description: This profile contains Required and Must Support data elements for reporting encounter information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the [HL7 FHIR® US Core Encounter Profile v3.1.1](http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-encounter.html).
package_name: gov.cdc.nhsn.dqm
derivation: constraint
name: AcuteCareHospitalMonthlyReportingEncounter
type: Encounter
elements:
  diagnosis:
    mustSupport: true
    index: 10
    elements:
      use: {mustSupport: true, index: 11}
      rank: {mustSupport: true, index: 12}
  meta:
    extensions:
      link-received-date-extension: {url: 'http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension', min: 0, max: 1, type: Extension, index: 1}
    elements:
      extension:
        type: Extension
        url: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        index: 1
        slicing:
          slices:
            link-received-date-extension:
              match: {}
              schema: {type: Extension, url: 'http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension', index: 1}
              min: 0
              max: 1
  classHistory: {mustSupport: true, index: 7}
  status:
    short: triaged | in-progress | finished | onleave | entered-in-error
    binding: {strength: required, valueSet: 'http://www.cdc.gov/nhsn/fhirportal/dqm/ig/ValueSet/ach-monthly-encounter-status'}
    index: 6
  id: {index: 0}
  identifier:
    index: 2
    elements:
      use: {mustSupport: true, index: 3}
      type: {mustSupport: true, index: 4}
      period: {mustSupport: true, index: 5}
  hospitalization:
    elements:
      origin: {mustSupport: true, index: 13}
      admitSource: {mustSupport: true, index: 14}
      reAdmission:
        binding: {strength: preferred, valueSet: 'http://terminology.hl7.org/ValueSet/v2-0092'}
        mustSupport: true
        index: 15
      dietPreference:
        binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-diet'}
        mustSupport: true
        index: 16
      dischargeDisposition:
        binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-discharge-disposition'}
        index: 17
  period: {index: 9}
  location:
    short: List of locations where the patient has been. Used in part to discern whether the patient is Inpatient, Emergency and or Observation status.
    index: 18
    elements:
      location:
        elements:
          reference: {mustSupport: true, index: 19}
        required: [reference]
      status: {mustSupport: true, index: 20}
      physicalType:
        binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/location-physical-type'}
        mustSupport: true
        index: 21
      period: {index: 22}
    required: [period]
  subject:
    elements:
      reference: {mustSupport: true, index: 8}
    required: [reference]
package_version: 1.0.0
class: profile
kind: resource
url: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-encounter
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter
version: 1.0.0
required: [id, location, identifier, period]