{ "description": "The encounter resource represents an encounter between a care professional and the patient (or patient's record).", "_filename": "CareConnect-GPC-Encounter-1.json", "package_name": "gpc.stu3.fhir-assets", "date": "2023-08-25", "derivation": "constraint", "meta": { "lastUpdated": "2023-08-25T12:23:13.869456+00:00" }, "publisher": "NHS England", "fhirVersion": "3.0.1", "purpose": "CURATED BY INTEROPen see: http://www.interopen.org/careconnect-curation-methodology/", "name": "CareConnect-GPC-Encounter-1", "abstract": false, "copyright": "Copyright © 2023 NHS England", "type": "Encounter", "experimental": null, "resourceType": "StructureDefinition", "title": null, "package_version": "1.1.2", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "pa" } ], "status": "draft", "id": "2922a6bd-82bf-4f09-86f1-ab136cfabe36", "kind": "resource", "url": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1", "version": "1.6.1", "differential": { "element": [ { "id": "Encounter.meta", "path": "Encounter.meta" }, { "id": "Encounter.meta.profile", "min": 1, "path": "Encounter.meta.profile" }, { "id": "Encounter.extension", "min": 0, "path": "Encounter.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "Encounter.extension:encounterTransport", "min": 0, "path": "Encounter.extension", "type": [ { "code": "Extension", "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-EncounterTransport-1" } ], "sliceName": "encounterTransport" }, { "id": "Encounter.extension:encounterTransport.url", "path": "Encounter.extension.url", "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-EncounterTransport-1" }, { "id": "Encounter.extension:outcomeOfAttendance", "min": 0, "path": "Encounter.extension", "type": [ { "code": "Extension", "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-OutcomeOfAttendance-1" } ], "sliceName": "outcomeOfAttendance" }, { "id": "Encounter.extension:outcomeOfAttendance.url", "path": "Encounter.extension.url", "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-OutcomeOfAttendance-1" }, { "id": "Encounter.extension:emergencyCareDischargeStatus", "min": 0, "path": "Encounter.extension", "type": [ { "code": "Extension", "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-EmergencyCareDischargeStatus-1" } ], "sliceName": "emergencyCareDischargeStatus" }, { "id": "Encounter.extension:emergencyCareDischargeStatus.url", "path": "Encounter.extension.url", "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-EmergencyCareDischargeStatus-1" }, { "id": "Encounter.identifier", "min": 1, "path": "Encounter.identifier" }, { "id": "Encounter.identifier.system", "min": 1, "path": "Encounter.identifier.system" }, { "id": "Encounter.identifier.value", "min": 1, "path": "Encounter.identifier.value" }, { "id": "Encounter.identifier.assigner", "path": "Encounter.identifier.assigner", "type": [ { "code": "Reference", "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1" } ] }, { "id": "Encounter.statusHistory", "max": "1", "path": "Encounter.statusHistory" }, { "id": "Encounter.classHistory.class", "path": "Encounter.classHistory.class", "short": "Classification of the encounter", "definition": "Classification of the encounter." }, { "id": "Encounter.type", "max": "1", "min": 1, "path": "Encounter.type" }, { "id": "Encounter.type.coding", "max": "1", "path": "Encounter.type.coding", "slicing": { "rules": "open", "ordered": false, "discriminator": [ { "path": "system", "type": "value" } ] } }, { "id": "Encounter.type.coding:snomedCT", "path": "Encounter.type.coding", "binding": { "strength": "extensible", "description": "A code from the SNOMED Clinical Terminology UK coding system that describes an encounter between a care professional and the patient (or patient's record).", "valueSetReference": { "reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-EncounterType-1" } }, "sliceName": "snomedCT" }, { "id": "Encounter.type.coding:snomedCT.extension", "min": 0, "path": "Encounter.type.coding.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "Encounter.type.coding:snomedCT.extension:snomedCTDescriptionID", "min": 0, "path": "Encounter.type.coding.extension", "type": [ { "code": "Extension", "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" } ], "sliceName": "snomedCTDescriptionID" }, { "id": "Encounter.type.coding:snomedCT.extension:snomedCTDescriptionID.url", "path": "Encounter.type.coding.extension.url", "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" }, { "id": "Encounter.type.coding:snomedCT.system", "min": 1, "path": "Encounter.type.coding.system", "fixedUri": "http://snomed.info/sct" }, { "id": "Encounter.type.coding:snomedCT.code", "min": 1, "path": "Encounter.type.coding.code" }, { "id": "Encounter.type.coding:snomedCT.display", "min": 1, "path": "Encounter.type.coding.display" }, { "id": "Encounter.type.text", "path": "Encounter.type.text", "short": "Plain text representation of the consultation type as displayed by system" }, { "id": "Encounter.subject", "min": 1, "path": "Encounter.subject", "type": [ { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1" } ], "short": "Reference to Patient resource representing the Patient against whom the source consultation/encounter was recorded.", "definition": "The patient present at the encounter." }, { "id": "Encounter.incomingReferral", "path": "Encounter.incomingReferral", "type": [ { "code": "Reference", "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ReferralRequest-1" } ] }, { "id": "Encounter.participant", "min": 1, "path": "Encounter.participant" }, { "id": "Encounter.participant.type", "path": "Encounter.participant.type", "binding": { "strength": "extensible", "valueSetReference": { "reference": "https://fhir.nhs.uk/STU3/ValueSet/GPConnect-ParticipantType-1" } }, "mustSupport": true }, { "id": "Encounter.participant.individual", "min": 1, "path": "Encounter.participant.individual", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson" }, { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" } ] }, { "id": "Encounter.period", "path": "Encounter.period", "mustSupport": true }, { "id": "Encounter.period.start", "min": 1, "path": "Encounter.period.start", "definition": "The start of the period. The boundary is inclusive. This should be populated with the displayed consultation date and time." }, { "id": "Encounter.period.end", "path": "Encounter.period.end", "definition": "The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. This should be populated where the encounter end date and time is known or calculated and populated where the duration is known." }, { "id": "Encounter.reason.coding", "path": "Encounter.reason.coding", "slicing": { "rules": "open", "ordered": false, "discriminator": [ { "path": "system", "type": "value" } ] } }, { "id": "Encounter.reason.coding:snomedCT", "max": "1", "path": "Encounter.reason.coding", "sliceName": "snomedCT" }, { "id": "Encounter.reason.coding:snomedCT.extension", "min": 0, "path": "Encounter.reason.coding.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "Encounter.reason.coding:snomedCT.extension:snomedCTDescriptionID", "min": 0, "path": "Encounter.reason.coding.extension", "type": [ { "code": "Extension", "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" } ], "sliceName": "snomedCTDescriptionID" }, { "id": "Encounter.reason.coding:snomedCT.extension:snomedCTDescriptionID.url", "path": "Encounter.reason.coding.extension.url", "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" }, { "id": "Encounter.reason.coding:snomedCT.system", "min": 1, "path": "Encounter.reason.coding.system", "fixedUri": "http://snomed.info/sct" }, { "id": "Encounter.reason.coding:snomedCT.code", "min": 1, "path": "Encounter.reason.coding.code" }, { "id": "Encounter.reason.coding:snomedCT.display", "min": 1, "path": "Encounter.reason.coding.display" }, { "id": "Encounter.diagnosis.condition", "path": "Encounter.diagnosis.condition", "type": [ { "code": "Reference", "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1" }, { "code": "Reference", "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Condition-1" } ] }, { "id": "Encounter.hospitalization.extension", "min": 0, "path": "Encounter.hospitalization.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "Encounter.hospitalization.extension:admissionMethod", "min": 0, "path": "Encounter.hospitalization.extension", "type": [ { "code": "Extension", "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AdmissionMethod-1" } ], "sliceName": "admissionMethod" }, { "id": "Encounter.hospitalization.extension:admissionMethod.url", "path": "Encounter.hospitalization.extension.url", "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AdmissionMethod-1" }, { "id": "Encounter.hospitalization.extension:dischargeMethod", "min": 0, "path": "Encounter.hospitalization.extension", "type": [ { "code": "Extension", "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-DischargeMethod-1" } ], "sliceName": "dischargeMethod" }, { "id": "Encounter.hospitalization.extension:dischargeMethod.url", "path": "Encounter.hospitalization.extension.url", "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-DischargeMethod-1" }, { "id": "Encounter.hospitalization.preAdmissionIdentifier.system", "min": 1, "path": "Encounter.hospitalization.preAdmissionIdentifier.system" }, { "id": "Encounter.hospitalization.preAdmissionIdentifier.value", "min": 1, "path": "Encounter.hospitalization.preAdmissionIdentifier.value" }, { "id": "Encounter.hospitalization.preAdmissionIdentifier.assigner", "path": "Encounter.hospitalization.preAdmissionIdentifier.assigner", "type": [ { "code": "Reference", "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1" } ] }, { "id": "Encounter.hospitalization.origin", "path": "Encounter.hospitalization.origin", "type": [ { "code": "Reference", "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Location-1" } ] }, { "id": "Encounter.hospitalization.admitSource", "path": "Encounter.hospitalization.admitSource", "binding": { "strength": "preferred", "description": "The source of admission to a Hospital Provider Spell or a Nursing Episode when the Patient is in a Hospital Site or a Care Home.", "valueSetReference": { "reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-SourceOfAdmission-1" } } }, { "id": "Encounter.hospitalization.reAdmission.coding", "path": "Encounter.hospitalization.reAdmission.coding", "slicing": { "rules": "open", "ordered": false, "discriminator": [ { "path": "system", "type": "value" } ] } }, { "id": "Encounter.hospitalization.reAdmission.coding:snomedCT", "max": "1", "path": "Encounter.hospitalization.reAdmission.coding", "sliceName": "snomedCT" }, { "id": "Encounter.hospitalization.reAdmission.coding:snomedCT.extension", "min": 0, "path": "Encounter.hospitalization.reAdmission.coding.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "Encounter.hospitalization.reAdmission.coding:snomedCT.extension:snomedCTDescriptionID", "min": 0, "path": "Encounter.hospitalization.reAdmission.coding.extension", "type": [ { "code": "Extension", "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" } ], "sliceName": "snomedCTDescriptionID" }, { "id": "Encounter.hospitalization.reAdmission.coding:snomedCT.extension:snomedCTDescriptionID.url", "path": "Encounter.hospitalization.reAdmission.coding.extension.url", "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" }, { "id": "Encounter.hospitalization.reAdmission.coding:snomedCT.system", "min": 1, "path": "Encounter.hospitalization.reAdmission.coding.system", "fixedUri": "http://snomed.info/sct" }, { "id": "Encounter.hospitalization.reAdmission.coding:snomedCT.code", "min": 1, "path": "Encounter.hospitalization.reAdmission.coding.code" }, { "id": "Encounter.hospitalization.reAdmission.coding:snomedCT.display", "min": 1, "path": "Encounter.hospitalization.reAdmission.coding.display" }, { "id": "Encounter.hospitalization.dietPreference", "path": "Encounter.hospitalization.dietPreference", "binding": { "strength": "extensible" } }, { "id": "Encounter.hospitalization.destination", "path": "Encounter.hospitalization.destination", "type": [ { "code": "Reference", "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Location-1" } ] }, { "id": "Encounter.hospitalization.dischargeDisposition", "path": "Encounter.hospitalization.dischargeDisposition", "binding": { "strength": "example", "description": "The destination of a Patient on completion of a Hospital Provider Spell, or a note that the Patient died or was a still birth.", "valueSetReference": { "reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-DischargeDestination-1" } } }, { "id": "Encounter.location.location", "path": "Encounter.location.location", "type": [ { "code": "Reference", "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Location-1" } ] }, { "id": "Encounter.serviceProvider", "path": "Encounter.serviceProvider", "type": [ { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" } ], "mustSupport": true }, { "id": "Encounter.partOf", "path": "Encounter.partOf", "type": [ { "code": "Reference", "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1" } ] } ] }, "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Encounter" }