description: Top-level encounter in the HDP hierarchical hospitalization model. Represents the patient's overall stay and carries high-level clinical and administrative context. The combination of ILHDPEncounterHospitalization and ILHDPEncounterInpatientCareSegment SHALL cover hospitalization scenarios including general inpatient care, home hospitalization, geriatric care, and psychiatric care. This profile MAY also be used for ambulatory or HMO-operated/community emergency-center visists when the source system models them hierarchically; otherwise ILHDPEncounterCommunityHMOAmbulatory is preferred.
package_name: il.hdp.fhir.r4
derivation: constraint
name: ILHDPEncounterHospitalization
type: Encounter
elements:
  diagnosis:
    index: 35
    elements:
      condition:
        type: Reference
        refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-condition', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-condition']
        index: 36
      use: {index: 37}
      rank: {index: 38}
    slicing:
      rules: open
      discriminator:
      - {path: use, type: pattern}
      min: null
      slices:
        admission:
          match:
            use:
              coding:
              - {code: AD, system: 'http://terminology.hl7.org/CodeSystem/diagnosis-role'}
          schema:
            short: Admission diagnosis
            array: true
            index: 39
            elements:
              condition: {index: 40}
              use:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: AD, system: 'http://terminology.hl7.org/CodeSystem/diagnosis-role'}
                index: 41
            required: [use]
        comorbidity:
          match:
            use:
              coding:
              - {code: CM, system: 'http://terminology.hl7.org/CodeSystem/diagnosis-role'}
          schema:
            short: Comorbidity diagnosis
            array: true
            index: 42
            elements:
              condition: {index: 43}
              use:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: CM, system: 'http://terminology.hl7.org/CodeSystem/diagnosis-role'}
                index: 44
            required: [use]
        discharge:
          match:
            use:
              coding:
              - {code: DD, system: 'http://terminology.hl7.org/CodeSystem/diagnosis-role'}
          schema:
            short: Discharge diagnosis
            array: true
            index: 45
            elements:
              condition: {index: 46}
              use:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: DD, system: 'http://terminology.hl7.org/CodeSystem/diagnosis-role'}
                index: 47
            required: [use]
  meta:
    type: Meta
    index: 0
    elements:
      security:
        index: 1
        slicing:
          slices:
            HDP:
              match: {}
              schema:
                index: 1
                elements:
                  code:
                    pattern: {type: Code, value: encounterInformation}
                    index: 2
                  display:
                    pattern: {type: String, value: ביקורים}
                    index: 3
  serviceProvider:
    type: Reference
    refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-organization', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-organization']
    index: 58
  episodeOfCare:
    type: Reference
    refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-episode-of-care', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-episode-of-care']
    index: 19
  reasonCode: {index: 32}
  type:
    index: 9
    slicing:
      slices:
        face-to-face:
          match: {}
          schema: {short: Face-to-face encounter type, index: 10}
        without-patient-present:
          match: {}
          schema: {index: 11}
          max: 0
        virtual-encounters:
          match: {}
          schema: {index: 12}
          max: 0
        doctor-to-doctor-consultation:
          match: {}
          schema: {index: 13}
          max: 0
        hospitalization:
          match: {}
          schema:
            short: Hospitalization encounter type
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: hospitalization-hdp, system: 'http://fhir.health.gov.il/cs/il-core-encounter-type'}
            _required: true
            index: 14
          min: 1
          max: 1
        inpatient-care-segment:
          match: {}
          schema:
            short: Inpatient care segment encounter type
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: inpatient-care-segment-hdp, system: 'http://fhir.health.gov.il/cs/il-core-encounter-type'}
            index: 15
          min: 0
          max: 0
        community-hmo-ambulatory:
          match: {}
          schema:
            short: Community/HMO ambulatory encounter type
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: community-hmo-ambulatory-hdp, system: 'http://fhir.health.gov.il/cs/il-core-encounter-type'}
            index: 16
          min: 0
          max: 0
  participant:
    index: 21
    elements:
      individual:
        type: Reference
        refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-practitioner', 'http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role', 'http://fhir.health.gov.il/StructureDefinition/il-core-related-person', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-practitioner', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-practitioner-role', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-related-person']
        index: 22
    required: [individual]
    slicing:
      slices:
        primary-performer:
          match: {}
          schema:
            index: 23
            elements:
              individual:
                type: Reference
                refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-practitioner', 'http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role', 'http://fhir.health.gov.il/StructureDefinition/il-core-related-person', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-practitioner', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-practitioner-role', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-related-person']
                index: 24
        consultant:
          match: {}
          schema:
            index: 25
            elements:
              individual:
                type: Reference
                refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-practitioner', 'http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role', 'http://fhir.health.gov.il/StructureDefinition/il-core-related-person', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-practitioner', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-practitioner-role', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-related-person']
                index: 26
            required: [individual]
        reffering-practitioner:
          match: {}
          schema:
            index: 27
            elements:
              individual:
                type: Reference
                refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-practitioner', 'http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role', 'http://fhir.health.gov.il/StructureDefinition/il-core-related-person', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-practitioner', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-practitioner-role', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-related-person']
                index: 28
            required: [individual]
  serviceType: {index: 17}
  classHistory: {index: 8}
  status: {index: 5}
  class: {index: 7}
  length: {index: 31}
  identifier: {index: 4}
  hospitalization:
    elements:
      origin:
        type: Reference
        refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-location', 'http://fhir.health.gov.il/StructureDefinition/il-core-organization', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-location', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-organization']
        index: 48
      specialArrangement: {index: 49}
      destination:
        type: Reference
        refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-location', 'http://fhir.health.gov.il/StructureDefinition/il-core-organization', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-location', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-organization']
        index: 50
      dischargeDisposition:
        binding: {strength: extensible, valueSet: 'http://fhir.health.gov.il/ValueSet/patient-release-type-moh'}
        index: 51
  period:
    index: 29
    elements:
      start: {index: 30}
  basedOn:
    type: Reference
    refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-service-request', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-service-request']
    index: 20
  partOf:
    type: Reference
    refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-encounter', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-encounter-hospitalization', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-encounter-inpatient-care-segment']
    index: 59
  location:
    index: 52
    elements:
      location:
        type: Reference
        refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-location', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-location']
        index: 53
      physicalType: {index: 54}
    slicing:
      rules: open
      discriminator:
      - {path: physicalType, type: pattern}
      min: null
      slices:
        nursing-unit:
          match:
            physicalType:
              coding:
              - {code: hospital-nursing-unit, system: 'http://fhir.health.gov.il/cs/il-core-location-physical-type'}
          schema:
            short: Nursing unit location
            index: 55
            elements:
              location:
                type: Reference
                refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-location-nursing-unit', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-location-nursing-unit']
                index: 56
              physicalType:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: hospital-nursing-unit, system: 'http://fhir.health.gov.il/cs/il-core-location-physical-type'}
                index: 57
  subject:
    type: Reference
    refers: ['http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-patient']
    index: 18
  statusHistory: {index: 6}
  reasonReference:
    type: Reference
    refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-condition', 'http://fhir.health.gov.il/StructureDefinition/il-core-immunization-recommendation', 'http://fhir.health.gov.il/StructureDefinition/il-core-observation', 'http://fhir.health.gov.il/StructureDefinition/il-core-procedure', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-condition', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-observation']
    index: 33
    slicing:
      rules: open
      discriminator:
      - {path: $this.resolve(), type: profile}
      min: null
      slices:
        patient-reported-chief-complaint:
          match: {}
          schema:
            short: Patient-reported chief complaint
            refers: ['http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-patient-reported-chief-complaint']
            type: Reference
            index: 34
          min: 0
          max: 1
package_version: 0.5.0
class: profile
kind: resource
url: http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-encounter-hospitalization
base: http://fhir.health.gov.il/StructureDefinition/il-core-encounter
version: 0.5.0
required: [serviceType, serviceProvider, identifier, type, period]