description: null
package_name: synapxe.sgcdi
derivation: constraint
name: Encounter
type: Encounter
elements:
  appointment: {index: 113}
  admission:
    elements:
      id: {index: 156}
      modifierExtension: {index: 157}
      preAdmissionIdentifier: {index: 158}
      origin: {index: 159}
      admitSource:
        elements:
          id: {index: 160}
          extension: {index: 161}
          coding: {index: 162}
          text: {index: 163}
        extensions: {}
        required: [text]
      reAdmission: {index: 164}
      destination:
        type: Reference
        refers: ['https://fhir.synapxe.sg/StructureDefinition/profile-organization']
        index: 165
        elements:
          id: {index: 166}
          reference: {index: 167}
          type:
            pattern: {type: Uri, value: Organization}
            index: 168
          identifier:
            index: 169
            elements:
              id: {index: 170}
              extension: {index: 171}
              use: {index: 172}
              type: {index: 173}
              system:
                pattern: {type: Uri, value: 'https://fhir.synapxe.sg/NamingSystem/hci-code'}
                index: 174
              value: {index: 175}
              period: {index: 176}
              assigner: {index: 177}
            extensions: {}
            required: [value, system]
          display: {index: 178}
        required: [display]
      dischargeDisposition:
        binding: {strength: required, valueSet: 'https://fhir.synapxe.sg/ValueSet/discharge-disposition'}
        index: 179
        elements:
          id: {index: 180}
          extension:
            type: Extension
            isModifier: false
            url: https://fhir.synapxe.sg/StructureDefinition/ext-ed-caseReport
            index: 181
            slicing:
              slices:
                caseReport:
                  match: {}
                  schema:
                    type: Extension
                    isModifier: false
                    url: https://fhir.synapxe.sg/StructureDefinition/ext-ed-caseReport
                    index: 181
                    elements:
                      id: {index: 182}
                      extension:
                        index: 183
                        slicing:
                          slices:
                            policeCase:
                              match: {}
                              schema:
                                index: 183
                                elements:
                                  id: {index: 184}
                                  extension: {index: 185}
                                extensions: {}
                            coronerCase:
                              match: {}
                              schema:
                                index: 186
                                elements:
                                  id: {index: 187}
                                  extension: {index: 188}
                                extensions: {}
                    extensions:
                      policeCase:
                        url: null
                        index: 183
                        elements:
                          id: {index: 184}
                          extension: {index: 185}
                        extensions: {}
                      coronerCase:
                        url: null
                        index: 186
                        elements:
                          id: {index: 187}
                          extension: {index: 188}
                        extensions: {}
                dischargeAdvice:
                  match: {}
                  schema: {type: Extension, isModifier: false, url: 'https://fhir.synapxe.sg/StructureDefinition/ext-ed-dischargeAdvice', index: 189}
                disposition:
                  match: {}
                  schema:
                    type: Extension
                    isModifier: false
                    url: https://fhir.synapxe.sg/StructureDefinition/ext-ed-disposition
                    index: 190
                    elements:
                      id: {index: 191}
                      extension:
                        index: 192
                        slicing:
                          slices:
                            use:
                              match: {}
                              schema:
                                index: 192
                                elements:
                                  id: {index: 193}
                                  value:
                                    choices: [valueCodeableConcept]
                                    index: 195
                                  valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 196}
                            code:
                              match: {}
                              schema:
                                index: 197
                                elements:
                                  id: {index: 198}
                                  value:
                                    choices: [valueCodeableConcept]
                                    index: 200
                                  valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 201}
                            referralLocation:
                              match: {}
                              schema:
                                index: 202
                                elements:
                                  id: {index: 203}
                                  value:
                                    choices: [valueCodeableConcept]
                                    index: 205
                                  valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 206}
                            medicalCertificates:
                              match: {}
                              schema:
                                index: 207
                                elements:
                                  id: {index: 208}
                    extensions:
                      use:
                        url: null
                        index: 192
                        elements:
                          id: {index: 193}
                          value:
                            choices: [valueCodeableConcept]
                            index: 195
                          valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 196}
                      code:
                        url: null
                        index: 197
                        elements:
                          id: {index: 198}
                          value:
                            choices: [valueCodeableConcept]
                            index: 200
                          valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 201}
                      referralLocation:
                        url: null
                        index: 202
                        elements:
                          id: {index: 203}
                          value:
                            choices: [valueCodeableConcept]
                            index: 205
                          valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 206}
                      medicalCertificates:
                        url: null
                        index: 207
                        elements:
                          id: {index: 208}
          coding:
            index: 209
            elements:
              id: {index: 210}
              extension: {index: 211}
              system:
                pattern: {type: Uri, value: 'https://fhir.synapxe.sg/CodeSystem/discharge-disposition'}
                index: 212
              version: {index: 213}
              code: {index: 214}
              display: {index: 215}
              userSelected: {index: 216}
            extensions: {}
            required: [display, system, code]
          text: {short: Description of the outcome or end state of the discharge for patient, index: 217}
        extensions:
          caseReport:
            url: https://fhir.synapxe.sg/StructureDefinition/ext-ed-caseReport
            type: Extension
            isModifier: false
            index: 181
            elements:
              id: {index: 182}
              extension:
                index: 183
                slicing:
                  slices:
                    policeCase:
                      match: {}
                      schema:
                        index: 183
                        elements:
                          id: {index: 184}
                          extension: {index: 185}
                        extensions: {}
                    coronerCase:
                      match: {}
                      schema:
                        index: 186
                        elements:
                          id: {index: 187}
                          extension: {index: 188}
                        extensions: {}
            extensions:
              policeCase:
                url: null
                index: 183
                elements:
                  id: {index: 184}
                  extension: {index: 185}
                extensions: {}
              coronerCase:
                url: null
                index: 186
                elements:
                  id: {index: 187}
                  extension: {index: 188}
                extensions: {}
          dischargeAdvice: {url: 'https://fhir.synapxe.sg/StructureDefinition/ext-ed-dischargeAdvice', type: Extension, isModifier: false, index: 189}
          disposition:
            url: https://fhir.synapxe.sg/StructureDefinition/ext-ed-disposition
            type: Extension
            isModifier: false
            index: 190
            elements:
              id: {index: 191}
              extension:
                index: 192
                slicing:
                  slices:
                    use:
                      match: {}
                      schema:
                        index: 192
                        elements:
                          id: {index: 193}
                          value:
                            choices: [valueCodeableConcept]
                            index: 195
                          valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 196}
                    code:
                      match: {}
                      schema:
                        index: 197
                        elements:
                          id: {index: 198}
                          value:
                            choices: [valueCodeableConcept]
                            index: 200
                          valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 201}
                    referralLocation:
                      match: {}
                      schema:
                        index: 202
                        elements:
                          id: {index: 203}
                          value:
                            choices: [valueCodeableConcept]
                            index: 205
                          valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 206}
                    medicalCertificates:
                      match: {}
                      schema:
                        index: 207
                        elements:
                          id: {index: 208}
            extensions:
              use:
                url: null
                index: 192
                elements:
                  id: {index: 193}
                  value:
                    choices: [valueCodeableConcept]
                    index: 195
                  valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 196}
              code:
                url: null
                index: 197
                elements:
                  id: {index: 198}
                  value:
                    choices: [valueCodeableConcept]
                    index: 200
                  valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 201}
              referralLocation:
                url: null
                index: 202
                elements:
                  id: {index: 203}
                  value:
                    choices: [valueCodeableConcept]
                    index: 205
                  valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 206}
              medicalCertificates:
                url: null
                index: 207
                elements:
                  id: {index: 208}
        required: [text]
  diagnosis:
    elements:
      id: {index: 139}
      extension: {index: 140}
      modifierExtension: {index: 141}
      condition:
        index: 142
        elements:
          id: {index: 143}
          extension: {index: 144}
          concept:
            short: Concept - reference to a terminology or just  text
            index: 145
            extensions: {}
            elements:
              extension: {index: 146}
              coding: {index: 147}
              text: {index: 148}
            required: [text]
          reference: {index: 149}
        extensions: {}
        required: [concept]
      use:
        type: CodeableConcept
        short: Role that this diagnosis has within the encounter (e.gprincipal, secondary, …)
        binding: {strength: required, valueSet: 'https://fhir.synapxe.sg/ValueSet/edvisit-condition-type'}
        index: 150
        elements:
          coding:
            elements:
              system:
                pattern: {type: Uri, value: 'https://fhir.synapxe.sg/CodeSystem/edvisit-condition-type'}
                index: 151
    extensions: {}
    required: [condition, use]
  subjectStatus:
    short: event type
    index: 62
    elements:
      id: {index: 63}
      extension: {index: 64}
      coding:
        index: 65
        elements:
          id: {index: 66}
          extension: {index: 67}
          system:
            pattern: {type: Uri, value: 'https://fhir.synapxe.sg/CodeSystem/event-type'}
            index: 68
          code: {index: 69}
          display: {index: 70}
          userSelected: {index: 71}
        extensions: {}
        required: [display, system, code]
      text: {index: 72}
    extensions: {}
    required: [coding]
  serviceProvider:
    index: 77
    elements:
      id: {index: 78}
      extension: {index: 79}
      reference: {index: 80}
      type:
        pattern: {type: Uri, value: Organization}
        index: 81
      identifier:
        index: 82
        elements:
          id: {index: 83}
          extension: {index: 84}
          use: {index: 85}
          type: {index: 86}
          system:
            pattern: {type: Uri, value: 'https://fhir.synapxe.sg/NamingSystem/hci-code'}
            index: 87
          value: {index: 88}
          period: {index: 89}
          assigner: {index: 90}
        extensions: {}
        required: [value, system]
      display: {index: 91}
    extensions: {}
    required: [identifier, type]
  specialArrangement: {index: 154}
  dietPreference: {index: 153}
  episodeOfCare: {index: 73}
  type:
    index: 33
    elements:
      id: {index: 34}
      extension: {index: 35}
      coding:
        index: 36
        elements:
          id: {index: 37}
          extension: {index: 38}
          system: {index: 39}
          version: {index: 40}
          code: {index: 41}
          display: {index: 42}
          userSelected: {index: 43}
        extensions: {}
        required: [display, system, code]
      text: {index: 44}
    extensions: {}
    required: [coding]
  specialCourtesy: {index: 155}
  participant:
    elements:
      id: {index: 92}
      extension: {index: 93}
      modifierExtension: {index: 94}
      type:
        type: CodeableConcept
        binding: {strength: required, valueSet: 'https://fhir.synapxe.sg/ValueSet/edvisit-participant-type'}
        index: 95
        extensions: {}
        elements:
          extension: {index: 96}
          coding:
            elements:
              system:
                pattern: {type: Uri, value: 'https://fhir.synapxe.sg/CodeSystem/edvisit-participant-type'}
                index: 97
              code: {index: 98}
      actor:
        elements:
          id: {index: 99}
          extension: {index: 100}
          reference: {index: 101}
          type:
            pattern: {type: Uri, value: Practitioner}
            index: 102
          identifier:
            index: 103
            elements:
              id: {index: 104}
              extension: {index: 105}
              use: {index: 106}
              type: {index: 107}
              system:
                pattern: {type: Uri, value: 'https://fhir.synapxe.sg/NamingSystem/mcr-no'}
                index: 108
              value: {index: 109}
              period: {index: 110}
              assigner: {index: 111}
            extensions: {}
            required: [value, system]
          display: {index: 112}
        extensions: {}
        required: [identifier, type, display]
    extensions: {}
  serviceType:
    short: Service Speciality type
    index: 45
    elements:
      id: {index: 46}
      extension: {index: 47}
      concept:
        binding: {strength: required, valueSet: 'https://fhir.synapxe.sg/ValueSet/service-speciality'}
        index: 48
        elements:
          id: {index: 49}
          extension: {index: 50}
          coding:
            index: 51
            elements:
              id: {index: 52}
              extension: {index: 53}
              system:
                pattern: {type: Uri, value: 'https://fhir.synapxe.sg/CodeSystem/service-speciality'}
                index: 54
              code: {index: 55}
              display: {index: 56}
              userSelected: {index: 57}
            extensions: {}
            required: [display, system, code]
          text: {index: 58}
        extensions: {}
        required: [coding]
      reference: {index: 59}
    extensions: {}
    required: [concept]
  account: {index: 152}
  virtualService: {index: 114}
  reason:
    elements:
      id: {index: 122}
      extension:
        type: Extension
        isModifier: false
        url: https://fhir.synapxe.sg/StructureDefinition/ext-ed-accidentType
        index: 123
        slicing:
          slices:
            accidentType:
              match: {}
              schema: {type: Extension, isModifier: false, url: 'https://fhir.synapxe.sg/StructureDefinition/ext-ed-accidentType', index: 123}
              max: 1
            causeOfInjury:
              match: {}
              schema: {type: Extension, isModifier: false, url: 'https://fhir.synapxe.sg/StructureDefinition/ext-ed-causeOfInjury', index: 124}
              max: 1
      modifierExtension: {index: 125}
      use:
        type: CodeableConcept
        binding: {strength: required, valueSet: 'https://fhir.synapxe.sg/ValueSet/edvisit-reason-type'}
        index: 126
        extensions: {}
        elements:
          extension: {index: 127}
          coding:
            elements:
              system:
                pattern: {type: Uri, value: 'https://fhir.synapxe.sg/CodeSystem/edvisit-reason-type'}
                index: 128
              version: {index: 129}
      value:
        index: 130
        elements:
          id: {index: 131}
          extension: {index: 132}
          concept:
            index: 133
            elements:
              id: {index: 134}
              extension: {index: 135}
              coding: {index: 136}
              text: {index: 137}
            extensions: {}
            required: [text]
          reference: {index: 138}
        extensions: {}
        required: [concept]
    extensions:
      accidentType: {url: 'https://fhir.synapxe.sg/StructureDefinition/ext-ed-accidentType', max: 1, type: Extension, isModifier: false, index: 123}
      causeOfInjury: {url: 'https://fhir.synapxe.sg/StructureDefinition/ext-ed-causeOfInjury', max: 1, type: Extension, isModifier: false, index: 124}
    required: [value, use]
  priority: {index: 32}
  actualPeriod:
    index: 115
    elements:
      id: {index: 116}
      extension: {index: 117}
      start: {index: 118}
      end: {index: 119}
    extensions: {}
    required: [start, end]
  status:
    short: completed | cancelled
    pattern: {type: Code, value: completed}
    index: 26
  class:
    type: CodeableConcept
    index: 27
    extensions: {}
    elements:
      extension: {index: 28}
      coding:
        elements:
          system:
            pattern: {type: Uri, value: 'https://fhir.synapxe.sg/CodeSystem/patient-type'}
            index: 29
          version: {index: 30}
          code:
            pattern: {type: Code, value: EMER}
            index: 31
  length: {index: 121}
  identifier:
    index: 0
    elements:
      id: {index: 1}
      extension: {index: 2}
      type: {index: 3}
      system: {index: 4}
      value: {index: 5}
      period: {index: 6}
      assigner: {index: 7}
    extensions: {}
    required: [value, system]
    slicing:
      rules: open
      discriminator:
      - {path: system, type: value}
      min: 1
      slices:
        caseNo:
          match: {system: 'https://fhir.synapxe.sg/NamingSystem/record-id'}
          schema:
            short: A unique identifier for this encounter record
            _required: true
            index: 8
            elements:
              id: {index: 9}
              extension: {index: 10}
              use: {index: 11}
              type: {index: 12}
              system:
                pattern: {type: Uri, value: 'https://fhir.synapxe.sg/NamingSystem/record-id'}
                index: 13
              value: {index: 14}
              period: {index: 15}
              assigner: {index: 16}
            extensions: {}
            required: [value, system]
        edRefNo:
          match: {system: 'https://fhir.synapxe.sg/NamingSystem/ed-ref-no'}
          schema:
            short: An identifier of the episode/case
            index: 17
            elements:
              id: {index: 18}
              extension: {index: 19}
              use: {index: 20}
              type: {index: 21}
              system:
                pattern: {type: Uri, value: 'https://fhir.synapxe.sg/NamingSystem/ed-ref-no'}
                index: 22
              value: {index: 23}
              period: {index: 24}
              assigner: {index: 25}
            extensions: {}
            required: [value, system]
  plannedStartDate: {index: 120}
  basedOn: {index: 74}
  partOf: {index: 76}
  location:
    index: 218
    elements:
      id: {index: 219}
      extension: {index: 220}
      modifierExtension: {index: 221}
      location:
        type: Reference
        refers: ['https://fhir.synapxe.sg/StructureDefinition/profile-location']
        index: 222
      status: {index: 223}
      form: {type: CodeableConcept, index: 224}
      period:
        index: 225
        elements:
          id: {index: 226}
          extension: {index: 227}
          start: {index: 228}
        extensions: {}
        required: [start]
    extensions: {}
    required: [form, period]
  subject:
    type: Reference
    refers: ['https://fhir.synapxe.sg/StructureDefinition/profile-patient']
    index: 60
    elements:
      reference: {index: 61}
    required: [reference]
  careTeam: {index: 75}
package_version: 1.1.3
class: profile
kind: resource
url: https://fhir.synapxe.sg/StructureDefinition/profile-edvisit
base: http://hl7.org/fhir/StructureDefinition/Encounter
version: null
required: [class, actualPeriod, identifier]