CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1
CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1
This page is part of the CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
| Official URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-encounter | Version: 1.0.0 | |||
| Standards status: Trial-use | Maturity Level: 1 | Computable Name: AcuteCareHospitalMonthlyReportingEncounter | ||
This profile contains Required and Must Support data elements for reporting encounter information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR® US Core Encounter Profile v3.1.1.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type |
Description & Constraints Filter:  
|
|---|---|---|---|---|
  Encounter
|
C | 0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient Constraints: encounter-ach-monthly-initial-population, encounter-location-type-initial-population |
  id
|
Σ | 1..1 | id | Logical id of this artifact |
|
implicitRules
|
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension
|
?! | 0..* | Extension | Extensions that cannot be ignored |
  identifier
|
SΣ | 1..* | Identifier | Identifier(s) by which this encounter is known |
 use
|
?!SΣ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
|
type
|
SΣ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. |
|
system
|
SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
|
value
|
SΣ | 1..1 | string | The value that is unique Example General: 123456 |
 period
|
SΣ | 0..1 | Period | Time period when id is/was valid for use |
|
status
|
?!SΣ | 1..1 | code | triaged | in-progress | finished | onleave | entered-in-error Binding: ACH Monthly Encounter Status ValueSet (required) |
|
class
|
SΣ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter. |
|
classHistory
|
S | 0..* | BackboneElement | List of past encounter classes |
|
modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|
class
|
1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter. |
|
|
period
|
1..1 | Period | The time that the episode was in the specified class | |
|
type
|
SΣ | 1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type |
 subject
|
SΣ | 1..1 | Reference(US Core Patient Profile) | The patient or group present at the encounter |
|
reference
|
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
|
participant
|
SΣ | 0..* | BackboneElement | List of participants involved in the encounter |
|
modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|
type
|
SΣ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. |
|
period
|
S | 0..1 | Period | Period of time during the encounter that the participant participated |
|
individual
|
SΣ | 0..1 | Reference(US Core Practitioner Profile) | Persons involved in the encounter other than the patient |
|
period
|
S | 1..1 | Period | The start and end time of the encounter |
|
reasonCode
|
SΣ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. |
|
diagnosis
|
SΣ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter |
|
modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|
condition
|
Σ | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter |
|
use
|
S | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents. |
|
rank
|
S | 0..1 | positiveInt | Ranking of the diagnosis (for each role type) |
|
hospitalization
|
S | 0..1 | BackboneElement | Details about the admission to a healthcare service |
|
modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|
origin
|
S | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission |
|
admitSource
|
S | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted. |
|
reAdmission
|
S | 0..1 | CodeableConcept | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (preferred) |
|
dietPreference
|
S | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (preferred) |
|
dischargeDisposition
|
S | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: DischargeDisposition (preferred) |
 location
|
S | 1..* | BackboneElement | List of locations where the patient has been. Used in part to discern whether the patient is Inpatient, Emergency and or Observation status. |
 modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|
location
|
S | 1..1 | Reference(Location) | Location the encounter takes place |
|
reference
|
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
|
status
|
S | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. |
|
physicalType
|
S | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (extensible) |
|
period
|
1..1 | Period | Time period during which the patient was present at the location | |
|
Documentation for this format
| ||||
| Path | Conformance | ValueSet | URI |
| Encounter.identifier.use | required |
IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
|
|
| Encounter.identifier.type | extensible |
Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
|
|
| Encounter.status | required |
AcuteCareHospitalMonthlyEncounterStatushttp://www.cdc.gov/nhsn/fhirportal/dqm/ig/ValueSet/ach-monthly-encounter-status
From this IG
|
|
| Encounter.class | extensible |
ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0
|
|
| Encounter.classHistory.class | extensible |
ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0
|
|
| Encounter.type | extensible |
USCoreEncounterTypehttp://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type
|
|
| Encounter.participant.type | extensible |
ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type
From the FHIR Standard
|
|
| Encounter.reasonCode | preferred |
EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason
From the FHIR Standard
|
|
| Encounter.diagnosis.use | preferred |
DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role
From the FHIR Standard
|
|
| Encounter.hospitalization.admitSource | preferred |
AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-source
From the FHIR Standard
|
|
| Encounter.hospitalization.reAdmission | preferred |
Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092
|
|
| Encounter.hospitalization.dietPreference | preferred |
Diethttp://hl7.org/fhir/ValueSet/encounter-diet
From the FHIR Standard
|
|
| Encounter.hospitalization.dischargeDisposition | preferred |
DischargeDispositionhttp://hl7.org/fhir/ValueSet/encounter-discharge-disposition
From the FHIR Standard
|
|
| Encounter.location.status | required |
EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
From the FHIR Standard
|
|
| Encounter.location.physicalType | extensible |
LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type
From the FHIR Standard
|
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
|
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
|
| dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
|
| dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
|
| dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() |
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
|
| encounter-ach-monthly-initial-population | error | Encounter | Encounter: (class must be from ACH Monthly encounter class) or (type from 'Encounter Inpatient', 'Emergency Department Visit', or 'Observation Services') or (Encounter location type from 'Inpatient, Emergency, and Observation Locations') : class.memberOf('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/ValueSet/ach-monthly-encounter-class') or class.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.274') or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307')).exists() or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292')).exists() or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143')).exists() or location.where(location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() |
|
| encounter-location-type-initial-population | warning | Encounter | Encounter: references at least one Location where type is from 'Inpatient, Emergency, and Observation Locations' : location.where(location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() or location.where(location.resolve().partOf.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() |
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from USCoreEncounterProfile
| Name | Flags | Card. | Type |
Description & Constraints Filter:
|
|---|---|---|---|---|
|
Encounter
|
C | 0..* | USCoreEncounterProfile |
An interaction during which services are provided to the patient Constraints: encounter-ach-monthly-initial-population, encounter-location-type-initial-population |
 id
|
1..1 | id | Logical id of this artifact | |
|
meta
|
||||
 Slices for extension
|
Content/Rules for all slices | |||
  extension:link-received-date-extension
|
0..1 | dateTime |
Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension |
|
|
identifier
|
1..* | Identifier | Identifier(s) by which this encounter is known | |
|
use
|
S | 0..1 | code | usual | official | temp | secondary | old (If known) |
|
type
|
S | 0..1 | CodeableConcept | Description of identifier |
|
period
|
S | 0..1 | Period | Time period when id is/was valid for use |
|
status
|
1..1 | code | triaged | in-progress | finished | onleave | entered-in-error Binding: ACH Monthly Encounter Status ValueSet (required) |
|
|
classHistory
|
S | 0..* | BackboneElement | List of past encounter classes |
|
subject
|
||||
|
reference
|
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
|
period
|
1..1 | Period | The start and end time of the encounter | |
|
diagnosis
|
S | 0..* | BackboneElement | The list of diagnosis relevant to this encounter |
|
use
|
S | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) |
|
rank
|
S | 0..1 | positiveInt | Ranking of the diagnosis (for each role type) |
|
hospitalization
|
||||
|
origin
|
S | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission |
|
admitSource
|
S | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) |
|
reAdmission
|
S | 0..1 | CodeableConcept |
The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (preferred) |
|
dietPreference
|
S | 0..* | CodeableConcept |
Diet preferences reported by the patient Binding: Diet (preferred) |
|
dischargeDisposition
|
0..1 | CodeableConcept |
Category or kind of location after discharge Binding: DischargeDisposition (preferred) |
|
|
location
|
1..* | BackboneElement | List of locations where the patient has been. Used in part to discern whether the patient is Inpatient, Emergency and or Observation status. | |
|
location
|
||||
|
reference
|
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
|
status
|
S | 0..1 | code | planned | active | reserved | completed |
|
physicalType
|
S | 0..1 | CodeableConcept |
The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (extensible) |
|
period
|
1..1 | Period | Time period during which the patient was present at the location | |
|
Documentation for this format
| ||||
| Path | Conformance | ValueSet | URI |
| Encounter.status | required |
AcuteCareHospitalMonthlyEncounterStatushttp://www.cdc.gov/nhsn/fhirportal/dqm/ig/ValueSet/ach-monthly-encounter-status
From this IG
|
|
| Encounter.hospitalization.reAdmission | preferred |
Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092
|
|
| Encounter.hospitalization.dietPreference | preferred |
Diethttp://hl7.org/fhir/ValueSet/encounter-diet
From the FHIR Standard
|
|
| Encounter.hospitalization.dischargeDisposition | preferred |
DischargeDispositionhttp://hl7.org/fhir/ValueSet/encounter-discharge-disposition
From the FHIR Standard
|
|
| Encounter.location.physicalType | extensible |
LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type
From the FHIR Standard
|
| Id | Grade | Path(s) | Details | Requirements |
| encounter-ach-monthly-initial-population | error | Encounter | Encounter: (class must be from ACH Monthly encounter class) or (type from 'Encounter Inpatient', 'Emergency Department Visit', or 'Observation Services') or (Encounter location type from 'Inpatient, Emergency, and Observation Locations') : class.memberOf('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/ValueSet/ach-monthly-encounter-class') or class.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.274') or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307')).exists() or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292')).exists() or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143')).exists() or location.where(location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() |
|
| encounter-location-type-initial-population | warning | Encounter | Encounter: references at least one Location where type is from 'Inpatient, Emergency, and Observation Locations' : location.where(location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() or location.where(location.resolve().partOf.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() |
| Name | Flags | Card. | Type |
Description & Constraints Filter:
|
||||
|---|---|---|---|---|---|---|---|---|
|
Encounter
|
C | 0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient Constraints: encounter-ach-monthly-initial-population, encounter-location-type-initial-population |
||||
|
id
|
Σ | 1..1 | id | Logical id of this artifact | ||||
|
meta
|
Σ | 0..1 | Meta | Metadata about the resource | ||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
 Slices for extension
|
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
|||||
|
extension:link-received-date-extension
|
0..1 | dateTime | Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension |
|||||
|
versionId
|
Σ | 0..1 | id | Version specific identifier | ||||
|
lastUpdated
|
Σ | 0..1 | instant | When the resource version last changed | ||||
|
source
|
Σ | 0..1 | uri | Identifies where the resource comes from | ||||
|
profile
|
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
||||
|
security
|
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
||||
|
tag
|
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". |
||||
|
implicitRules
|
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
|
language
|
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
|
|||||
|
text
|
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
|||||
|
contained
|
0..* | Resource | Contained, inline Resources |
|||||
|
extension
|
0..* | Extension | Additional content defined by implementations |
|||||
|
modifierExtension
|
?! | 0..* | Extension | Extensions that cannot be ignored |
||||
|
identifier
|
SΣ | 1..* | Identifier | Identifier(s) by which this encounter is known |
||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
|||||
|
use
|
?!SΣ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
||||
|
type
|
SΣ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. |
||||
|
system
|
SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
||||
|
value
|
SΣ | 1..1 | string | The value that is unique Example General: 123456 |
||||
|
period
|
SΣ | 0..1 | Period | Time period when id is/was valid for use | ||||
|
assigner
|
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
|
status
|
?!SΣ | 1..1 | code | triaged | in-progress | finished | onleave | entered-in-error Binding: ACH Monthly Encounter Status ValueSet (required) |
||||
|
statusHistory
|
0..* | BackboneElement | List of past encounter statuses |
|||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations |
|||||
|
modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
||||
|
status
|
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. |
|||||
|
period
|
1..1 | Period | The time that the episode was in the specified status | |||||
|
class
|
SΣ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter. |
||||
|
classHistory
|
S | 0..* | BackboneElement | List of past encounter classes |
||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations |
|||||
|
modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
||||
|
class
|
1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter. |
|||||
|
period
|
1..1 | Period | The time that the episode was in the specified class | |||||
|
type
|
SΣ | 1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type |
||||
|
serviceType
|
Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. |
||||
|
priority
|
0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (3.0.0) (example): Indicates the urgency of the encounter. |
|||||
|
subject
|
SΣ | 1..1 | Reference(US Core Patient Profile) | The patient or group present at the encounter | ||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
|||||
|
reference
|
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
|
type
|
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
||||
|
identifier
|
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
|
display
|
Σ | 0..1 | string | Text alternative for the resource | ||||
|
episodeOfCare
|
Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against |
||||
|
basedOn
|
0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter |
|||||
|
participant
|
SΣ | 0..* | BackboneElement | List of participants involved in the encounter |
||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations |
|||||
|
modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
||||
|
type
|
SΣ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. |
||||
|
period
|
S | 0..1 | Period | Period of time during the encounter that the participant participated | ||||
|
individual
|
SΣ | 0..1 | Reference(US Core Practitioner Profile) | Persons involved in the encounter other than the patient | ||||
|
appointment
|
Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter |
||||
|
period
|
S | 1..1 | Period | The start and end time of the encounter | ||||
|
length
|
0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |||||
|
reasonCode
|
SΣ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. |
||||
|
reasonReference
|
Σ | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) |
||||
|
diagnosis
|
SΣ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter |
||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations |
|||||
|
modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
||||
|
condition
|
Σ | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter | ||||
|
use
|
S | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents. |
||||
|
rank
|
S | 0..1 | positiveInt | Ranking of the diagnosis (for each role type) | ||||
|
account
|
0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter |
|||||
|
hospitalization
|
S | 0..1 | BackboneElement | Details about the admission to a healthcare service | ||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations |
|||||
|
modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
||||
|
preAdmissionIdentifier
|
0..1 | Identifier | Pre-admission identifier | |||||
|
origin
|
S | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission | ||||
|
admitSource
|
S | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted. |
||||
|
reAdmission
|
S | 0..1 | CodeableConcept | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (preferred) |
||||
|
dietPreference
|
S | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (preferred) |
||||
|
specialCourtesy
|
0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies. |
|||||
|
specialArrangement
|
0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements. |
|||||
|
destination
|
0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged | |||||
|
dischargeDisposition
|
S | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: DischargeDisposition (preferred) |
||||
|
location
|
S | 1..* | BackboneElement | List of locations where the patient has been. Used in part to discern whether the patient is Inpatient, Emergency and or Observation status. |
||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations |
|||||
|
modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
||||
|
location
|
S | 1..1 | Reference(Location) | Location the encounter takes place | ||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
|||||
|
reference
|
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
|
type
|
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
||||
|
identifier
|
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
|
display
|
Σ | 0..1 | string | Text alternative for the resource | ||||
|
status
|
S | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. |
||||
|
physicalType
|
S | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (extensible) |
||||
|
period
|
1..1 | Period | Time period during which the patient was present at the location | |||||
|
serviceProvider
|
0..1 | Reference(Organization) | The organization (facility) responsible for this encounter | |||||
|
partOf
|
0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |||||
|
Documentation for this format
| ||||||||
| Path | Conformance | ValueSet | URI | |||
| Encounter.meta.security | extensible |
All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels|4.0.1
From the FHIR Standard
|
||||
| Encounter.meta.tag | example |
CommonTagshttp://hl7.org/fhir/ValueSet/common-tags|4.0.1
From the FHIR Standard
|
||||
| Encounter.language | preferred |
CommonLanguageshttp://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
|
||||
| Encounter.identifier.use | required |
IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
|
||||
| Encounter.identifier.type | extensible |
Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
|
||||
| Encounter.status | required |
AcuteCareHospitalMonthlyEncounterStatushttp://www.cdc.gov/nhsn/fhirportal/dqm/ig/ValueSet/ach-monthly-encounter-status
From this IG
|
||||
| Encounter.statusHistory.status | required |
EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1
From the FHIR Standard
|
||||
| Encounter.class | extensible |
ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0
|
||||
| Encounter.classHistory.class | extensible |
ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0
|
||||
| Encounter.type | extensible |
USCoreEncounterTypehttp://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type
|
||||
| Encounter.serviceType | example |
ServiceTypehttp://hl7.org/fhir/ValueSet/service-type
From the FHIR Standard
|
||||
| Encounter.priority | example |
ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority|3.0.0
|
||||
| Encounter.subject.type | extensible |
ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
|
||||
| Encounter.participant.type | extensible |
ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type
From the FHIR Standard
|
||||
| Encounter.reasonCode | preferred |
EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason
From the FHIR Standard
|
||||
| Encounter.diagnosis.use | preferred |
DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role
From the FHIR Standard
|
||||
| Encounter.hospitalization.admitSource | preferred |
AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-source
From the FHIR Standard
|
||||
| Encounter.hospitalization.reAdmission | preferred |
Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092
|
||||
| Encounter.hospitalization.dietPreference | preferred |
Diethttp://hl7.org/fhir/ValueSet/encounter-diet
From the FHIR Standard
|
||||
| Encounter.hospitalization.specialCourtesy | preferred |
SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesy
From the FHIR Standard
|
||||
| Encounter.hospitalization.specialArrangement | preferred |
SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangements
From the FHIR Standard
|
||||
| Encounter.hospitalization.dischargeDisposition | preferred |
DischargeDispositionhttp://hl7.org/fhir/ValueSet/encounter-discharge-disposition
From the FHIR Standard
|
||||
| Encounter.location.location.type | extensible |
ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
|
||||
| Encounter.location.status | required |
EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
From the FHIR Standard
|
||||
| Encounter.location.physicalType | extensible |
LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type
From the FHIR Standard
|
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
|
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
|
| dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
|
| dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
|
| dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() |
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
|
| encounter-ach-monthly-initial-population | error | Encounter | Encounter: (class must be from ACH Monthly encounter class) or (type from 'Encounter Inpatient', 'Emergency Department Visit', or 'Observation Services') or (Encounter location type from 'Inpatient, Emergency, and Observation Locations') : class.memberOf('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/ValueSet/ach-monthly-encounter-class') or class.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.274') or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307')).exists() or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292')).exists() or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143')).exists() or location.where(location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() |
|
| encounter-location-type-initial-population | warning | Encounter | Encounter: references at least one Location where type is from 'Inpatient, Emergency, and Observation Locations' : location.where(location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() or location.where(location.resolve().partOf.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() |
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from USCoreEncounterProfile
Summary
Mandatory: 7 elements
Must-Support: 15 elements
Extensions
This structure refers to these extensions:
Maturity: 1
Key Elements View
| Name | Flags | Card. | Type |
Description & Constraints Filter:
|
|---|---|---|---|---|
|
Encounter
|
C | 0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient Constraints: encounter-ach-monthly-initial-population, encounter-location-type-initial-population |
|
id
|
Σ | 1..1 | id | Logical id of this artifact |
|
implicitRules
|
?!Σ | 0..1 | uri | A set of rules under which this content was created |
|
modifierExtension
|
?! | 0..* | Extension | Extensions that cannot be ignored |
|
identifier
|
SΣ | 1..* | Identifier | Identifier(s) by which this encounter is known |
|
use
|
?!SΣ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
|
type
|
SΣ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. |
|
system
|
SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
|
value
|
SΣ | 1..1 | string | The value that is unique Example General: 123456 |
|
period
|
SΣ | 0..1 | Period | Time period when id is/was valid for use |
|
status
|
?!SΣ | 1..1 | code | triaged | in-progress | finished | onleave | entered-in-error Binding: ACH Monthly Encounter Status ValueSet (required) |
|
class
|
SΣ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter. |
|
classHistory
|
S | 0..* | BackboneElement | List of past encounter classes |
|
modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|
class
|
1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter. |
|
|
period
|
1..1 | Period | The time that the episode was in the specified class | |
|
type
|
SΣ | 1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type |
|
subject
|
SΣ | 1..1 | Reference(US Core Patient Profile) | The patient or group present at the encounter |
|
reference
|
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
|
participant
|
SΣ | 0..* | BackboneElement | List of participants involved in the encounter |
|
modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|
type
|
SΣ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. |
|
period
|
S | 0..1 | Period | Period of time during the encounter that the participant participated |
|
individual
|
SΣ | 0..1 | Reference(US Core Practitioner Profile) | Persons involved in the encounter other than the patient |
|
period
|
S | 1..1 | Period | The start and end time of the encounter |
|
reasonCode
|
SΣ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. |
|
diagnosis
|
SΣ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter |
|
modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|
condition
|
Σ | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter |
|
use
|
S | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents. |
|
rank
|
S | 0..1 | positiveInt | Ranking of the diagnosis (for each role type) |
|
hospitalization
|
S | 0..1 | BackboneElement | Details about the admission to a healthcare service |
|
modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|
origin
|
S | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission |
|
admitSource
|
S | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted. |
|
reAdmission
|
S | 0..1 | CodeableConcept | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (preferred) |
|
dietPreference
|
S | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (preferred) |
|
dischargeDisposition
|
S | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: DischargeDisposition (preferred) |
|
location
|
S | 1..* | BackboneElement | List of locations where the patient has been. Used in part to discern whether the patient is Inpatient, Emergency and or Observation status. |
|
modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
|
location
|
S | 1..1 | Reference(Location) | Location the encounter takes place |
|
reference
|
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
|
status
|
S | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. |
|
physicalType
|
S | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (extensible) |
|
period
|
1..1 | Period | Time period during which the patient was present at the location | |
|
Documentation for this format
| ||||
| Path | Conformance | ValueSet | URI |
| Encounter.identifier.use | required |
IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
|
|
| Encounter.identifier.type | extensible |
Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
|
|
| Encounter.status | required |
AcuteCareHospitalMonthlyEncounterStatushttp://www.cdc.gov/nhsn/fhirportal/dqm/ig/ValueSet/ach-monthly-encounter-status
From this IG
|
|
| Encounter.class | extensible |
ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0
|
|
| Encounter.classHistory.class | extensible |
ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0
|
|
| Encounter.type | extensible |
USCoreEncounterTypehttp://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type
|
|
| Encounter.participant.type | extensible |
ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type
From the FHIR Standard
|
|
| Encounter.reasonCode | preferred |
EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason
From the FHIR Standard
|
|
| Encounter.diagnosis.use | preferred |
DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role
From the FHIR Standard
|
|
| Encounter.hospitalization.admitSource | preferred |
AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-source
From the FHIR Standard
|
|
| Encounter.hospitalization.reAdmission | preferred |
Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092
|
|
| Encounter.hospitalization.dietPreference | preferred |
Diethttp://hl7.org/fhir/ValueSet/encounter-diet
From the FHIR Standard
|
|
| Encounter.hospitalization.dischargeDisposition | preferred |
DischargeDispositionhttp://hl7.org/fhir/ValueSet/encounter-discharge-disposition
From the FHIR Standard
|
|
| Encounter.location.status | required |
EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
From the FHIR Standard
|
|
| Encounter.location.physicalType | extensible |
LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type
From the FHIR Standard
|
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
|
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
|
| dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
|
| dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
|
| dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() |
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
|
| encounter-ach-monthly-initial-population | error | Encounter | Encounter: (class must be from ACH Monthly encounter class) or (type from 'Encounter Inpatient', 'Emergency Department Visit', or 'Observation Services') or (Encounter location type from 'Inpatient, Emergency, and Observation Locations') : class.memberOf('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/ValueSet/ach-monthly-encounter-class') or class.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.274') or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307')).exists() or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292')).exists() or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143')).exists() or location.where(location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() |
|
| encounter-location-type-initial-population | warning | Encounter | Encounter: references at least one Location where type is from 'Inpatient, Emergency, and Observation Locations' : location.where(location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() or location.where(location.resolve().partOf.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() |
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Differential View
This structure is derived from USCoreEncounterProfile
| Name | Flags | Card. | Type |
Description & Constraints Filter:
|
|---|---|---|---|---|
|
Encounter
|
C | 0..* | USCoreEncounterProfile |
An interaction during which services are provided to the patient Constraints: encounter-ach-monthly-initial-population, encounter-location-type-initial-population |
|
id
|
1..1 | id | Logical id of this artifact | |
|
meta
|
||||
|
Slices for extension
|
Content/Rules for all slices | |||
|
extension:link-received-date-extension
|
0..1 | dateTime |
Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension |
|
|
identifier
|
1..* | Identifier | Identifier(s) by which this encounter is known | |
|
use
|
S | 0..1 | code | usual | official | temp | secondary | old (If known) |
|
type
|
S | 0..1 | CodeableConcept | Description of identifier |
|
period
|
S | 0..1 | Period | Time period when id is/was valid for use |
|
status
|
1..1 | code | triaged | in-progress | finished | onleave | entered-in-error Binding: ACH Monthly Encounter Status ValueSet (required) |
|
|
classHistory
|
S | 0..* | BackboneElement | List of past encounter classes |
|
subject
|
||||
|
reference
|
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
|
period
|
1..1 | Period | The start and end time of the encounter | |
|
diagnosis
|
S | 0..* | BackboneElement | The list of diagnosis relevant to this encounter |
|
use
|
S | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) |
|
rank
|
S | 0..1 | positiveInt | Ranking of the diagnosis (for each role type) |
|
hospitalization
|
||||
|
origin
|
S | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission |
|
admitSource
|
S | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) |
|
reAdmission
|
S | 0..1 | CodeableConcept |
The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (preferred) |
|
dietPreference
|
S | 0..* | CodeableConcept |
Diet preferences reported by the patient Binding: Diet (preferred) |
|
dischargeDisposition
|
0..1 | CodeableConcept |
Category or kind of location after discharge Binding: DischargeDisposition (preferred) |
|
|
location
|
1..* | BackboneElement | List of locations where the patient has been. Used in part to discern whether the patient is Inpatient, Emergency and or Observation status. | |
|
location
|
||||
|
reference
|
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
|
status
|
S | 0..1 | code | planned | active | reserved | completed |
|
physicalType
|
S | 0..1 | CodeableConcept |
The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (extensible) |
|
period
|
1..1 | Period | Time period during which the patient was present at the location | |
|
Documentation for this format
| ||||
| Path | Conformance | ValueSet | URI |
| Encounter.status | required |
AcuteCareHospitalMonthlyEncounterStatushttp://www.cdc.gov/nhsn/fhirportal/dqm/ig/ValueSet/ach-monthly-encounter-status
From this IG
|
|
| Encounter.hospitalization.reAdmission | preferred |
Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092
|
|
| Encounter.hospitalization.dietPreference | preferred |
Diethttp://hl7.org/fhir/ValueSet/encounter-diet
From the FHIR Standard
|
|
| Encounter.hospitalization.dischargeDisposition | preferred |
DischargeDispositionhttp://hl7.org/fhir/ValueSet/encounter-discharge-disposition
From the FHIR Standard
|
|
| Encounter.location.physicalType | extensible |
LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type
From the FHIR Standard
|
| Id | Grade | Path(s) | Details | Requirements |
| encounter-ach-monthly-initial-population | error | Encounter | Encounter: (class must be from ACH Monthly encounter class) or (type from 'Encounter Inpatient', 'Emergency Department Visit', or 'Observation Services') or (Encounter location type from 'Inpatient, Emergency, and Observation Locations') : class.memberOf('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/ValueSet/ach-monthly-encounter-class') or class.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.274') or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307')).exists() or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292')).exists() or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143')).exists() or location.where(location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() |
|
| encounter-location-type-initial-population | warning | Encounter | Encounter: references at least one Location where type is from 'Inpatient, Emergency, and Observation Locations' : location.where(location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() or location.where(location.resolve().partOf.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() |
Snapshot View
| Name | Flags | Card. | Type |
Description & Constraints Filter:
|
||||
|---|---|---|---|---|---|---|---|---|
|
Encounter
|
C | 0..* | USCoreEncounterProfile | An interaction during which services are provided to the patient Constraints: encounter-ach-monthly-initial-population, encounter-location-type-initial-population |
||||
|
id
|
Σ | 1..1 | id | Logical id of this artifact | ||||
|
meta
|
Σ | 0..1 | Meta | Metadata about the resource | ||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
Slices for extension
|
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
|||||
|
extension:link-received-date-extension
|
0..1 | dateTime | Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension |
|||||
|
versionId
|
Σ | 0..1 | id | Version specific identifier | ||||
|
lastUpdated
|
Σ | 0..1 | instant | When the resource version last changed | ||||
|
source
|
Σ | 0..1 | uri | Identifies where the resource comes from | ||||
|
profile
|
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
||||
|
security
|
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
||||
|
tag
|
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". |
||||
|
implicitRules
|
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
|
language
|
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
|
|||||
|
text
|
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
|||||
|
contained
|
0..* | Resource | Contained, inline Resources |
|||||
|
extension
|
0..* | Extension | Additional content defined by implementations |
|||||
|
modifierExtension
|
?! | 0..* | Extension | Extensions that cannot be ignored |
||||
|
identifier
|
SΣ | 1..* | Identifier | Identifier(s) by which this encounter is known |
||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
|||||
|
use
|
?!SΣ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
||||
|
type
|
SΣ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. |
||||
|
system
|
SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
||||
|
value
|
SΣ | 1..1 | string | The value that is unique Example General: 123456 |
||||
|
period
|
SΣ | 0..1 | Period | Time period when id is/was valid for use | ||||
|
assigner
|
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
|
status
|
?!SΣ | 1..1 | code | triaged | in-progress | finished | onleave | entered-in-error Binding: ACH Monthly Encounter Status ValueSet (required) |
||||
|
statusHistory
|
0..* | BackboneElement | List of past encounter statuses |
|||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations |
|||||
|
modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
||||
|
status
|
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. |
|||||
|
period
|
1..1 | Period | The time that the episode was in the specified status | |||||
|
class
|
SΣ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter. |
||||
|
classHistory
|
S | 0..* | BackboneElement | List of past encounter classes |
||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations |
|||||
|
modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
||||
|
class
|
1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter. |
|||||
|
period
|
1..1 | Period | The time that the episode was in the specified class | |||||
|
type
|
SΣ | 1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type |
||||
|
serviceType
|
Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. |
||||
|
priority
|
0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (3.0.0) (example): Indicates the urgency of the encounter. |
|||||
|
subject
|
SΣ | 1..1 | Reference(US Core Patient Profile) | The patient or group present at the encounter | ||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
|||||
|
reference
|
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
|
type
|
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
||||
|
identifier
|
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
|
display
|
Σ | 0..1 | string | Text alternative for the resource | ||||
|
episodeOfCare
|
Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against |
||||
|
basedOn
|
0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter |
|||||
|
participant
|
SΣ | 0..* | BackboneElement | List of participants involved in the encounter |
||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations |
|||||
|
modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
||||
|
type
|
SΣ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. |
||||
|
period
|
S | 0..1 | Period | Period of time during the encounter that the participant participated | ||||
|
individual
|
SΣ | 0..1 | Reference(US Core Practitioner Profile) | Persons involved in the encounter other than the patient | ||||
|
appointment
|
Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter |
||||
|
period
|
S | 1..1 | Period | The start and end time of the encounter | ||||
|
length
|
0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |||||
|
reasonCode
|
SΣ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. |
||||
|
reasonReference
|
Σ | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) |
||||
|
diagnosis
|
SΣ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter |
||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations |
|||||
|
modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
||||
|
condition
|
Σ | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter | ||||
|
use
|
S | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents. |
||||
|
rank
|
S | 0..1 | positiveInt | Ranking of the diagnosis (for each role type) | ||||
|
account
|
0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter |
|||||
|
hospitalization
|
S | 0..1 | BackboneElement | Details about the admission to a healthcare service | ||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations |
|||||
|
modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
||||
|
preAdmissionIdentifier
|
0..1 | Identifier | Pre-admission identifier | |||||
|
origin
|
S | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission | ||||
|
admitSource
|
S | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted. |
||||
|
reAdmission
|
S | 0..1 | CodeableConcept | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (preferred) |
||||
|
dietPreference
|
S | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (preferred) |
||||
|
specialCourtesy
|
0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies. |
|||||
|
specialArrangement
|
0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements. |
|||||
|
destination
|
0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged | |||||
|
dischargeDisposition
|
S | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: DischargeDisposition (preferred) |
||||
|
location
|
S | 1..* | BackboneElement | List of locations where the patient has been. Used in part to discern whether the patient is Inpatient, Emergency and or Observation status. |
||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations |
|||||
|
modifierExtension
|
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
||||
|
location
|
S | 1..1 | Reference(Location) | Location the encounter takes place | ||||
|
id
|
0..1 | string | Unique id for inter-element referencing | |||||
|
extension
|
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
|||||
|
reference
|
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
|
type
|
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
||||
|
identifier
|
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
|
display
|
Σ | 0..1 | string | Text alternative for the resource | ||||
|
status
|
S | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. |
||||
|
physicalType
|
S | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (extensible) |
||||
|
period
|
1..1 | Period | Time period during which the patient was present at the location | |||||
|
serviceProvider
|
0..1 | Reference(Organization) | The organization (facility) responsible for this encounter | |||||
|
partOf
|
0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |||||
|
Documentation for this format
| ||||||||
| Path | Conformance | ValueSet | URI | |||
| Encounter.meta.security | extensible |
All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels|4.0.1
From the FHIR Standard
|
||||
| Encounter.meta.tag | example |
CommonTagshttp://hl7.org/fhir/ValueSet/common-tags|4.0.1
From the FHIR Standard
|
||||
| Encounter.language | preferred |
CommonLanguageshttp://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
|
||||
| Encounter.identifier.use | required |
IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
|
||||
| Encounter.identifier.type | extensible |
Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
|
||||
| Encounter.status | required |
AcuteCareHospitalMonthlyEncounterStatushttp://www.cdc.gov/nhsn/fhirportal/dqm/ig/ValueSet/ach-monthly-encounter-status
From this IG
|
||||
| Encounter.statusHistory.status | required |
EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1
From the FHIR Standard
|
||||
| Encounter.class | extensible |
ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0
|
||||
| Encounter.classHistory.class | extensible |
ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0
|
||||
| Encounter.type | extensible |
USCoreEncounterTypehttp://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type
|
||||
| Encounter.serviceType | example |
ServiceTypehttp://hl7.org/fhir/ValueSet/service-type
From the FHIR Standard
|
||||
| Encounter.priority | example |
ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority|3.0.0
|
||||
| Encounter.subject.type | extensible |
ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
|
||||
| Encounter.participant.type | extensible |
ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type
From the FHIR Standard
|
||||
| Encounter.reasonCode | preferred |
EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason
From the FHIR Standard
|
||||
| Encounter.diagnosis.use | preferred |
DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role
From the FHIR Standard
|
||||
| Encounter.hospitalization.admitSource | preferred |
AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-source
From the FHIR Standard
|
||||
| Encounter.hospitalization.reAdmission | preferred |
Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092
|
||||
| Encounter.hospitalization.dietPreference | preferred |
Diethttp://hl7.org/fhir/ValueSet/encounter-diet
From the FHIR Standard
|
||||
| Encounter.hospitalization.specialCourtesy | preferred |
SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesy
From the FHIR Standard
|
||||
| Encounter.hospitalization.specialArrangement | preferred |
SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangements
From the FHIR Standard
|
||||
| Encounter.hospitalization.dischargeDisposition | preferred |
DischargeDispositionhttp://hl7.org/fhir/ValueSet/encounter-discharge-disposition
From the FHIR Standard
|
||||
| Encounter.location.location.type | extensible |
ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
|
||||
| Encounter.location.status | required |
EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
From the FHIR Standard
|
||||
| Encounter.location.physicalType | extensible |
LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type
From the FHIR Standard
|
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
|
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
|
| dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
|
| dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
|
| dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() |
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
|
| encounter-ach-monthly-initial-population | error | Encounter | Encounter: (class must be from ACH Monthly encounter class) or (type from 'Encounter Inpatient', 'Emergency Department Visit', or 'Observation Services') or (Encounter location type from 'Inpatient, Emergency, and Observation Locations') : class.memberOf('http://www.cdc.gov/nhsn/fhirportal/dqm/ig/ValueSet/ach-monthly-encounter-class') or class.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.274') or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307')).exists() or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292')).exists() or type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143')).exists() or location.where(location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() |
|
| encounter-location-type-initial-population | warning | Encounter | Encounter: references at least one Location where type is from 'Inpatient, Emergency, and Observation Locations' : location.where(location.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() or location.where(location.resolve().partOf.resolve().type.where(coding.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265')).exists()).exists() |
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from USCoreEncounterProfile
Summary
Mandatory: 7 elements
Must-Support: 15 elements
Extensions
This structure refers to these extensions:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
