{ "description": "The encounter resource represents an encounter between a care professional and the patient (or patient's record).", "_filename": "CareConnect-ITK-Encounter-1.json", "package_name": "uk.nhsdigital.stu3.test", "date": "2018-10-22", "derivation": "constraint", "meta": { "lastUpdated": "2018-05-22T22:12:02.951+01:00" }, "publisher": "NHS Digital", "fhirVersion": "3.0.1", "purpose": "CURATED BY INTEROPen see: http://www.interopen.org/careconnect-curation-methodology/ ", "name": "CareConnect-ITK-Encounter-1", "abstract": false, "copyright": "Copyright © 2018 NHS Digital", "type": "Encounter", "experimental": null, "resourceType": "StructureDefinition", "title": null, "package_version": "0.0.2-prerelease", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "pa" } ], "status": "active", "id": "ec34c30d-e465-465d-a3e0-621b0fd49749", "kind": "resource", "url": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Encounter-1", "version": "1.2.0", "differential": { "element": [ { "id": "Encounter.extension", "path": "Encounter.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "Encounter.extension:encounterTransport", "max": "1", "path": "Encounter.extension", "type": [ { "code": "Extension", "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-EncounterTransport-1" } ], "sliceName": "encounterTransport" }, { "id": "Encounter.extension:encounterTransport.url", "path": "Encounter.extension.url", "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-EncounterTransport-1" }, { "id": "Encounter.extension:outcomeOfAttendance", "max": "1", "path": "Encounter.extension", "type": [ { "code": "Extension", "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-OutcomeOfAttendance-1" } ], "sliceName": "outcomeOfAttendance" }, { "id": "Encounter.extension:outcomeOfAttendance.url", "path": "Encounter.extension.url", "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-OutcomeOfAttendance-1" }, { "id": "Encounter.extension:emergencyCareDischargeStatus", "max": "1", "path": "Encounter.extension", "type": [ { "code": "Extension", "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-EmergencyCareDischargeStatus-1" } ], "sliceName": "emergencyCareDischargeStatus" }, { "id": "Encounter.extension:emergencyCareDischargeStatus.url", "path": "Encounter.extension.url", "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-EmergencyCareDischargeStatus-1" }, { "id": "Encounter.identifier.type.coding.system", "min": 1, "path": "Encounter.identifier.type.coding.system" }, { "id": "Encounter.identifier.type.coding.code", "min": 1, "path": "Encounter.identifier.type.coding.code" }, { "id": "Encounter.identifier.type.coding.display", "min": 1, "path": "Encounter.identifier.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Encounter.identifier.system", "min": 1, "path": "Encounter.identifier.system" }, { "id": "Encounter.identifier.value", "min": 1, "path": "Encounter.identifier.value" }, { "id": "Encounter.identifier.assigner", "path": "Encounter.identifier.assigner", "type": [ { "code": "Reference", "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1" } ] }, { "id": "Encounter.identifier.assigner.reference", "min": 1, "path": "Encounter.identifier.assigner.reference" }, { "id": "Encounter.class", "path": "Encounter.class", "short": "Classification of the encounter", "definition": "Classification of the encounter." }, { "id": "Encounter.class.system", "min": 1, "path": "Encounter.class.system" }, { "id": "Encounter.class.code", "min": 1, "path": "Encounter.class.code" }, { "id": "Encounter.class.display", "min": 1, "path": "Encounter.class.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Encounter.classHistory.class", "path": "Encounter.classHistory.class", "short": "Classification of the encounter", "definition": "Classification of the encounter." }, { "id": "Encounter.classHistory.class.system", "min": 1, "path": "Encounter.classHistory.class.system" }, { "id": "Encounter.classHistory.class.code", "min": 1, "path": "Encounter.classHistory.class.code" }, { "id": "Encounter.classHistory.class.display", "min": 1, "path": "Encounter.classHistory.class.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Encounter.type.coding", "path": "Encounter.type.coding", "slicing": { "rules": "open", "ordered": false, "discriminator": [ { "path": "system", "type": "value" } ] } }, { "id": "Encounter.type.coding:snomedCT", "max": "1", "path": "Encounter.type.coding", "binding": { "strength": "required", "description": "A code from the SNOMED Clinical Terminology UK coding system that describes an encounter between a care professional and the patient (or patient's record).", "valueSetReference": { "reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-EncounterType-1" } }, "sliceName": "snomedCT" }, { "id": "Encounter.type.coding:snomedCT.extension", "path": "Encounter.type.coding.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "Encounter.type.coding:snomedCT.extension:snomedCTDescriptionID", "path": "Encounter.type.coding.extension", "type": [ { "code": "Extension", "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" } ], "sliceName": "snomedCTDescriptionID" }, { "id": "Encounter.type.coding:snomedCT.system", "min": 1, "path": "Encounter.type.coding.system", "fixedUri": "http://snomed.info/sct" }, { "id": "Encounter.type.coding:snomedCT.version", "max": "0", "path": "Encounter.type.coding.version" }, { "id": "Encounter.type.coding:snomedCT.code", "min": 1, "path": "Encounter.type.coding.code" }, { "id": "Encounter.type.coding:snomedCT.display", "min": 1, "path": "Encounter.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Encounter.priority.coding.system", "min": 1, "path": "Encounter.priority.coding.system" }, { "id": "Encounter.priority.coding.code", "min": 1, "path": "Encounter.priority.coding.code" }, { "id": "Encounter.priority.coding.display", "min": 1, "path": "Encounter.priority.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Encounter.subject", "path": "Encounter.subject", "type": [ { "code": "Reference", "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1" } ] }, { "id": "Encounter.subject.reference", "min": 1, "path": "Encounter.subject.reference" }, { "id": "Encounter.episodeOfCare", "max": "0", "path": "Encounter.episodeOfCare" }, { "id": "Encounter.incomingReferral", "max": "0", "path": "Encounter.incomingReferral" }, { "id": "Encounter.participant.type.coding.system", "min": 1, "path": "Encounter.participant.type.coding.system" }, { "id": "Encounter.participant.type.coding.code", "min": 1, "path": "Encounter.participant.type.coding.code" }, { "id": "Encounter.participant.type.coding.display", "min": 1, "path": "Encounter.participant.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Encounter.participant.individual", "path": "Encounter.participant.individual", "type": [ { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/ITK-RelatedPerson-1" }, { "code": "Reference", "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1" } ] }, { "id": "Encounter.participant.individual.reference", "min": 1, "path": "Encounter.participant.individual.reference" }, { "id": "Encounter.appointment", "max": "0", "path": "Encounter.appointment" }, { "id": "Encounter.reason.coding", "path": "Encounter.reason.coding", "slicing": { "rules": "open", "ordered": false, "discriminator": [ { "path": "system", "type": "value" } ] } }, { "id": "Encounter.reason.coding:snomedCT", "path": "Encounter.reason.coding", "sliceName": "snomedCT" }, { "id": "Encounter.reason.coding:snomedCT.extension", "path": "Encounter.reason.coding.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "Encounter.reason.coding:snomedCT.extension:snomedCTDescriptionID", "path": "Encounter.reason.coding.extension", "type": [ { "code": "Extension", "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" } ], "sliceName": "snomedCTDescriptionID" }, { "id": "Encounter.reason.coding:snomedCT.system", "min": 1, "path": "Encounter.reason.coding.system", "fixedUri": "http://snomed.info/sct" }, { "id": "Encounter.reason.coding:snomedCT.version", "max": "0", "path": "Encounter.reason.coding.version" }, { "id": "Encounter.reason.coding:snomedCT.code", "min": 1, "path": "Encounter.reason.coding.code" }, { "id": "Encounter.reason.coding:snomedCT.display", "min": 1, "path": "Encounter.reason.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Encounter.diagnosis.condition", "path": "Encounter.diagnosis.condition", "type": [ { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Procedure-1" }, { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Condition-1" } ] }, { "id": "Encounter.diagnosis.condition.reference", "min": 1, "path": "Encounter.diagnosis.condition.reference" }, { "id": "Encounter.diagnosis.role.coding.system", "min": 1, "path": "Encounter.diagnosis.role.coding.system" }, { "id": "Encounter.diagnosis.role.coding.code", "min": 1, "path": "Encounter.diagnosis.role.coding.code" }, { "id": "Encounter.diagnosis.role.coding.display", "min": 1, "path": "Encounter.diagnosis.role.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Encounter.account", "max": "0", "path": "Encounter.account" }, { "id": "Encounter.hospitalization.extension", "path": "Encounter.hospitalization.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "Encounter.hospitalization.extension:admissionMethod", "max": "1", "path": "Encounter.hospitalization.extension", "type": [ { "code": "Extension", "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AdmissionMethod-1" } ], "sliceName": "admissionMethod" }, { "id": "Encounter.hospitalization.extension:admissionMethod.url", "path": "Encounter.hospitalization.extension.url", "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AdmissionMethod-1" }, { "id": "Encounter.hospitalization.extension:dischargeMethod", "max": "1", "path": "Encounter.hospitalization.extension", "type": [ { "code": "Extension", "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-DischargeMethod-1" } ], "sliceName": "dischargeMethod" }, { "id": "Encounter.hospitalization.extension:dischargeMethod.url", "path": "Encounter.hospitalization.extension.url", "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-DischargeMethod-1" }, { "id": "Encounter.hospitalization.preAdmissionIdentifier.type.coding.system", "min": 1, "path": "Encounter.hospitalization.preAdmissionIdentifier.type.coding.system" }, { "id": "Encounter.hospitalization.preAdmissionIdentifier.type.coding.code", "min": 1, "path": "Encounter.hospitalization.preAdmissionIdentifier.type.coding.code" }, { "id": "Encounter.hospitalization.preAdmissionIdentifier.type.coding.display", "min": 1, "path": "Encounter.hospitalization.preAdmissionIdentifier.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Encounter.hospitalization.preAdmissionIdentifier.system", "min": 1, "path": "Encounter.hospitalization.preAdmissionIdentifier.system" }, { "id": "Encounter.hospitalization.preAdmissionIdentifier.value", "min": 1, "path": "Encounter.hospitalization.preAdmissionIdentifier.value" }, { "id": "Encounter.hospitalization.preAdmissionIdentifier.assigner", "path": "Encounter.hospitalization.preAdmissionIdentifier.assigner", "type": [ { "code": "Reference", "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1" } ] }, { "id": "Encounter.hospitalization.preAdmissionIdentifier.assigner.reference", "min": 1, "path": "Encounter.hospitalization.preAdmissionIdentifier.assigner.reference" }, { "id": "Encounter.hospitalization.origin", "path": "Encounter.hospitalization.origin", "type": [ { "code": "Reference", "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Location-1" } ] }, { "id": "Encounter.hospitalization.origin.reference", "min": 1, "path": "Encounter.hospitalization.origin.reference" }, { "id": "Encounter.hospitalization.admitSource", "path": "Encounter.hospitalization.admitSource", "binding": { "strength": "preferred", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "AdmitSource" } ], "description": "The source of admission to a Hospital Provider Spell or a Nursing Episode when the Patient is in a Hospital Site or a Care Home.", "valueSetReference": { "reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-SourceOfAdmission-1" } } }, { "id": "Encounter.hospitalization.admitSource.coding.system", "min": 1, "path": "Encounter.hospitalization.admitSource.coding.system" }, { "id": "Encounter.hospitalization.admitSource.coding.code", "min": 1, "path": "Encounter.hospitalization.admitSource.coding.code" }, { "id": "Encounter.hospitalization.admitSource.coding.display", "min": 1, "path": "Encounter.hospitalization.admitSource.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Encounter.hospitalization.reAdmission.coding", "path": "Encounter.hospitalization.reAdmission.coding", "slicing": { "rules": "open", "ordered": false, "discriminator": [ { "path": "system", "type": "value" } ] } }, { "id": "Encounter.hospitalization.reAdmission.coding:snomedCT", "max": "1", "path": "Encounter.hospitalization.reAdmission.coding", "sliceName": "snomedCT" }, { "id": "Encounter.hospitalization.reAdmission.coding:snomedCT.extension", "path": "Encounter.hospitalization.reAdmission.coding.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "Encounter.hospitalization.reAdmission.coding:snomedCT.extension:snomedCTDescriptionID", "path": "Encounter.hospitalization.reAdmission.coding.extension", "type": [ { "code": "Extension", "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" } ], "sliceName": "snomedCTDescriptionID" }, { "id": "Encounter.hospitalization.reAdmission.coding:snomedCT.system", "min": 1, "path": "Encounter.hospitalization.reAdmission.coding.system", "fixedUri": "http://snomed.info/sct" }, { "id": "Encounter.hospitalization.reAdmission.coding:snomedCT.version", "max": "0", "path": "Encounter.hospitalization.reAdmission.coding.version" }, { "id": "Encounter.hospitalization.reAdmission.coding:snomedCT.code", "min": 1, "path": "Encounter.hospitalization.reAdmission.coding.code" }, { "id": "Encounter.hospitalization.reAdmission.coding:snomedCT.display", "min": 1, "path": "Encounter.hospitalization.reAdmission.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Encounter.hospitalization.dietPreference", "path": "Encounter.hospitalization.dietPreference", "binding": { "strength": "extensible", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "PatientDiet" } ] } }, { "id": "Encounter.hospitalization.dietPreference.coding.system", "min": 1, "path": "Encounter.hospitalization.dietPreference.coding.system" }, { "id": "Encounter.hospitalization.dietPreference.coding.code", "min": 1, "path": "Encounter.hospitalization.dietPreference.coding.code" }, { "id": "Encounter.hospitalization.dietPreference.coding.display", "min": 1, "path": "Encounter.hospitalization.dietPreference.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Encounter.hospitalization.specialCourtesy.coding.system", "min": 1, "path": "Encounter.hospitalization.specialCourtesy.coding.system" }, { "id": "Encounter.hospitalization.specialCourtesy.coding.code", "min": 1, "path": "Encounter.hospitalization.specialCourtesy.coding.code" }, { "id": "Encounter.hospitalization.specialCourtesy.coding.display", "min": 1, "path": "Encounter.hospitalization.specialCourtesy.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Encounter.hospitalization.specialArrangement.coding.system", "min": 1, "path": "Encounter.hospitalization.specialArrangement.coding.system" }, { "id": "Encounter.hospitalization.specialArrangement.coding.code", "min": 1, "path": "Encounter.hospitalization.specialArrangement.coding.code" }, { "id": "Encounter.hospitalization.specialArrangement.coding.display", "min": 1, "path": "Encounter.hospitalization.specialArrangement.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Encounter.hospitalization.destination", "path": "Encounter.hospitalization.destination", "type": [ { "code": "Reference", "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Location-1" } ] }, { "id": "Encounter.hospitalization.destination.reference", "min": 1, "path": "Encounter.hospitalization.destination.reference" }, { "id": "Encounter.hospitalization.dischargeDisposition", "path": "Encounter.hospitalization.dischargeDisposition", "binding": { "strength": "example", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "DischargeDisp" } ], "description": "The destination of a Patient on completion of a Hospital Provider Spell, or a note that the Patient died or was a still birth.", "valueSetReference": { "reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-DischargeDestination-1" } } }, { "id": "Encounter.hospitalization.dischargeDisposition.coding.system", "min": 1, "path": "Encounter.hospitalization.dischargeDisposition.coding.system" }, { "id": "Encounter.hospitalization.dischargeDisposition.coding.code", "min": 1, "path": "Encounter.hospitalization.dischargeDisposition.coding.code" }, { "id": "Encounter.hospitalization.dischargeDisposition.coding.display", "min": 1, "path": "Encounter.hospitalization.dischargeDisposition.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Encounter.location.location", "path": "Encounter.location.location", "type": [ { "code": "Reference", "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Location-1" } ] }, { "id": "Encounter.location.location.reference", "min": 1, "path": "Encounter.location.location.reference" }, { "id": "Encounter.serviceProvider", "path": "Encounter.serviceProvider", "type": [ { "code": "Reference", "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1" } ] }, { "id": "Encounter.serviceProvider.reference", "min": 1, "path": "Encounter.serviceProvider.reference" }, { "id": "Encounter.partOf", "path": "Encounter.partOf", "type": [ { "code": "Reference", "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Encounter-1" } ] }, { "id": "Encounter.partOf.reference", "min": 1, "path": "Encounter.partOf.reference" } ] }, "contact": [ { "name": "Interoperability Team", "telecom": [ { "value": "interoperabilityteam@nhs.net", "system": "email" } ] } ], "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Encounter" }