description: Profile of Encounter for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
package_name: hl7.fhir.us.qicore
derivation: constraint
name: QICoreEncounter
type: Encounter
elements:
  diagnosis:
    mustSupport: true
    index: 9
    extensions:
      diagnosisPresentOnAdmission:
        url: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-diagnosisPresentOnAdmission
        min: 0
        max: 1
        type: Extension
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/qicore/ValueSet/qicore-present-on-admission'}
        mustSupport: true
        index: 10
    elements:
      extension:
        type: Extension
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/qicore/ValueSet/qicore-present-on-admission'}
        mustSupport: true
        url: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-diagnosisPresentOnAdmission
        index: 10
        slicing:
          slices:
            diagnosisPresentOnAdmission:
              match: {}
              schema:
                type: Extension
                binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/qicore/ValueSet/qicore-present-on-admission'}
                mustSupport: true
                url: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-diagnosisPresentOnAdmission
                index: 10
              min: 0
              max: 1
      condition:
        type: Reference
        mustSupport: true
        refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure']
        index: 11
      use: {mustSupport: true, index: 12}
      rank: {mustSupport: true, index: 13}
  serviceProvider:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization']
    index: 23
  participant:
    mustSupport: true
    index: 5
    elements:
      individual:
        type: Reference
        mustSupport: true
        refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson']
        index: 6
  extension:
    type: Extension
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/qicore/ValueSet/qicore-encounter-canceled-reason'}
    mustSupport: true
    url: http://hl7.org/fhir/StructureDefinition/request-statusReason
    index: 0
    slicing:
      slices:
        statusReason:
          match: {}
          schema:
            type: Extension
            binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/qicore/ValueSet/qicore-encounter-canceled-reason'}
            mustSupport: true
            url: http://hl7.org/fhir/StructureDefinition/request-statusReason
            index: 0
          min: 0
          max: 1
        procedure:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-procedure', index: 1}
          min: 0
  priority:
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/us/qicore/ValueSet/qicore-priority'}
    mustSupport: true
    index: 2
  length: {mustSupport: true, index: 7}
  hospitalization:
    mustSupport: true
    index: 14
    elements:
      origin:
        type: Reference
        mustSupport: false
        refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location']
        index: 15
      admitSource: {mustSupport: true, index: 16}
      reAdmission: {mustSupport: true, index: 17}
      destination:
        type: Reference
        mustSupport: false
        refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location']
        index: 18
      dischargeDisposition:
        short: Category or kind of location after discharge
        binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/qicore/ValueSet/qicore-encounter-discharge-disposition'}
        mustSupport: true
        index: 19
  basedOn:
    type: Reference
    mustSupport: false
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest']
    index: 4
  partOf:
    type: Reference
    mustSupport: false
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter']
    index: 24
  location:
    mustSupport: true
    index: 20
    elements:
      location:
        type: Reference
        mustSupport: true
        refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location']
        index: 21
      period: {mustSupport: true, index: 22}
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient']
    index: 3
  reasonReference:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    short: Reason the encounter takes place (reference)
    index: 8
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunizationrec', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure']
    type: Reference
    mustSupport: true
    array: true
    base: {max: '*', min: 0, path: Encounter.reasonReference}
    isSummary: true
package_version: 5.0.0-ballot
extensions:
  statusReason:
    url: http://hl7.org/fhir/StructureDefinition/request-statusReason
    min: 0
    max: 1
    type: Extension
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/qicore/ValueSet/qicore-encounter-canceled-reason'}
    mustSupport: true
    index: 0
  procedure: {url: 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter-procedure', min: 0, type: Extension, mustSupport: true, index: 1}
class: profile
kind: resource
url: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter
version: 5.0.0-ballot