description: An interaction between healthcare provider(s), and/or patient(s) for the purpose of providing healthcare service(s) or assessing the health status of patient(s).
package_name: hl7.fhir.r6.core
derivation: specialization
name: Encounter
type: Encounter
elements:
  appointment:
    isModifier: false
    short: The appointment that scheduled this encounter
    refers: ['http://hl7.org/fhir/StructureDefinition/Appointment']
    type: Reference
    mustSupport: false
    array: true
    isSummary: true
    index: 21
  admission:
    isModifier: false
    short: Details about the admission to a healthcare service
    type: BackboneElement
    mustSupport: false
    isSummary: false
    index: 37
    elements:
      preAdmissionIdentifier: {isModifier: false, short: Pre-admission identifier, type: Identifier, mustSupport: false, isSummary: false, index: 38}
      origin:
        isModifier: false
        short: The location/organization from which the patient came before admission
        refers: ['http://hl7.org/fhir/StructureDefinition/Location', 'http://hl7.org/fhir/StructureDefinition/Organization']
        type: Reference
        mustSupport: false
        isSummary: false
        index: 39
      admitSource:
        isModifier: false
        short: From where patient was admitted (physician referral, transfer)
        type: CodeableConcept
        mustSupport: false
        binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-admit-source'}
        isSummary: false
        index: 40
      reAdmission:
        isModifier: false
        short: Indicates that the patient is being re-admitted
        type: CodeableConcept
        mustSupport: false
        binding: {strength: example, valueSet: 'http://terminology.hl7.org/ValueSet/v2-0092'}
        isSummary: false
        index: 41
      destination:
        isModifier: false
        short: Location/organization to which the patient is discharged
        refers: ['http://hl7.org/fhir/StructureDefinition/Location', 'http://hl7.org/fhir/StructureDefinition/Organization']
        type: Reference
        mustSupport: false
        isSummary: false
        index: 42
      dischargeDisposition:
        isModifier: false
        short: Category or kind of location after discharge
        type: CodeableConcept
        mustSupport: false
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-discharge-disposition'}
        isSummary: false
        index: 43
  diagnosis:
    isModifier: false
    short: The list of diagnosis relevant to this encounter
    type: BackboneElement
    mustSupport: false
    array: true
    isSummary: true
    index: 30
    elements:
      condition:
        isModifier: false
        short: The diagnosis relevant to the encounter
        type: CodeableReference
        mustSupport: false
        array: true
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/condition-code'}
        isSummary: true
        index: 31
      use:
        isModifier: false
        short: Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
        type: CodeableConcept
        mustSupport: false
        array: true
        binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-diagnosis-use'}
        isSummary: false
        index: 32
  subjectStatus:
    isModifier: false
    short: The current status of the subject in relation to the Encounter
    type: CodeableConcept
    mustSupport: false
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-subject-status'}
    isSummary: false
    index: 11
  serviceProvider:
    isModifier: false
    short: The organization (facility) responsible for this encounter
    refers: ['http://hl7.org/fhir/StructureDefinition/Organization']
    type: Reference
    mustSupport: false
    isSummary: false
    index: 16
  specialArrangement:
    isModifier: false
    short: Wheelchair, translator, stretcher, etc
    type: CodeableConcept
    mustSupport: false
    array: true
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-special-arrangements'}
    isSummary: false
    index: 35
  dietPreference:
    isModifier: false
    short: Diet preferences reported by the patient
    type: CodeableConcept
    mustSupport: false
    array: true
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-diet'}
    isSummary: false
    index: 34
  episodeOfCare:
    isModifier: false
    short: Episode(s) of care that this encounter should be recorded against
    refers: ['http://hl7.org/fhir/StructureDefinition/EpisodeOfCare']
    type: Reference
    mustSupport: false
    array: true
    isSummary: true
    index: 12
  type:
    isModifier: false
    short: Specific type of encounter (e.g. e-mail consultation, surgical day-care, ...)
    type: CodeableConcept
    mustSupport: false
    array: true
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-type'}
    isSummary: true
    index: 8
  specialCourtesy:
    isModifier: false
    short: Special courtesies (VIP, board member)
    type: CodeableConcept
    mustSupport: false
    array: true
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-special-courtesy'}
    isSummary: false
    index: 36
  participant:
    constraint:
      enc-1: {human: A type must be provided when no explicit actor is specified, source: 'http://hl7.org/fhir/StructureDefinition/Encounter', severity: error, expression: actor.exists() or type.exists()}
      enc-2: {human: A type cannot be provided for a patient or group participant, source: 'http://hl7.org/fhir/StructureDefinition/Encounter', severity: error, expression: actor.exists(resolve() is Patient or resolve() is Group) implies type.exists().not()}
    isModifier: false
    short: List of participants involved in the encounter
    index: 17
    type: BackboneElement
    mustSupport: false
    array: true
    elements:
      type:
        isModifier: false
        short: Role of participant in encounter
        type: CodeableConcept
        mustSupport: false
        array: true
        binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-participant-type'}
        isSummary: true
        index: 18
      period: {isModifier: false, short: Period of time during the encounter that the participant participated, type: Period, mustSupport: false, isSummary: false, index: 19}
      actor:
        isModifier: false
        short: The individual, device, or service participating in the encounter
        refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/StructureDefinition/HealthcareService', 'http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson']
        type: Reference
        mustSupport: false
        isSummary: true
        index: 20
    isSummary: true
  serviceType:
    isModifier: false
    short: Specific type of service
    type: CodeableReference
    mustSupport: false
    array: true
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/service-type'}
    isSummary: true
    index: 9
  businessStatus:
    isModifier: false
    short: A granular, workflows specific set of statuses that apply to the encounter
    index: 2
    type: BackboneElement
    mustSupport: false
    array: true
    elements:
      code: {isModifier: false, short: The current business status, type: CodeableConcept, mustSupport: false, isSummary: false, index: 3}
      type:
        isModifier: false
        short: The kind of workflow the status is tracking
        type: Coding
        mustSupport: false
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-businessstatus-type'}
        isSummary: false
        index: 4
      effectiveDate: {isModifier: false, short: When the encounter entered this business status, type: dateTime, mustSupport: false, isSummary: false, index: 5}
    required: [code]
    isSummary: false
  account:
    isModifier: false
    short: The set of accounts that may be used for billing for this Encounter
    refers: ['http://hl7.org/fhir/StructureDefinition/Account']
    type: Reference
    mustSupport: false
    array: true
    isSummary: false
    index: 33
  virtualService: {isModifier: false, short: Connection details of a virtual service (e.g. conference call), type: VirtualServiceDetail, mustSupport: false, array: true, isSummary: false, index: 22}
  reason:
    isModifier: false
    short: The list of medical reasons that are expected to be addressed during the episode of care
    type: BackboneElement
    mustSupport: false
    array: true
    isSummary: true
    index: 27
    elements:
      use:
        isModifier: false
        short: What the reason value should be used for/as
        type: CodeableConcept
        mustSupport: false
        array: true
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-reason-use'}
        isSummary: true
        index: 28
      value:
        isModifier: false
        short: Reason the encounter takes place (core or reference)
        type: CodeableReference
        mustSupport: false
        array: true
        binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-reason'}
        isSummary: true
        index: 29
  priority:
    isModifier: false
    short: Indicates the urgency of the encounter
    type: CodeableConcept
    mustSupport: false
    binding: {strength: example, valueSet: 'http://terminology.hl7.org/ValueSet/v3-ActPriority'}
    isSummary: false
    index: 7
  actualPeriod: {isModifier: false, short: The actual start and end time of the encounter, type: Period, mustSupport: false, isSummary: false, index: 23}
  status:
    isModifier: true
    short: planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown
    index: 1
    type: code
    mustSupport: false
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-status|6.0.0-ballot4'}
    isModifierReason: This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
    isSummary: true
  class:
    isModifier: false
    short: Classification of patient encounter context - e.g. Inpatient, outpatient
    type: CodeableConcept
    mustSupport: false
    array: true
    binding: {strength: preferred, valueSet: 'http://terminology.hl7.org/ValueSet/encounter-class'}
    isSummary: true
    index: 6
  length: {isModifier: false, short: Actual quantity of time the encounter lasted (less time absent), type: Duration, mustSupport: false, isSummary: false, index: 26}
  identifier: {isModifier: false, short: Identifier(s) by which this encounter is known, type: Identifier, mustSupport: false, array: true, isSummary: true, index: 0}
  plannedStartDate: {isModifier: false, short: The planned start date/time (or admission date) of the encounter, type: dateTime, mustSupport: false, isSummary: false, index: 24}
  basedOn:
    isModifier: false
    short: The request that initiated this encounter
    refers: ['http://hl7.org/fhir/StructureDefinition/CarePlan', 'http://hl7.org/fhir/StructureDefinition/DeviceRequest', 'http://hl7.org/fhir/StructureDefinition/MedicationRequest', 'http://hl7.org/fhir/StructureDefinition/NutritionOrder', 'http://hl7.org/fhir/StructureDefinition/RequestOrchestration', 'http://hl7.org/fhir/StructureDefinition/ServiceRequest', 'http://hl7.org/fhir/StructureDefinition/VisionPrescription']
    type: Reference
    mustSupport: false
    array: true
    isSummary: false
    index: 13
  partOf:
    isModifier: false
    short: Another Encounter this encounter is part of
    refers: ['http://hl7.org/fhir/StructureDefinition/Encounter']
    type: Reference
    mustSupport: false
    isSummary: false
    index: 15
  location:
    isModifier: false
    short: List of locations where the patient has been
    index: 44
    type: BackboneElement
    mustSupport: false
    array: true
    elements:
      location:
        isModifier: false
        short: Location the encounter takes place
        refers: ['http://hl7.org/fhir/StructureDefinition/Location']
        type: Reference
        mustSupport: false
        isSummary: false
        index: 45
      status:
        isModifier: false
        short: planned | active | reserved | completed
        type: code
        mustSupport: false
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-location-status|6.0.0-ballot4'}
        isSummary: false
        index: 46
      form:
        isModifier: false
        short: The physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.)
        type: CodeableConcept
        mustSupport: false
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/location-form'}
        isSummary: false
        index: 47
      period: {isModifier: false, short: Time period during which the patient was present at the location, type: Period, mustSupport: false, isSummary: false, index: 48}
    required: [location]
    isSummary: false
  subject:
    isModifier: false
    short: The patient or group related to this encounter
    refers: ['http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/StructureDefinition/Patient']
    type: Reference
    mustSupport: false
    isSummary: true
    index: 10
  plannedEndDate: {isModifier: false, short: The planned end date/time (or discharge date) of the encounter, type: dateTime, mustSupport: false, isSummary: false, index: 25}
  careTeam:
    isModifier: false
    short: The group(s) that are allocated to participate in this encounter
    refers: ['http://hl7.org/fhir/StructureDefinition/CareTeam']
    type: Reference
    mustSupport: false
    array: true
    isSummary: false
    index: 14
package_version: 6.0.0-ballot4
class: resource
kind: resource
url: http://hl7.org/fhir/StructureDefinition/Encounter
base: http://hl7.org/fhir/StructureDefinition/DomainResource
version: 6.0.0-ballot4
required: [status]