{
"description": null,
"_filename": "EncounterProfile.json",
"package_name": "accdr.fhir.ig.pkg",
"date": "2024-04-29T14:35:28.2270511+00:00",
"derivation": "constraint",
"meta": {
"lastUpdated": "2024-09-20T19:00:52.4621255+00:00"
},
"publisher": null,
"fhirVersion": "4.0.1",
"name": "CDREncounter",
"mapping": [ {
"uri": "http://ehealthontario.ca",
"identity": "cdr-v2-data-in"
}, {
"name": "Virtual Visit Mapping",
"identity": "virtual-visit"
} ],
"abstract": false,
"type": "Encounter",
"experimental": null,
"resourceType": "StructureDefinition",
"title": null,
"package_version": "0.9.0-alpha-0.9.21",
"status": "draft",
"id": "fdeee8df-fb10-4c57-a83d-77fe5bbad6b9",
"kind": "resource",
"url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Encounter",
"version": null,
"differential": {
"element": [ {
"id": "Encounter.meta",
"min": 1,
"path": "Encounter.meta",
"mustSupport": true
}, {
"id": "Encounter.meta.profile",
"max": "1",
"min": 1,
"path": "Encounter.meta.profile",
"mustSupport": true,
"fixedCanonical": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Encounter"
}, {
"id": "Encounter.contained",
"path": "Encounter.contained",
"comment": "For encounter submission and encounter read, the resource will contain patient, practitioner, and organization resources.",
"mustSupport": true
}, {
"id": "Encounter.identifier",
"max": "1",
"min": 1,
"path": "Encounter.identifier",
"mapping": [ {
"map": "PV1.19 (visit number)",
"identity": "cdr-v2-data-in"
}, {
"map": "Event ID",
"comment": "Unique identifier for the Event to a single patient",
"identity": "virtual-visit"
} ],
"mustSupport": true
}, {
"id": "Encounter.identifier.type",
"min": 1,
"path": "Encounter.identifier.type",
"mustSupport": true
}, {
"id": "Encounter.identifier.type.coding",
"max": "1",
"min": 1,
"path": "Encounter.identifier.type.coding",
"mustSupport": true
}, {
"id": "Encounter.identifier.type.coding.system",
"min": 1,
"path": "Encounter.identifier.type.coding.system",
"fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203",
"mustSupport": true
}, {
"id": "Encounter.identifier.type.coding.code",
"min": 1,
"path": "Encounter.identifier.type.coding.code",
"fixedCode": "VN",
"mustSupport": true
}, {
"id": "Encounter.identifier.type.coding.display",
"min": 1,
"path": "Encounter.identifier.type.coding.display",
"mustSupport": true
}, {
"id": "Encounter.identifier.system",
"min": 1,
"path": "Encounter.identifier.system",
"comment": "Contains an OID in the urn format (urn:oid:xxxx)",
"mapping": [ {
"map": "PV1.19.4",
"identity": "cdr-v2-data-in"
} ],
"definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.\r\n\r\nIn this implementation, this will be the visit OID.",
"mustSupport": true
}, {
"id": "Encounter.identifier.value",
"min": 1,
"path": "Encounter.identifier.value",
"mapping": [ {
"map": "PV1.19.1",
"identity": "cdr-v2-data-in"
} ],
"mustSupport": true
}, {
"id": "Encounter.status",
"path": "Encounter.status",
"mustSupport": true
}, {
"id": "Encounter.class",
"path": "Encounter.class",
"binding": {
"strength": "required",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/acCDR-encounter-class"
},
"mapping": [ {
"map": "PV1.2",
"identity": "cdr-v2-data-in"
}, {
"map": "Modality",
"comment": "Primary modality or channel of the virtual care event as either Video, Secure Messaging, or both",
"identity": "virtual-visit"
} ],
"mustSupport": true
}, {
"id": "Encounter.class.system",
"min": 1,
"path": "Encounter.class.system",
"mustSupport": true
}, {
"id": "Encounter.class.code",
"min": 1,
"path": "Encounter.class.code",
"mustSupport": true
}, {
"id": "Encounter.class.display",
"min": 1,
"path": "Encounter.class.display",
"mustSupport": true
}, {
"id": "Encounter.type",
"max": "1",
"path": "Encounter.type",
"binding": {
"strength": "extensible",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/local-PV1-4values",
"description": "The type of encounter defined by local system"
},
"mapping": [ {
"map": "PV1.4",
"identity": "cdr-v2-data-in"
}, {
"map": "Event Type",
"comment": "Describes the nature of the communication between participants",
"identity": "virtual-visit"
} ],
"mustSupport": true
}, {
"id": "Encounter.type.coding",
"min": 1,
"path": "Encounter.type.coding",
"mustSupport": true
}, {
"id": "Encounter.type.coding.system",
"min": 1,
"path": "Encounter.type.coding.system",
"binding": {
"strength": "extensible",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/local-PV1-4values",
"description": "Local Encounter types"
},
"mustSupport": true
}, {
"id": "Encounter.type.coding.code",
"min": 1,
"path": "Encounter.type.coding.code",
"mustSupport": true
}, {
"id": "Encounter.type.coding.display",
"min": 1,
"path": "Encounter.type.coding.display",
"mustSupport": true
}, {
"id": "Encounter.serviceType",
"path": "Encounter.serviceType",
"comment": "If hospitals send MOH defined codes, those codes will be returned in coding. If hospitals only support free text, only text field will be returned.",
"mapping": [ {
"map": "PV1.10",
"comment": "coding will be mapped to MOH codes in v2.6. Pre 2.6 will only support text",
"identity": "cdr-v2-data-in"
} ],
"mustSupport": true
}, {
"id": "Encounter.serviceType.coding",
"max": "1",
"path": "Encounter.serviceType.coding",
"binding": {
"strength": "required",
"valueSet": "http://cihi.ca/fhir/ValueSet/aac-hospital-service",
"description": "Indicates the description of the hospital service"
},
"mustSupport": true
}, {
"id": "Encounter.serviceType.coding.system",
"min": 1,
"path": "Encounter.serviceType.coding.system",
"fixedUri": "http://cihi.ca/fhir/CodeSystem/aac-hospital-service",
"mustSupport": true
}, {
"id": "Encounter.serviceType.coding.code",
"min": 1,
"path": "Encounter.serviceType.coding.code",
"mustSupport": true
}, {
"id": "Encounter.serviceType.coding.display",
"min": 1,
"path": "Encounter.serviceType.coding.display",
"mustSupport": true
}, {
"id": "Encounter.serviceType.text",
"path": "Encounter.serviceType.text",
"mustSupport": true
}, {
"id": "Encounter.priority",
"path": "Encounter.priority",
"binding": {
"strength": "required",
"valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/canadiantriageacuityscale"
},
"mustSupport": true
}, {
"id": "Encounter.priority.coding",
"max": "1",
"min": 1,
"path": "Encounter.priority.coding",
"mustSupport": true
}, {
"id": "Encounter.priority.coding.system",
"min": 1,
"path": "Encounter.priority.coding.system",
"fixedUri": "http://ctas-phctas.ca/CodeSystem/canadian-triage-acuity-scale",
"mustSupport": true
}, {
"id": "Encounter.priority.coding.code",
"min": 1,
"path": "Encounter.priority.coding.code",
"mustSupport": true
}, {
"id": "Encounter.priority.coding.display",
"min": 1,
"path": "Encounter.priority.coding.display",
"mustSupport": true
}, {
"id": "Encounter.subject",
"min": 1,
"path": "Encounter.subject",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Patient" ]
} ],
"mustSupport": true
}, {
"id": "Encounter.participant",
"path": "Encounter.participant",
"mustSupport": true
}, {
"id": "Encounter.participant.type",
"max": "1",
"min": 1,
"path": "Encounter.participant.type",
"binding": {
"strength": "required",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/acCDR-encounter-participant-type"
},
"definition": "Role of participant in encounter. For virtual visit encounter, use type \"ATND\" (attender) to indicate Host Practitioner",
"mustSupport": true
}, {
"id": "Encounter.participant.type.coding",
"max": "1",
"min": 1,
"path": "Encounter.participant.type.coding",
"mustSupport": true
}, {
"id": "Encounter.participant.type.coding.system",
"min": 1,
"path": "Encounter.participant.type.coding.system",
"fixedUri": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"mustSupport": true
}, {
"id": "Encounter.participant.type.coding.code",
"min": 1,
"path": "Encounter.participant.type.coding.code",
"mustSupport": true
}, {
"id": "Encounter.participant.type.coding.display",
"min": 1,
"path": "Encounter.participant.type.coding.display",
"mustSupport": true
}, {
"id": "Encounter.participant.individual",
"min": 1,
"path": "Encounter.participant.individual",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Practitioner" ]
} ],
"mustSupport": true
}, {
"id": "Encounter.participant.individual.reference",
"min": 1,
"path": "Encounter.participant.individual.reference",
"mustSupport": true
}, {
"id": "Encounter.period",
"path": "Encounter.period",
"mustSupport": true
}, {
"id": "Encounter.period.start",
"path": "Encounter.period.start",
"mapping": [ {
"map": "PV1.44",
"identity": "cdr-v2-data-in"
} ],
"mustSupport": true
}, {
"id": "Encounter.period.end",
"path": "Encounter.period.end",
"mapping": [ {
"map": "PV1.45",
"identity": "cdr-v2-data-in"
} ],
"mustSupport": true
}, {
"id": "Encounter.reasonCode",
"path": "Encounter.reasonCode",
"mapping": [ {
"map": "Primary Diagnosis",
"comment": "Main problem, assigned by the health care provider that is deemed to be the clinically significant reason for the patient’s virtual visit and that requires evaluation and/or treatment or management. . This can be a diagnosis, condition, problem, or circumstance.",
"identity": "virtual-visit"
}, {
"map": "PV2-3",
"identity": "cdr-v2-data-in"
} ],
"mustSupport": true
}, {
"id": "Encounter.reasonCode.coding",
"max": "1",
"path": "Encounter.reasonCode.coding",
"mustSupport": true
}, {
"id": "Encounter.reasonCode.coding.code",
"min": 1,
"path": "Encounter.reasonCode.coding.code",
"mustSupport": true
}, {
"id": "Encounter.reasonCode.coding.display",
"min": 1,
"path": "Encounter.reasonCode.coding.display",
"mustSupport": true
}, {
"id": "Encounter.reasonCode.text",
"path": "Encounter.reasonCode.text",
"mustSupport": true
}, {
"id": "Encounter.diagnosis",
"path": "Encounter.diagnosis",
"mustSupport": true
}, {
"id": "Encounter.diagnosis.condition",
"path": "Encounter.diagnosis.condition",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Condition" ]
} ],
"mustSupport": true
}, {
"id": "Encounter.diagnosis.condition.reference",
"path": "Encounter.diagnosis.condition.reference",
"mustSupport": true
}, {
"id": "Encounter.diagnosis.condition.display",
"path": "Encounter.diagnosis.condition.display",
"mapping": [ {
"map": "DG1-3.2",
"identity": "cdr-v2-data-in"
} ]
}, {
"id": "Encounter.diagnosis.use",
"path": "Encounter.diagnosis.use",
"mustSupport": true
}, {
"id": "Encounter.hospitalization",
"path": "Encounter.hospitalization",
"mustSupport": true
}, {
"id": "Encounter.hospitalization.admitSource",
"path": "Encounter.hospitalization.admitSource",
"binding": {
"strength": "required",
"valueSet": "http://cihi.ca/fhir/ValueSet/aac-admit-source",
"description": "indicates the last point of entry prior to being admitted as an inpatient to the reporting facility"
},
"mapping": [ {
"map": "PV1.14",
"comment": "Only supported post 2.6",
"identity": "cdr-v2-data-in"
} ],
"mustSupport": true
}, {
"id": "Encounter.hospitalization.admitSource.coding",
"max": "1",
"min": 1,
"path": "Encounter.hospitalization.admitSource.coding",
"mustSupport": true
}, {
"id": "Encounter.hospitalization.admitSource.coding.system",
"min": 1,
"path": "Encounter.hospitalization.admitSource.coding.system",
"fixedUri": "http://cihi.ca/fhir/CodeSystem/aac-admit-source",
"mustSupport": true
}, {
"id": "Encounter.hospitalization.admitSource.coding.code",
"min": 1,
"path": "Encounter.hospitalization.admitSource.coding.code",
"mustSupport": true
}, {
"id": "Encounter.hospitalization.admitSource.coding.display",
"min": 1,
"path": "Encounter.hospitalization.admitSource.coding.display",
"mustSupport": true
}, {
"id": "Encounter.hospitalization.dischargeDisposition",
"path": "Encounter.hospitalization.dischargeDisposition",
"binding": {
"strength": "required",
"valueSet": "http://cihi.ca/fhir/ValueSet/aac-discharge-disposition",
"description": "disposition of the patient at time of discharge (i.e., discharged to home, expired, etc.)."
},
"mustSupport": true
}, {
"id": "Encounter.hospitalization.dischargeDisposition.coding",
"max": "1",
"min": 1,
"path": "Encounter.hospitalization.dischargeDisposition.coding",
"mapping": [ {
"map": "PV1.36",
"comment": "This field is added in v2.6",
"identity": "cdr-v2-data-in"
} ]
}, {
"id": "Encounter.hospitalization.dischargeDisposition.coding.system",
"min": 1,
"path": "Encounter.hospitalization.dischargeDisposition.coding.system",
"fixedUri": "http://cihi.ca/fhir/CodeSystem/aac-discharge-disposition"
}, {
"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"
}, {
"id": "Encounter.location",
"path": "Encounter.location",
"mapping": [ {
"map": "PV1.3",
"identity": "cdr-v2-data-in"
} ],
"mustSupport": true
}, {
"id": "Encounter.location.location",
"path": "Encounter.location.location",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Location" ]
} ],
"mustSupport": true
}, {
"id": "Encounter.location.location.reference",
"min": 1,
"path": "Encounter.location.location.reference",
"mustSupport": true
}, {
"id": "Encounter.location.location.display",
"path": "Encounter.location.location.display",
"mustSupport": true
}, {
"id": "Encounter.location.location.display.extension:bed-type",
"max": "1",
"path": "Encounter.location.location.display.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-encounter-bed-type" ]
} ],
"sliceName": "bed-type",
"isModifier": false,
"mustSupport": true
}, {
"id": "Encounter.location.status",
"path": "Encounter.location.status",
"comment": "SHALL be populated with \"completed\" for past locations. If it is not present, it is the current location.",
"mustSupport": true
}, {
"id": "Encounter.location.physicalType",
"min": 1,
"path": "Encounter.location.physicalType",
"mustSupport": true
}, {
"id": "Encounter.location.physicalType.coding",
"max": "1",
"min": 1,
"path": "Encounter.location.physicalType.coding",
"mustSupport": true
}, {
"id": "Encounter.location.physicalType.coding.system",
"min": 1,
"path": "Encounter.location.physicalType.coding.system",
"fixedUri": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"mustSupport": true
}, {
"id": "Encounter.location.physicalType.coding.code",
"min": 1,
"path": "Encounter.location.physicalType.coding.code",
"fixedCode": "si",
"mustSupport": true
}, {
"id": "Encounter.location.physicalType.coding.display",
"min": 1,
"path": "Encounter.location.physicalType.coding.display",
"fixedString": "Site",
"mustSupport": true
} ]
},
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Encounter"
}