": true
}, {
"id": "Encounter.type:slice-local-Encounter-Type.coding.display",
"min": 1,
"path": "Encounter.type.coding.display",
"mustSupport": true
}, {
"id": "Encounter.type:slice-virtual-visit-modality",
"max": "1",
"path": "Encounter.type",
"binding": {
"strength": "required",
"valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/encountertypecode",
"description": "A description of the type of contact between the Provider and the Client for a registered Encounter or visit."
},
"sliceName": "slice-virtual-visit-modality",
"mustSupport": true
}, {
"id": "Encounter.type:slice-virtual-visit-modality.coding",
"max": "1",
"min": 1,
"path": "Encounter.type.coding",
"mustSupport": true
}, {
"id": "Encounter.type:slice-virtual-visit-modality.coding.system",
"min": 1,
"path": "Encounter.type.coding.system",
"mustSupport": true
}, {
"id": "Encounter.type:slice-virtual-visit-modality.coding.code",
"min": 1,
"path": "Encounter.type.coding.code",
"mustSupport": true
}, {
"id": "Encounter.type:slice-virtual-visit-modality.coding.display",
"min": 1,
"path": "Encounter.type.coding.display",
"mustSupport": true
}, {
"id": "Encounter.serviceType",
"path": "Encounter.serviceType",
"binding": {
"strength": "required",
"valueSet": "http://cihi.ca/fhir/ValueSet/aac-hospital-service",
"description": "description of the Hospital Service"
},
"comment": "If hospitals send MOH defined codes, those codes will be returned in coding. If hospitals only support free text, only text field will be returned.",
"mapping": [ {
"map": "PV1.10",
"comment": "coding will be mapped to MOH codes in v2.6. Pre 2.6 will only support text",
"identity": "cdr-v2-data-in"
} ],
"mustSupport": true
}, {
"id": "Encounter.serviceType.coding",
"path": "Encounter.serviceType.coding",
"mustSupport": true
}, {
"id": "Encounter.serviceType.coding.system",
"min": 1,
"path": "Encounter.serviceType.coding.system",
"mustSupport": true
}, {
"id": "Encounter.serviceType.coding.code",
"min": 1,
"path": "Encounter.serviceType.coding.code",
"mustSupport": true
}, {
"id": "Encounter.serviceType.coding.display",
"min": 1,
"path": "Encounter.serviceType.coding.display",
"mustSupport": true
}, {
"id": "Encounter.serviceType.text",
"path": "Encounter.serviceType.text",
"mustSupport": true
}, {
"id": "Encounter.priority",
"path": "Encounter.priority",
"binding": {
"strength": "required",
"valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/canadiantriageacuityscale"
},
"mustSupport": true
}, {
"id": "Encounter.priority.coding",
"max": "1",
"min": 1,
"path": "Encounter.priority.coding",
"mustSupport": true
}, {
"id": "Encounter.priority.coding.system",
"min": 1,
"path": "Encounter.priority.coding.system",
"fixedUri": "http://ctas-phctas.ca/CodeSystem/canadian-triage-acuity-scale",
"mustSupport": true
}, {
"id": "Encounter.priority.coding.code",
"min": 1,
"path": "Encounter.priority.coding.code",
"mustSupport": true
}, {
"id": "Encounter.priority.coding.display",
"min": 1,
"path": "Encounter.priority.coding.display",
"mustSupport": true
}, {
"id": "Encounter.subject",
"min": 1,
"path": "Encounter.subject",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-Patient" ]
} ],
"mustSupport": true
}, {
"id": "Encounter.subject.reference",
"min": 1,
"path": "Encounter.subject.reference",
"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",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/acCDR-encounter-participant-type"
},
"definition": "Role of participant in encounter. For virtual visit encounter, use type \"ATND\" (attender) to indicate Host Practitioner",
"mustSupport": true
}, {
"id": "Encounter.participant.type.coding",
"max": "1",
"min": 1,
"path": "Encounter.participant.type.coding",
"mustSupport": true
}, {
"id": "Encounter.participant.type.coding.system",
"min": 1,
"path": "Encounter.participant.type.coding.system",
"fixedUri": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"mustSupport": true
}, {
"id": "Encounter.participant.type.coding.code",
"min": 1,
"path": "Encounter.participant.type.coding.code",
"mustSupport": true
}, {
"id": "Encounter.participant.type.coding.display",
"min": 1,
"path": "Encounter.participant.type.coding.display",
"mustSupport": true
}, {
"id": "Encounter.participant.individual",
"min": 1,
"path": "Encounter.participant.individual",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-Practitioner" ]
} ],
"mustSupport": true
}, {
"id": "Encounter.participant.individual.reference",
"min": 1,
"path": "Encounter.participant.individual.reference",
"mustSupport": true
}, {
"id": "Encounter.period",
"path": "Encounter.period",
"mustSupport": true
}, {
"id": "Encounter.period.start",
"path": "Encounter.period.start",
"mapping": [ {
"map": "PV1.44",
"identity": "cdr-v2-data-in"
} ],
"mustSupport": true
}, {
"id": "Encounter.period.end",
"path": "Encounter.period.end",
"mapping": [ {
"map": "PV1.45",
"identity": "cdr-v2-data-in"
} ],
"mustSupport": true
}, {
"id": "Encounter.hospitalization",
"path": "Encounter.hospitalization",
"mustSupport": true
}, {
"id": "Encounter.hospitalization.admitSource",
"path": "Encounter.hospitalization.admitSource",
"binding": {
"strength": "required",
"valueSet": "http://cihi.ca/fhir/ValueSet/aac-admit-source",
"description": "indicates the last point of entry prior to being admitted as an inpatient to the reporting facility"
},
"mapping": [ {
"map": "PV1.14",
"comment": "Only supported post 2.6",
"identity": "cdr-v2-data-in"
} ],
"mustSupport": true
}, {
"id": "Encounter.hospitalization.admitSource.coding",
"max": "1",
"min": 1,
"path": "Encounter.hospitalization.admitSource.coding",
"mustSupport": true
}, {
"id": "Encounter.hospitalization.admitSource.coding.system",
"min": 1,
"path": "Encounter.hospitalization.admitSource.coding.system",
"fixedUri": "http://cihi.ca/fhir/CodeSystem/aac-admit-source",
"mustSupport": true
}, {
"id": "Encounter.hospitalization.admitSource.coding.code",
"min": 1,
"path": "Encounter.hospitalization.admitSource.coding.code",
"mustSupport": true
}, {
"id": "Encounter.hospitalization.admitSource.coding.display",
"min": 1,
"path": "Encounter.hospitalization.admitSource.coding.display",
"mustSupport": true
}, {
"id": "Encounter.hospitalization.dischargeDisposition",
"path": "Encounter.hospitalization.dischargeDisposition",
"binding": {
"strength": "required",
"valueSet": "http://cihi.ca/fhir/ValueSet/aac-discharge-disposition",
"description": "disposition of the patient at time of discharge (i.e., discharged to home, expired, etc.)."
},
"mustSupport": true
}, {
"id": "Encounter.hospitalization.dischargeDisposition.coding",
"max": "1",
"min": 1,
"path": "Encounter.hospitalization.dischargeDisposition.coding",
"mapping": [ {
"map": "PV1.36",
"comment": "This field is added in v2.6",
"identity": "cdr-v2-data-in"
} ]
}, {
"id": "Encounter.hospitalization.dischargeDisposition.coding.system",
"min": 1,
"path": "Encounter.hospitalization.dischargeDisposition.coding.system",
"fixedUri": "http://cihi.ca/fhir/CodeSystem/aac-discharge-disposition"
}, {
"id": "Encounter.hospitalization.dischargeDisposition.coding.code",
"min": 1,
"path": "Encounter.hospitalization.dischargeDisposition.coding.code"
}, {
"id": "Encounter.hospitalization.dischargeDisposition.coding.display",
"min": 1,
"path": "Encounter.hospitalization.dischargeDisposition.coding.display"
}, {
"id": "Encounter.location",
"path": "Encounter.location",
"mapping": [ {
"map": "PV1.3",
"identity": "cdr-v2-data-in"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "physicalType.coding.code",
"type": "value"
} ]
},
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-bed",
"max": "1",
"path": "Encounter.location",
"sliceName": "slice-location-bed",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-bed.location",
"path": "Encounter.location.location",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-bed.location.display",
"min": 1,
"path": "Encounter.location.location.display",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-bed.physicalType",
"min": 1,
"path": "Encounter.location.physicalType",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-bed.physicalType.coding",
"min": 1,
"path": "Encounter.location.physicalType.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "pattern"
} ]
},
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-bed.physicalType.coding:slice-location-type-bed",
"max": "1",
"min": 1,
"path": "Encounter.location.physicalType.coding",
"binding": {
"strength": "required",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/acCDR-location-physical-type",
"description": "The physical type of the location"
},
"sliceName": "slice-location-type-bed",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-bed.physicalType.coding:slice-location-type-bed.system",
"min": 1,
"path": "Encounter.location.physicalType.coding.system",
"fixedUri": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-bed.physicalType.coding:slice-location-type-bed.code",
"min": 1,
"path": "Encounter.location.physicalType.coding.code",
"fixedCode": "bd",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-bed.physicalType.coding:slice-location-type-bed.display",
"min": 1,
"path": "Encounter.location.physicalType.coding.display",
"fixedString": "Bed",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-bed.physicalType.coding:slice-bed-type",
"max": "1",
"path": "Encounter.location.physicalType.coding",
"binding": {
"strength": "required",
"valueSet": "http://cihi.ca/fhir/ValueSet/aac-bed-type",
"description": "type of bed"
},
"sliceName": "slice-bed-type",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-bed.physicalType.coding:slice-bed-type.system",
"min": 1,
"path": "Encounter.location.physicalType.coding.system",
"fixedUri": "http://cihi.ca/fhir/CodeSystem/aac-bed-type",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-bed.physicalType.coding:slice-bed-type.code",
"min": 1,
"path": "Encounter.location.physicalType.coding.code",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-bed.physicalType.coding:slice-bed-type.display",
"min": 1,
"path": "Encounter.location.physicalType.coding.display",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-room",
"max": "1",
"path": "Encounter.location",
"sliceName": "slice-location-room",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-room.location",
"path": "Encounter.location.location",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-room.location.display",
"min": 1,
"path": "Encounter.location.location.display",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-room.physicalType",
"min": 1,
"path": "Encounter.location.physicalType",
"binding": {
"strength": "required"
},
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-room.physicalType.coding",
"max": "1",
"min": 1,
"path": "Encounter.location.physicalType.coding",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-room.physicalType.coding.system",
"min": 1,
"path": "Encounter.location.physicalType.coding.system",
"fixedUri": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-room.physicalType.coding.code",
"min": 1,
"path": "Encounter.location.physicalType.coding.code",
"fixedCode": "ro",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-room.physicalType.coding.display",
"min": 1,
"path": "Encounter.location.physicalType.coding.display",
"fixedString": "Room",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-facility",
"max": "1",
"min": 1,
"path": "Encounter.location",
"sliceName": "slice-location-facility",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-facility.location",
"path": "Encounter.location.location",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-medications-profile-Location" ]
} ],
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-facility.location.reference",
"min": 1,
"path": "Encounter.location.location.reference",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-facility.physicalType",
"min": 1,
"path": "Encounter.location.physicalType",
"binding": {
"strength": "required",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/acCDR-location-physical-type"
},
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-facility.physicalType.coding",
"max": "1",
"min": 1,
"path": "Encounter.location.physicalType.coding",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-facility.physicalType.coding.system",
"min": 1,
"path": "Encounter.location.physicalType.coding.system",
"fixedUri": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-facility.physicalType.coding.code",
"min": 1,
"path": "Encounter.location.physicalType.coding.code",
"fixedCode": "si",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-facility.physicalType.coding.display",
"min": 1,
"path": "Encounter.location.physicalType.coding.display",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-building",
"max": "1",
"path": "Encounter.location",
"sliceName": "slice-location-building",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-building.location",
"path": "Encounter.location.location",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-building.location.display",
"min": 1,
"path": "Encounter.location.location.display",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-building.physicalType",
"min": 1,
"path": "Encounter.location.physicalType",
"binding": {
"strength": "required"
},
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-building.physicalType.coding",
"max": "1",
"min": 1,
"path": "Encounter.location.physicalType.coding",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-building.physicalType.coding.system",
"min": 1,
"path": "Encounter.location.physicalType.coding.system",
"fixedUri": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-building.physicalType.coding.code",
"min": 1,
"path": "Encounter.location.physicalType.coding.code",
"fixedCode": "bu",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-building.physicalType.coding.display",
"min": 1,
"path": "Encounter.location.physicalType.coding.display",
"fixedString": "Building",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-floor",
"max": "1",
"path": "Encounter.location",
"sliceName": "slice-location-floor",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-floor.location",
"path": "Encounter.location.location",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-floor.location.display",
"min": 1,
"path": "Encounter.location.location.display",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-floor.physicalType",
"min": 1,
"path": "Encounter.location.physicalType",
"binding": {
"strength": "required"
},
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-floor.physicalType.coding",
"max": "1",
"min": 1,
"path": "Encounter.location.physicalType.coding",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-floor.physicalType.coding.system",
"min": 1,
"path": "Encounter.location.physicalType.coding.system",
"fixedUri": "http://cihi.ca/fhir/CodeSystem/aac-discharge-disposition",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-floor.physicalType.coding.code",
"min": 1,
"path": "Encounter.location.physicalType.coding.code",
"fixedCode": "lvl",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-floor.physicalType.coding.display",
"min": 1,
"path": "Encounter.location.physicalType.coding.display",
"fixedString": "Level",
"mustSupport": true
}, {
"id": "Encounter.location:slice-location-point-of-care",
"max": "1",
"path": "Encounter.location",
"sliceName": "slice-location-point-of-care",
"mustSupport": true
}, {
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},
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}