description: An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.
package_name: ca.on.ehr.r4
derivation: constraint
name: EncounterEHR
type: Encounter
elements:
  diagnosis:
    mustSupport: true
    index: 28
    elements:
      condition:
        type: Reference
        mustSupport: true
        refers: ['http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-condition']
        index: 29
        elements:
          reference: {mustSupport: true, index: 30}
      use: {type: CodeableConcept, mustSupport: true, index: 31}
  reasonCode:
    type: CodeableConcept
    mustSupport: true
    index: 26
    elements:
      coding: {index: 27}
  type:
    type: CodeableConcept
    binding: {strength: extensible, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/local-PV1-4values'}
    mustSupport: true
    index: 10
    elements:
      coding: {index: 11}
    required: [coding]
  participant:
    mustSupport: true
    index: 17
    elements:
      type:
        type: CodeableConcept
        binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/acCDR-encounter-participant-type'}
        mustSupport: true
        index: 18
        elements:
          coding: {index: 19}
        required: [coding]
      individual:
        type: Reference
        mustSupport: true
        refers: ['http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitioner']
        index: 20
        elements:
          reference: {mustSupport: true, index: 21}
        required: [reference]
    required: [individual, type]
  serviceType:
    type: CodeableConcept
    binding: {strength: extensible, valueSet: 'http://cihi.ca/fhir/ValueSet/aac-hospital-service'}
    mustSupport: true
    index: 12
  priority:
    type: CodeableConcept
    binding: {strength: required, valueSet: 'https://fhir.infoway-inforoute.ca/ValueSet/canadiantriageacuityscale'}
    mustSupport: true
    index: 13
    elements:
      coding: {index: 14}
    required: [coding]
  status: {mustSupport: true, index: 8}
  class:
    type: Coding
    binding: {strength: extensible, valueSet: 'http://ontariohealth.ca/fhir/ehr/ValueSet/encounter-class'}
    mustSupport: true
    index: 9
  length: {mustSupport: true, index: 25}
  identifier:
    mustSupport: true
    index: 0
    elements:
      type:
        binding: {strength: extensible, valueSet: 'http://ontariohealth.ca/fhir/ehr/ValueSet/identifier-type'}
        mustSupport: true
        index: 1
        elements:
          coding:
            mustSupport: true
            index: 2
            elements:
              system: {mustSupport: true, index: 3}
              code: {mustSupport: true, index: 4}
              display: {mustSupport: true, index: 5}
            required: [display, system, code]
        required: [coding]
      system: {mustSupport: true, index: 6}
      value: {mustSupport: true, index: 7}
    required: [value, type, system]
  hospitalization:
    mustSupport: true
    index: 32
    elements:
      admitSource:
        type: CodeableConcept
        binding: {strength: required, valueSet: 'http://cihi.ca/fhir/ValueSet/aac-admit-source'}
        mustSupport: true
        index: 33
        elements:
          coding:
            index: 34
            elements:
              system:
                pattern: {type: Uri, value: 'http://cihi.ca/fhir/CodeSystem/aac-admit-source'}
                index: 35
        required: [coding]
      dischargeDisposition:
        type: CodeableConcept
        binding: {strength: required, valueSet: 'http://cihi.ca/fhir/ValueSet/aac-discharge-disposition'}
        mustSupport: true
        index: 36
  period:
    mustSupport: true
    index: 22
    elements:
      start: {mustSupport: true, index: 23}
      end: {mustSupport: true, index: 24}
  location:
    mustSupport: true
    index: 37
    elements:
      location:
        type: Reference
        mustSupport: true
        refers: ['http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-location']
        index: 38
        elements:
          reference: {mustSupport: true, index: 39}
          display:
            mustSupport: true
            index: 40
            extensions:
              bed-type: {url: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-encounter-bed-type', min: 0, max: 1, type: Extension, mustSupport: true, index: 42}
            elements:
              extension:
                index: 41
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: url, type: value}
                  min: null
                  slices:
                    bed-type:
                      match: {url: null}
                      schema: {type: Extension, mustSupport: true, url: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-encounter-bed-type', index: 42}
                      min: 0
                      max: 1
        required: [reference]
      status: {mustSupport: true, index: 43}
      physicalType:
        type: CodeableConcept
        mustSupport: true
        index: 44
        elements:
          coding: {index: 45}
        required: [coding]
    required: [physicalType]
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-patient']
    index: 15
    elements:
      reference: {mustSupport: true, index: 16}
    required: [reference]
package_version: 1.0.0-snapshot4
class: profile
kind: resource
url: http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-encounter
base: http://hl7.org/fhir/StructureDefinition/Encounter
version: 1.0.0
required: [identifier, subject]