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: ca.on.ehr.r4
derivation: constraint
name: EncounterEHR
type: Encounter
elements:
  diagnosis:
    mustSupport: true
    index: 40
    elements:
      condition:
        type: Reference
        mustSupport: true
        refers: ['http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-condition']
        index: 41
        elements:
          reference: {mustSupport: true, index: 42}
      use:
        type: CodeableConcept
        mustSupport: true
        index: 43
        elements:
          coding:
            elements:
              display:
                extensions:
                  translation:
                    url: null
                    index: 44
                    extensions: {}
                    elements:
                      extension: {array: true, min: 2, index: 45}
                elements:
                  extension:
                    index: 44
                    slicing:
                      slices:
                        translation:
                          match: {}
                          schema:
                            index: 44
                            extensions: {}
                            elements:
                              extension: {array: true, min: 2, index: 45}
  reasonCode:
    type: CodeableConcept
    mustSupport: true
    index: 36
    elements:
      coding:
        index: 37
        elements:
          display:
            extensions:
              translation:
                url: null
                index: 38
                extensions: {}
                elements:
                  extension: {array: true, min: 2, index: 39}
            elements:
              extension:
                index: 38
                slicing:
                  slices:
                    translation:
                      match: {}
                      schema:
                        index: 38
                        extensions: {}
                        elements:
                          extension: {array: true, min: 2, index: 39}
  type:
    type: CodeableConcept
    binding: {strength: extensible, valueSet: 'http://ontariohealth.ca/fhir/ehr/ValueSet/local-encounter-type'}
    mustSupport: true
    index: 12
    elements:
      coding:
        index: 13
        elements:
          display:
            extensions:
              translation:
                url: null
                index: 14
                extensions: {}
                elements:
                  extension: {array: true, min: 2, index: 15}
            elements:
              extension:
                index: 14
                slicing:
                  slices:
                    translation:
                      match: {}
                      schema:
                        index: 14
                        extensions: {}
                        elements:
                          extension: {array: true, min: 2, index: 15}
    required: [coding]
  participant:
    mustSupport: true
    index: 25
    elements:
      type:
        type: CodeableConcept
        binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ehr/ValueSet/encounter-participant-type'}
        mustSupport: true
        index: 26
        elements:
          coding:
            index: 27
            elements:
              display:
                extensions:
                  translation:
                    url: null
                    index: 28
                    extensions: {}
                    elements:
                      extension: {array: true, min: 2, index: 29}
                elements:
                  extension:
                    index: 28
                    slicing:
                      slices:
                        translation:
                          match: {}
                          schema:
                            index: 28
                            extensions: {}
                            elements:
                              extension: {array: true, min: 2, index: 29}
        required: [coding]
      individual:
        type: Reference
        mustSupport: true
        refers: ['http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitioner']
        index: 30
        elements:
          reference: {mustSupport: true, index: 31}
        required: [reference]
    required: [individual, type]
  serviceType:
    type: CodeableConcept
    binding: {strength: extensible, valueSet: 'http://cihi.ca/fhir/ValueSet/aac-hospital-service'}
    mustSupport: true
    index: 16
    elements:
      coding:
        elements:
          display:
            extensions:
              translation:
                url: null
                index: 17
                extensions: {}
                elements:
                  extension: {array: true, min: 2, index: 18}
            elements:
              extension:
                index: 17
                slicing:
                  slices:
                    translation:
                      match: {}
                      schema:
                        index: 17
                        extensions: {}
                        elements:
                          extension: {array: true, min: 2, index: 18}
  priority:
    type: CodeableConcept
    binding: {strength: required, valueSet: 'https://fhir.infoway-inforoute.ca/ValueSet/canadiantriageacuityscale'}
    mustSupport: true
    index: 19
    elements:
      coding:
        index: 20
        elements:
          display:
            extensions:
              translation:
                url: null
                index: 21
                extensions: {}
                elements:
                  extension: {array: true, min: 2, index: 22}
            elements:
              extension:
                index: 21
                slicing:
                  slices:
                    translation:
                      match: {}
                      schema:
                        index: 21
                        extensions: {}
                        elements:
                          extension: {array: true, min: 2, index: 22}
    required: [coding]
  status: {mustSupport: true, index: 8}
  class:
    type: Coding
    binding: {strength: extensible, valueSet: 'http://ontariohealth.ca/fhir/ehr/ValueSet/encounter-class'}
    mustSupport: true
    index: 9
    elements:
      display:
        extensions:
          translation:
            url: null
            index: 10
            extensions: {}
            elements:
              extension: {array: true, min: 2, index: 11}
        elements:
          extension:
            index: 10
            slicing:
              slices:
                translation:
                  match: {}
                  schema:
                    index: 10
                    extensions: {}
                    elements:
                      extension: {array: true, min: 2, index: 11}
  length: {mustSupport: true, index: 35}
  identifier:
    mustSupport: true
    index: 0
    elements:
      type:
        binding: {strength: extensible, valueSet: 'http://ontariohealth.ca/fhir/ehr/ValueSet/identifier-type'}
        mustSupport: true
        index: 1
        elements:
          coding:
            mustSupport: true
            index: 2
            elements:
              system: {mustSupport: true, index: 3}
              code: {mustSupport: true, index: 4}
              display: {mustSupport: true, index: 5}
            required: [display, system, code]
        required: [coding]
      system: {mustSupport: true, index: 6}
      value: {mustSupport: true, index: 7}
    required: [value, type, system]
  hospitalization:
    mustSupport: true
    index: 46
    elements:
      admitSource:
        type: CodeableConcept
        binding: {strength: required, valueSet: 'http://cihi.ca/fhir/ValueSet/aac-admit-source'}
        mustSupport: true
        index: 47
        elements:
          coding:
            index: 48
            elements:
              system:
                pattern: {type: Uri, value: 'http://cihi.ca/fhir/CodeSystem/aac-admit-source'}
                index: 49
              display:
                extensions:
                  translation:
                    url: null
                    index: 50
                    extensions: {}
                    elements:
                      extension: {array: true, min: 2, index: 51}
                elements:
                  extension:
                    index: 50
                    slicing:
                      slices:
                        translation:
                          match: {}
                          schema:
                            index: 50
                            extensions: {}
                            elements:
                              extension: {array: true, min: 2, index: 51}
        required: [coding]
      dischargeDisposition:
        type: CodeableConcept
        binding: {strength: required, valueSet: 'http://cihi.ca/fhir/ValueSet/aac-discharge-disposition'}
        mustSupport: true
        index: 52
        elements:
          coding:
            elements:
              display:
                extensions:
                  translation:
                    url: null
                    index: 53
                    extensions: {}
                    elements:
                      extension: {array: true, min: 2, index: 54}
                elements:
                  extension:
                    index: 53
                    slicing:
                      slices:
                        translation:
                          match: {}
                          schema:
                            index: 53
                            extensions: {}
                            elements:
                              extension: {array: true, min: 2, index: 54}
  period:
    mustSupport: true
    index: 32
    elements:
      start: {mustSupport: true, index: 33}
      end: {mustSupport: true, index: 34}
  location:
    mustSupport: true
    index: 55
    elements:
      location:
        type: Reference
        mustSupport: true
        refers: ['http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-location']
        index: 56
        elements:
          reference: {mustSupport: true, index: 57}
          display:
            mustSupport: true
            index: 58
            extensions:
              bed-type: {url: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-encounter-bed-type', max: 1, type: Extension, mustSupport: true, index: 60}
            elements:
              extension:
                index: 59
                slicing:
                  rules: open
                  ordered: false
                  min: null
                  slices:
                    bed-type:
                      match: {}
                      schema: {type: Extension, mustSupport: true, url: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-encounter-bed-type', index: 60}
                      max: 1
      status: {mustSupport: true, index: 61}
      physicalType:
        type: CodeableConcept
        mustSupport: true
        index: 62
        elements:
          coding:
            index: 63
            elements:
              display:
                extensions:
                  translation:
                    url: null
                    index: 64
                    extensions: {}
                    elements:
                      extension: {array: true, min: 2, index: 65}
                elements:
                  extension:
                    index: 64
                    slicing:
                      slices:
                        translation:
                          match: {}
                          schema:
                            index: 64
                            extensions: {}
                            elements:
                              extension: {array: true, min: 2, index: 65}
        required: [coding]
    required: [physicalType]
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-patient']
    index: 23
    elements:
      reference: {mustSupport: true, index: 24}
    required: [reference]
package_version: 1.0.0-snapshot14
class: profile
kind: resource
url: http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-encounter
base: http://hl7.org/fhir/StructureDefinition/Encounter
version: 1.0.0
required: [identifier, subject]