description: Base StructureDefinition for Encounter Resource package_name: hl7.fhir.core derivation: specialization name: Encounter type: Encounter elements: patient: short: The patient present at the encounter refers: ['http://hl7.org/fhir/StructureDefinition/Patient'] comments: While the encounter is always about the patient, the patient may not actually be known in all contexts of use. type: Reference isSummary: true index: 8 appointment: short: The appointment that scheduled this encounter refers: ['http://hl7.org/fhir/StructureDefinition/Appointment'] type: Reference isSummary: true index: 15 indication: short: Reason the encounter takes place (resource) refers: ['http://hl7.org/fhir/StructureDefinition/Condition', 'http://hl7.org/fhir/StructureDefinition/Procedure'] comments: For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis). type: Reference array: true index: 19 serviceProvider: short: The custodian organization of this Encounter record refers: ['http://hl7.org/fhir/StructureDefinition/Organization'] type: Reference index: 37 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: 9 type: {short: Specific type of encounter, comments: 'Since there are many ways to further classify encounters, this element is 0..*.', type: CodeableConcept, array: true, isSummary: true, index: 6} participant: short: List of participants involved in the encounter type: BackboneElement array: true isSummary: true index: 11 elements: type: {short: Role of participant in encounter, comments: 'The participant type indicates how an individual partitipates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.', type: CodeableConcept, array: true, isSummary: true, index: 12} period: {type: Period, short: Period of time during the encounter that the participant participated, index: 13} individual: short: Persons involved in the encounter other than the patient refers: ['http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson'] type: Reference isSummary: true index: 14 account: short: The set of accounts that may be used for billing for this Encounter refers: ['http://hl7.org/fhir/StructureDefinition/Account'] comments: The billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules. type: Reference array: true index: 20 incomingReferral: short: The ReferralRequest that initiated this encounter refers: ['http://hl7.org/fhir/StructureDefinition/ReferralRequest'] type: Reference array: true index: 10 reason: {short: Reason the encounter takes place (code), comments: 'For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).', type: CodeableConcept, array: true, isSummary: true, index: 18} priority: {short: Indicates the urgency of the encounter, type: CodeableConcept, index: 7} status: {isModifier: true, short: planned | arrived | in-progress | onleave | finished | cancelled | entered-in-error, type: code, isSummary: true, index: 1} class: {short: inpatient | outpatient | ambulatory | emergency +, type: Coding, isSummary: true, index: 5} length: {short: Quantity of time the encounter lasted (less time absent), comments: May differ from the time the Encounter.period lasted because of leave of absence., type: Duration, index: 17} 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 comments: "An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included.\r\rThe duration recorded in the period of this encounter covers the entire scope of this hospitalization record." type: BackboneElement index: 21 elements: dischargeDisposition: {short: Category or kind of location after discharge, type: CodeableConcept, index: 31} preAdmissionIdentifier: {type: Identifier, short: Pre-admission identifier, index: 22} admittingDiagnosis: short: The admitting diagnosis as reported by admitting practitioner refers: ['http://hl7.org/fhir/StructureDefinition/Condition'] type: Reference array: true index: 25 specialArrangement: {short: 'Wheelchair, translator, stretcher, etc.', type: CodeableConcept, array: true, index: 29} dietPreference: {short: Diet preferences reported by the patient, comments: For example a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive)., type: CodeableConcept, array: true, index: 27} admitSource: {short: 'From where patient was admitted (physician referral, transfer)', type: CodeableConcept, index: 24} specialCourtesy: {short: 'Special courtesies (VIP, board member)', type: CodeableConcept, array: true, index: 28} 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, index: 26} origin: short: The location from which the patient came before admission refers: ['http://hl7.org/fhir/StructureDefinition/Location'] type: Reference index: 23 dischargeDiagnosis: short: The final diagnosis given a patient before release from the hospital after all testing, surgery, and workup are complete refers: ['http://hl7.org/fhir/StructureDefinition/Condition'] type: Reference array: true index: 32 destination: short: Location to which the patient is discharged refers: ['http://hl7.org/fhir/StructureDefinition/Location'] type: Reference index: 30 period: {short: The start and end time of the encounter, comments: 'If not (yet) known, the end of the Period may be omitted.', type: Period, index: 16} partOf: short: Another Encounter this encounter is part of refers: ['http://hl7.org/fhir/StructureDefinition/Encounter'] comments: "This is also used for associating a child's encounter back to the mother's encounter.\r\rRefer to the Notes section in the Patient resource for further details." type: Reference index: 38 location: short: List of locations where the patient has been comments: Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual". type: BackboneElement array: true index: 33 elements: location: short: Location the encounter takes place refers: ['http://hl7.org/fhir/StructureDefinition/Location'] type: Reference index: 34 status: {short: planned | active | reserved | completed, comments: 'When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.', type: code, index: 35} period: {type: Period, short: Time period during which the patient was present at the location, index: 36} required: [location] statusHistory: short: List of past encounter statuses comments: The current status is always found in the current version of the resource, not the status history. type: BackboneElement array: true index: 2 elements: status: {short: planned | arrived | in-progress | onleave | finished | cancelled | entered-in-error, type: code, index: 3} period: {type: Period, short: The time that the episode was in the specified status, index: 4} required: [status, period] package_version: 1.8.0 class: resource kind: resource url: http://hl7.org/fhir/StructureDefinition/Encounter base: http://hl7.org/fhir/StructureDefinition/DomainResource version: null required: [status]