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: fhir.onc.us-quality-core
derivation: constraint
name: USQualityCoreEncounter
type: Encounter
elements:
  diagnosis:
    short: (USCDI+ Quality) The list of diagnosis relevant to this encounter
    index: 13
    extensions:
      diagnosisPresentOnAdmission:
        constraint:
          ele-1: {human: All FHIR elements must have a @value or children, severity: error, expression: hasValue() or (children().count() > id.count())}
          ext-1: {human: 'Must have either extensions or value[x], not both', severity: error, expression: extension.exists() != value.exists()}
        min: 0
        isModifier: false
        short: (USCDI+ Quality) onAdmission
        index: 15
        type: Extension
        mustSupport: true
        max: 1
        url: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter-diagnosisPresentOnAdmission
        base: {max: '*', min: 0, path: Element.extension}
    elements:
      extension:
        constraint:
          ele-1: {human: All FHIR elements must have a @value or children, severity: error, expression: hasValue() or (children().count() > id.count())}
          ext-1: {human: 'Must have either extensions or value[x], not both', severity: error, expression: extension.exists() != value.exists()}
        isModifier: false
        short: Extension
        index: 14
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: url, type: value}
          min: 0
          slices:
            diagnosisPresentOnAdmission:
              match: {url: null}
              schema:
                constraint:
                  ele-1: {human: All FHIR elements must have a @value or children, severity: error, expression: hasValue() or (children().count() > id.count())}
                  ext-1: {human: 'Must have either extensions or value[x], not both', severity: error, expression: extension.exists() != value.exists()}
                isModifier: false
                short: (USCDI+ Quality) onAdmission
                type: Extension
                mustSupport: true
                url: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter-diagnosisPresentOnAdmission
                base: {max: '*', min: 0, path: Element.extension}
                index: 15
              min: 0
              max: 1
        type: Extension
        array: true
        base: {max: '*', min: 0, path: Element.extension}
        isSummary: false
      use: {short: 'Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)', index: 16}
      rank: {short: Ranking of the diagnosis (for each role type), index: 17}
  serviceProvider:
    type: Reference
    short: (USCDI) The organization (facility) responsible for this encounter
    refers: ['http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-organization']
    index: 25
  reasonCode: {short: (USCDI) Coded reason the encounter takes place, index: 11}
  type: {short: (USCDI+ Quality) (USCDI) Specific type of encounter, index: 5}
  participant:
    short: (USCDI) List of participants involved in the encounter
    index: 8
    elements:
      individual:
        type: Reference
        short: (USCDI) Persons involved in the encounter other than the patient
        refers: ['http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-practitioner', 'http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-practitionerrole', 'http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-relatedperson']
        index: 9
  priority: {short: (USCDI+ Quality) Indicates the urgency of the encounter, index: 6}
  status: {short: (USCDI+ Quality) (USCDI) planned | arrived | triaged | in-progress | onleave | finished | cancelled +, index: 3}
  class: {short: (USCDI) Classification of patient encounter, index: 4}
  identifier:
    short: (USCDI+ Quality) (USCDI) Identifier(s) by which this encounter is known
    index: 0
    elements:
      system: {short: (USCDI+ Quality) (USCDI) The namespace for the identifier value, index: 1}
      value: {short: (USCDI+ Quality) (USCDI) The value that is unique, index: 2}
  hospitalization:
    short: (USCDI+ Quality) (USCDI) Details about the admission to a healthcare service
    index: 18
    elements:
      origin:
        type: Reference
        mustSupport: false
        refers: ['http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-location']
        index: 19
      destination:
        type: Reference
        mustSupport: false
        refers: ['http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-location']
        index: 20
      dischargeDisposition:
        short: (USCDI+ Quality) (USCDI) Category or kind of location after discharge
        binding: {strength: extensible, valueSet: 'http://terminology.hl7.org/ValueSet/clinical-discharge-disposition'}
        index: 21
  period: {short: (USCDI+ Quality) (USCDI) The start and end time of the encounter, index: 10}
  partOf:
    type: Reference
    mustSupport: false
    refers: ['http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter']
    index: 26
  location:
    short: (USCDI+ Quality) (USCDI) List of locations where the patient has been
    index: 22
    elements:
      location:
        type: Reference
        short: (USCDI+ Quality) (USCDI) Location the encounter takes place
        refers: ['http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-location']
        index: 23
      period: {short: Time period during which the patient was present at the location, index: 24}
  subject:
    type: Reference
    short: (USCDI) The patient or group present at the encounter
    refers: ['http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-patient']
    index: 7
  reasonReference:
    isModifier: false
    short: (USCDI) Reason the encounter takes place (reference)
    refers: ['http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis', 'http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns', 'http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-immunizationrecommendation', 'http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-procedure', 'http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-simple-observation']
    type: Reference
    array: true
    base: {max: '*', min: 0, path: Encounter.reasonReference}
    isSummary: true
    index: 12
package_version: 0.5.0
class: profile
kind: resource
url: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|6.1.0
version: 0.5.0