{
"description": "Proposed constraints and extensions on the Encounter Resource",
"_filename": "StructureDefinition.ca-on-mha-profile-encounter-V2.json",
"package_name": "ca.on.oh.mha",
"date": "2022-08-22T20:17:06.3613088+00:00",
"derivation": "constraint",
"publisher": "HL7 Canada - FHIR Implementation Work Group",
"fhirVersion": "4.0.1",
"jurisdiction": [ {
"coding": [ {
"code": "CA",
"system": "urn:iso:std:iso:3166"
} ]
} ],
"name": "EncounterV2Draft",
"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": "pds-0.9.0-alpha-1.9.7.37",
"status": "draft",
"id": "302dc08a-7955-4ec9-954f-ebec51bf0b9a",
"kind": "resource",
"url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-Encounter",
"version": "2.0.0",
"differential": {
"element": [ {
"id": "Encounter",
"path": "Encounter",
"short": "Encounter",
"constraint": [ {
"key": "enc-key-1",
"human": "Reason For Discharge must be provided if Organization Discharge Date is provided.",
"severity": "error",
"expression": "period.end.hasValue() implies hospitalization.dischargeDisposition.hasValue()"
} ],
"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,
"fixedCanonical": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-encounter"
}, {
"id": "Encounter.extension:directMinutes",
"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",
"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": "2",
"min": 1,
"path": "Encounter.identifier",
"mustSupport": true
}, {
"id": "Encounter.identifier.system",
"min": 1,
"path": "Encounter.identifier.system",
"binding": {
"strength": "required",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/mha/Encounter-identifier-system",
"description": "The identifier URIs for encounters"
},
"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.status",
"path": "Encounter.status",
"mustSupport": true
}, {
"id": "Encounter.class",
"path": "Encounter.class",
"binding": {
"strength": "required",
"description": "Classification of patient encounter"
},
"mustSupport": true
}, {
"id": "Encounter.class.system",
"min": 1,
"path": "Encounter.class.system",
"fixedUri": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"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",
"path": "Encounter.type",
"binding": {
"strength": "extensible",
"valueSet": "https://fhir.infoway-inforoute.ca/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",
"max": "1",
"min": 1,
"path": "Encounter.type.coding",
"mustSupport": true
}, {
"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",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-patient" ]
} ],
"short": "The patient present at the encounter",
"mustSupport": true
}, {
"id": "Encounter.subject.reference",
"min": 1,
"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",
"max": "1",
"path": "Encounter.participant",
"mustSupport": true
}, {
"id": "Encounter.appointment",
"max": "1",
"path": "Encounter.appointment",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-Appointment" ]
} ],
"mustSupport": true
}, {
"id": "Encounter.appointment.reference",
"min": 1,
"path": "Encounter.appointment.reference",
"mustSupport": true
}, {
"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.period.end",
"path": "Encounter.period.end",
"mustSupport": true
}, {
"id": "Encounter.diagnosis.rank",
"path": "Encounter.diagnosis.rank",
"mustSupport": true
}, {
"id": "Encounter.hospitalization",
"path": "Encounter.hospitalization",
"mustSupport": true
}, {
"id": "Encounter.hospitalization.dischargeDisposition",
"min": 1,
"path": "Encounter.hospitalization.dischargeDisposition",
"binding": {
"strength": "required",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/mha-organization-admission-discharge-reason",
"description": "identifies the reason for discharge"
},
"mustSupport": true
}, {
"id": "Encounter.location",
"path": "Encounter.location",
"mustSupport": true
}, {
"id": "Encounter.location.location",
"path": "Encounter.location.location",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-location" ]
} ]
} ]
},
"contact": [ {
"telecom": [ {
"value": "https://infocentral.infoway-inforoute.ca/en/collaboration/wg/fhir-implementations",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Encounter"
}