description: An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.
package_name: hl7.fhir.r5.core
derivation: specialization
name: Encounter
type: Encounter
elements:
  appointment:
    short: The appointment that scheduled this encounter
    refers: ['http://hl7.org/fhir/StructureDefinition/Appointment']
    type: Reference
    array: true
    isSummary: true
    index: 20
  diagnosis:
    short: The list of diagnosis relevant to this encounter
    type: BackboneElement
    array: true
    isSummary: true
    index: 24
    elements:
      condition:
        short: The diagnosis or procedure relevant to the encounter
        refers: ['http://hl7.org/fhir/StructureDefinition/Condition', 'http://hl7.org/fhir/StructureDefinition/Procedure']
        type: Reference
        isSummary: true
        index: 25
      use:
        short: Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
        type: CodeableConcept
        binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/diagnosis-role'}
        index: 26
      rank: {type: positiveInt, short: Ranking of the diagnosis (for each role type), index: 27}
    required: [condition]
  subjectStatus:
    type: CodeableConcept
    short: The current status of the subject in relation to the Encounter
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-subject-status'}
    index: 13
  serviceProvider:
    short: The organization (facility) responsible for this encounter
    refers: ['http://hl7.org/fhir/StructureDefinition/Organization']
    type: Reference
    index: 44
  episodeOfCare:
    short: Episode(s) of care that this encounter should be recorded against
    refers: ['http://hl7.org/fhir/StructureDefinition/EpisodeOfCare']
    type: Reference
    array: true
    isSummary: true
    index: 14
  type:
    short: Specific type of encounter
    type: CodeableConcept
    array: true
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-type'}
    isSummary: true
    index: 9
  participant:
    short: List of participants involved in the encounter
    type: BackboneElement
    array: true
    isSummary: true
    index: 16
    elements:
      type:
        short: Role of participant in encounter
        type: CodeableConcept
        array: true
        binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-participant-type'}
        isSummary: true
        index: 17
      period: {type: Period, short: Period of time during the encounter that the participant participated, index: 18}
      individual:
        short: Persons involved in the encounter other than the patient
        refers: ['http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson']
        type: Reference
        isSummary: true
        index: 19
  serviceType:
    short: Specific type of service
    type: CodeableConcept
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/service-type'}
    isSummary: true
    index: 10
  account:
    short: The set of accounts that may be used for billing for this Encounter
    refers: ['http://hl7.org/fhir/StructureDefinition/Account']
    type: Reference
    array: true
    index: 28
  classHistory:
    short: List of past encounter classes
    type: BackboneElement
    array: true
    index: 6
    elements:
      class:
        short: inpatient | outpatient | ambulatory | emergency +
        type: Coding
        binding: {strength: extensible, valueSet: 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode'}
        index: 7
      period: {type: Period, short: The time that the episode was in the specified class, index: 8}
    required: [class, period]
  reason:
    short: Reason the encounter takes place (core or reference)
    type: CodeableReference
    array: true
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-reason'}
    isSummary: true
    index: 23
  priority:
    short: Indicates the urgency of the encounter
    type: CodeableConcept
    binding: {strength: example, valueSet: 'http://terminology.hl7.org/ValueSet/v3-ActPriority'}
    index: 11
  status:
    isModifier: true
    short: planned | in-progress | onhold | completed | cancelled | entered-in-error | unknown
    type: code
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-status|4.4.0'}
    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
    index: 1
  class:
    short: Classification of patient encounter
    type: Coding
    binding: {strength: extensible, valueSet: 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode'}
    isSummary: true
    index: 5
  length: {short: Quantity of time the encounter lasted (less time absent), type: Duration, index: 22}
  identifier: {short: Identifier(s) by which this encounter is known, type: Identifier, array: true, isSummary: true, index: 0}
  hospitalization:
    short: Details about the admission to a healthcare service
    type: BackboneElement
    index: 29
    elements:
      dischargeDisposition:
        short: Category or kind of location after discharge
        type: CodeableConcept
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-discharge-disposition'}
        index: 38
      preAdmissionIdentifier: {type: Identifier, short: Pre-admission identifier, index: 30}
      specialArrangement:
        short: Wheelchair, translator, stretcher, etc.
        type: CodeableConcept
        array: true
        binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-special-arrangements'}
        index: 36
      dietPreference:
        short: Diet preferences reported by the patient
        type: CodeableConcept
        array: true
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-diet'}
        index: 34
      admitSource:
        short: From where patient was admitted (physician referral, transfer)
        type: CodeableConcept
        binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-admit-source'}
        index: 32
      specialCourtesy:
        short: Special courtesies (VIP, board member)
        type: CodeableConcept
        array: true
        binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-special-courtesy'}
        index: 35
      reAdmission:
        short: The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
        type: CodeableConcept
        binding: {strength: example, valueSet: 'http://terminology.hl7.org/ValueSet/v2-0092'}
        index: 33
      origin:
        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
        index: 31
      destination:
        short: Location/organization to which the patient is discharged
        refers: ['http://hl7.org/fhir/StructureDefinition/Location', 'http://hl7.org/fhir/StructureDefinition/Organization']
        type: Reference
        index: 37
  period: {short: The start and end time of the encounter, type: Period, index: 21}
  basedOn:
    short: The ServiceRequest that initiated this encounter
    refers: ['http://hl7.org/fhir/StructureDefinition/ServiceRequest']
    type: Reference
    array: true
    index: 15
  partOf:
    short: Another Encounter this encounter is part of
    refers: ['http://hl7.org/fhir/StructureDefinition/Encounter']
    type: Reference
    index: 45
  location:
    short: List of locations where the patient has been
    type: BackboneElement
    array: true
    index: 39
    elements:
      location:
        short: Location the encounter takes place
        refers: ['http://hl7.org/fhir/StructureDefinition/Location']
        type: Reference
        index: 40
      status:
        short: planned | active | reserved | completed
        type: code
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-location-status|4.4.0'}
        index: 41
      physicalType:
        short: The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
        type: CodeableConcept
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/location-physical-type'}
        index: 42
      period: {type: Period, short: Time period during which the patient was present at the location, index: 43}
    required: [location]
  subject:
    short: The patient or group present at the encounter
    refers: ['http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/StructureDefinition/Patient']
    type: Reference
    isSummary: true
    index: 12
  statusHistory:
    short: List of past encounter statuses
    type: BackboneElement
    array: true
    index: 2
    elements:
      status:
        short: planned | in-progress | onhold | completed | cancelled | entered-in-error | unknown
        type: code
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-status|4.4.0'}
        index: 3
      period: {type: Period, short: The time that the episode was in the specified status, index: 4}
    required: [status, period]
package_version: 4.4.0
class: resource
kind: resource
url: http://hl7.org/fhir/StructureDefinition/Encounter
base: http://hl7.org/fhir/StructureDefinition/DomainResource
version: 4.4.0
required: [class, status]