US Veterans Health Administration FHIR Map Set Implementation Guide
1.10.0 - 251101
US Veterans Health Administration FHIR Map Set Implementation Guide
1.10.0 - 251101
US Veterans Health Administration FHIR Map Set Implementation Guide - Downloaded Version 1.10.0 See the Directory of published versions
| Official URL: http://va.gov/fhir/StructureDefinition/EncounterVisit | Version: 1.10.0 | |||
| Active as of 2025-11-04 | Computable Name: EncounterVisit | |||
This StructureDefinition contains the maps for VistA file VISIT (9000010) to us-core-encounter.
See also the FHIR Shorthand.
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 |
0..* | USCoreEncounterProfile(5.0.1) | An interaction during which services are provided to the patient | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:resource-serviceConnection |
S | 0..1 | (Complex) | Extension URL: http://va.gov/fhir/StructureDefinition/resource-serviceConnection |
  extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://va.gov/fhir/StructureDefinition/resource-serviceConnection" | |
  value[x] |
SC | 0..1 | Coding | Value of extension Binding: VSResourceServiceConnection (required) Constraints: ev-14-2035, ev-14-2036 |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
 Slices for identifier |
SΣ | 0..* | Identifier | Identifier(s) by which this encounter is known Slice: Unordered, Open by value:$this |
  identifier:All Slices |
Content/Rules for all slices | |||
  use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| 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 |
| identifier:va-visitid |
SΣ | 0..1 | Identifier | Identifier(s) by which this encounter is known Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |
| type |
0..1 | CodeableConcept | Description of identifier | |
 system |
1..1 | uri | The namespace for the identifier value Fixed Value: http://va.gov/identifiers/{sta3n}/9000010-15001 | |
| value |
0..1 | string | The value that is unique | |
| period |
0..1 | Period | Time period when id is/was valid for use | |
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| 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 |
| identifier:va-movement |
SΣ | 0..1 | Identifier | Identifier(s) by which this encounter is known |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system |
SΣC | 1..1 | uri | The namespace for the identifier value Constraints: ev-14-2241-1 Example General: http://www.acme.com/identifiers/patient |
| value |
SΣC | 1..1 | string | The value that is unique Constraints: ev-14-2241 Example General: 123456 |
| status |
?!SΣC | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. Constraints: ev-14-430, ev-14-431, ev-14-432 |
| class |
SΣ | 1..1 | Coding | Classification of patient encounter Binding: encounterClass FHIR (required): see mapping VF_encounterClass |
| type |
SΣC | 1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type Constraints: ev-14-1615 |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system |
| system |
SΣC | 0..1 | uri | Identity of the terminology system Constraints: ev-14-1615-1 |
| code |
SΣC | 0..1 | code | Symbol in syntax defined by the system Constraints: ev-14-1615-2 |
 display |
SΣC | 0..1 | string | Representation defined by the system Constraints: ev-14-1615-3 |
| text |
SΣC | 0..1 | string | Plain text representation of the concept Constraints: ev-14-1615-4 |
| serviceType |
Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. |
 coding |
Σ | 0..* | Coding | Code defined by a terminology system |
| system |
SΣ | 0..1 | uri | Identity of the terminology system Required Pattern: http://va.gov/terminology/VistADefinedTerms/9000010-.07 |
| code |
SΣ | 0..1 | code | Symbol in syntax defined by the system |
 subject |
SΣ | 1..1 | Reference(Patient) | The patient or group present at the encounter |
| participant |
SΣ | 0..* | BackboneElement | List of participants involved in the encounter |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| type |
SΣC | 0..* | CodeableConcept | Role of participant in encounter Binding: encounterParticipationType FHIR (required): see mapping VF_encounterParticipationType Constraints: ev-14-1854 |
| period |
S | 0..1 | Period | Period of time during the encounter that the participant participated |
| individual |
SΣC | 0..1 | Reference(Practitioner Role) | Persons involved in the encounter other than the patient Constraints: ev-14-1614 |
| period |
S | 0..1 | Period | The start and end time of the encounter |
| start |
SΣC | 0..1 | dateTime | Starting time with inclusive boundary |
| end |
SΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing |
| reasonCode |
SΣ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system |
| system |
SΣC | 0..1 | uri | Identity of the terminology system Constraints: ev-14-447-1 |
| code |
SΣC | 0..1 | code | Symbol in syntax defined by the system Constraints: ev-14-447 |
| reasonReference |
SΣ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) S | US Core Condition Encounter Diagnosis Profile(7.0.0) S | US Core Procedure Profile(7.0.0) | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) |
| diagnosis |
Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| condition |
SΣC | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter Constraints: ev-14-2244 |
| use |
SC | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: EncounterDiagnosisUse FHIR (required): see mapping VF_EncounterDiagnosisUse Constraints: ev-14-2245 |
| 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 |
| dischargeDisposition |
S | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17 |
| Slices for location |
S | 0..* | BackboneElement | List of locations where the patient has been Slice: Unordered, Open by value:$this |
| location:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| location |
S | 1..1 | Reference(Location) | Location the encounter takes place |
| location:va-stop |
S | 0..1 | BackboneElement | List of locations where the patient has been |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| location |
S | 1..1 | Reference(Location) | Location the encounter takes place |
| location:va-loc |
S | 0..1 | BackboneElement | List of locations where the patient has been |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| location |
S | 1..1 | Reference(Location) | Location the encounter takes place |
| serviceProvider |
S | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter |
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system |
SΣ | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/4-99 |
| value |
SΣ | 0..1 | string | The value that is unique Example General: 123456 |
| display |
SΣ | 0..1 | string | Text alternative for the resource |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.extension:resource-serviceConnection.value[x] | Base | required | VSResourceServiceConnection | 📦1.10.0 | This IG |
| Encounter.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.identifier:va-visitid.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.identifier:va-movement.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std. |
| Encounter.class | Base | required | encounterClass FHIR | 📦1.10.0 | This IG |
| Encounter.type | Base | extensible | US Core Encounter Type | 📦7.0.0 | US Core v7.0 |
| Encounter.serviceType | Base | example | Service type | 📦4.0.1 | FHIR Std. |
| Encounter.participant.type | Base | required | encounterParticipationType FHIR | 📦1.10.0 | This IG |
| Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std. |
| Encounter.diagnosis.use | Base | required | EncounterDiagnosisUse FHIR | 📦1.10.0 | This IG |
| Encounter.hospitalization.dischargeDisposition | Base | preferred | US Core Discharge Disposition | 📦7.0.0 | US Core v7.0 |
| Encounter.serviceProvider.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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())
|
| ev-14-430 | best practice | Encounter.status | If (9000010-.01) is IMP, null or > now then fixed value #planned |
true
|
| ev-14-431 | best practice | Encounter.status | If (9000010-.01) is IMP, not null, < now, .18 null then fixed value #in-progress |
true
|
| ev-14-432 | best practice | Encounter.status | If (9000010-.18) is IMP, not null, < now then fixed value #finished |
true
|
| ev-14-447 | best practice | Encounter.reasonCode.coding.code | If {.03>9000010} 9000010.07-.12 = 'P' then source value from (9000010.07-.01 > 80-.01) |
true
|
| ev-14-1614 | best practice | Encounter.participant.individual | If {.03>9000010} then reference /PractitionerRole based on (9000010.06-.01 > 200-) |
true
|
| ev-14-1615 | best practice | Encounter.type | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-) |
true
|
| ev-14-1854 | best practice | Encounter.participant.type | If {.03>9000010} then terminologyMaps (9000010.06-.04) using VF_encounterParticipationType |
true
|
| ev-14-2035 | best practice | Encounter.extension:resource-serviceConnection.value[x] | If (409.68-.1 > 409.1-.01) is {.03>9000010} SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#SC "Service Connected" |
true
|
| ev-14-2036 | best practice | Encounter.extension:resource-serviceConnection.value[x] | If (409.68-.1 > 409.1-.01) is {.03>9000010} Not SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#NSC "Not Service Connected" |
true
|
| ev-14-2241 | best practice | Encounter.identifier:va-movement.value | If admission record (9000010-.07 = H) then source value from (405-.27) |
true
|
| ev-14-2244 | best practice | Encounter.diagnosis.condition | If {.03>9000010} then source value from (9000010.07-.01 > 80-) |
true
|
| ev-14-2245 | best practice | Encounter.diagnosis.use | If {.03>9000010} then terminologyMaps (9000010.07-.12) using VF_EncounterDiagnosisUse |
true
|
| ev-14-1615-1 | best practice | Encounter.type.coding.system | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then fixed value http://www.ama-assn.org/go/cpt |
true
|
| ev-14-1615-2 | best practice | Encounter.type.coding.code | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-.01) |
true
|
| ev-14-1615-3 | best practice | Encounter.type.coding.display | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-2) |
true
|
| ev-14-1615-4 | best practice | Encounter.type.text | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-2) |
true
|
| ev-14-2241-1 | best practice | Encounter.identifier:va-movement.system | If admission record (9000010-.07 = H) then fixed value http://va.gov/identifiers/{sta3n}/405 |
true
|
| ev-14-447-1 | best practice | Encounter.reasonCode.coding.system | If {.03>9000010} 9000010.07-.12 = 'P' then fixed value urn:see-termmap-in-mapParameter |
true
|
| 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 |
0..* | USCoreEncounterProfile(5.0.1) | An interaction during which services are provided to the patient | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:resource-serviceConnection |
S | 0..1 | (Complex) | Extension URL: http://va.gov/fhir/StructureDefinition/resource-serviceConnection |
| value[x] |
SC | 0..1 | Coding | Value of extension Constraints: ev-14-2035, ev-14-2036 |
| Slices for identifier |
0..* | Identifier | Identifier(s) by which this encounter is known Slice: Unordered, Open by value:$this | |
| identifier:va-visitid |
S | 0..1 | Identifier | Identifier(s) by which this encounter is known Required Pattern: At least the following |
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: http://va.gov/identifiers/{sta3n}/9000010-15001 | |
| system |
1..1 | uri | The namespace for the identifier value | |
| value |
1..1 | string | The value that is unique | |
| identifier:va-movement |
S | 0..1 | Identifier | Identifier(s) by which this encounter is known |
| system |
C | 1..1 | uri | The namespace for the identifier value Constraints: ev-14-2241-1 |
| value |
C | 1..1 | string | The value that is unique Constraints: ev-14-2241 |
| status |
C | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Constraints: ev-14-430, ev-14-431, ev-14-432 |
| class |
1..1 | Coding | Classification of patient encounter Binding: encounterClass FHIR (required): see mapping VF_encounterClass | |
| type |
C | 1..* | CodeableConcept | Specific type of encounter Constraints: ev-14-1615 |
| coding |
||||
| system |
SC | 0..1 | uri | Identity of the terminology system Constraints: ev-14-1615-1 |
| code |
SC | 0..1 | code | Symbol in syntax defined by the system Constraints: ev-14-1615-2 |
| display |
SC | 0..1 | string | Representation defined by the system Constraints: ev-14-1615-3 |
| text |
SC | 0..1 | string | Plain text representation of the concept Constraints: ev-14-1615-4 |
| serviceType |
||||
| coding |
||||
| system |
S | 0..1 | uri | Identity of the terminology system Required Pattern: http://va.gov/terminology/VistADefinedTerms/9000010-.07 |
| code |
S | 0..1 | code | Symbol in syntax defined by the system |
| subject |
1..1 | Reference(Patient) | The patient or group present at the encounter | |
| participant |
||||
| type |
C | 0..* | CodeableConcept | Role of participant in encounter Binding: encounterParticipationType FHIR (required): see mapping VF_encounterParticipationType Constraints: ev-14-1854 |
| period |
0..1 | Period | Period of time during the encounter that the participant participated | |
| individual |
C | 0..1 | Reference(Practitioner Role) | Persons involved in the encounter other than the patient Constraints: ev-14-1614 |
| period |
||||
| start |
S | 0..1 | dateTime | Starting time with inclusive boundary |
| end |
S | 0..1 | dateTime | End time with inclusive boundary, if not ongoing |
| reasonCode |
||||
| coding |
||||
| system |
SC | 0..1 | uri | Identity of the terminology system Constraints: ev-14-447-1 |
| code |
SC | 0..1 | code | Symbol in syntax defined by the system Constraints: ev-14-447 |
| diagnosis |
||||
| condition |
SC | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter Constraints: ev-14-2244 |
| use |
SC | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: EncounterDiagnosisUse FHIR (required): see mapping VF_EncounterDiagnosisUse Constraints: ev-14-2245 |
| hospitalization |
0..1 | BackboneElement | Details about the admission to a healthcare service | |
| Slices for location |
0..* | BackboneElement | List of locations where the patient has been Slice: Unordered, Open by value:$this | |
| location:va-stop |
S | 0..1 | BackboneElement | List of locations where the patient has been |
| location |
1..1 | Reference(Location) | Location the encounter takes place | |
| location:va-loc |
S | 0..1 | BackboneElement | List of locations where the patient has been |
| location |
1..1 | Reference(Location) | Location the encounter takes place | |
| serviceProvider |
0..1 | Reference(Organization) | The organization (facility) responsible for this encounter | |
| identifier |
||||
| system |
S | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/4-99 |
| value |
S | 0..1 | string | The value that is unique |
| display |
S | 0..1 | string | Text alternative for the resource |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.class | Base | required | encounterClass FHIR | 📦1.10.0 | This IG |
| Encounter.participant.type | Base | required | encounterParticipationType FHIR | 📦1.10.0 | This IG |
| Encounter.diagnosis.use | Base | required | EncounterDiagnosisUse FHIR | 📦1.10.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| ev-14-430 | best practice | Encounter.status | If (9000010-.01) is IMP, null or > now then fixed value #planned |
true
|
| ev-14-431 | best practice | Encounter.status | If (9000010-.01) is IMP, not null, < now, .18 null then fixed value #in-progress |
true
|
| ev-14-432 | best practice | Encounter.status | If (9000010-.18) is IMP, not null, < now then fixed value #finished |
true
|
| ev-14-447 | best practice | Encounter.reasonCode.coding.code | If {.03>9000010} 9000010.07-.12 = 'P' then source value from (9000010.07-.01 > 80-.01) |
true
|
| ev-14-1614 | best practice | Encounter.participant.individual | If {.03>9000010} then reference /PractitionerRole based on (9000010.06-.01 > 200-) |
true
|
| ev-14-1615 | best practice | Encounter.type | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-) |
true
|
| ev-14-1854 | best practice | Encounter.participant.type | If {.03>9000010} then terminologyMaps (9000010.06-.04) using VF_encounterParticipationType |
true
|
| ev-14-2035 | best practice | Encounter.extension:resource-serviceConnection.value[x] | If (409.68-.1 > 409.1-.01) is {.03>9000010} SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#SC "Service Connected" |
true
|
| ev-14-2036 | best practice | Encounter.extension:resource-serviceConnection.value[x] | If (409.68-.1 > 409.1-.01) is {.03>9000010} Not SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#NSC "Not Service Connected" |
true
|
| ev-14-2241 | best practice | Encounter.identifier:va-movement.value | If admission record (9000010-.07 = H) then source value from (405-.27) |
true
|
| ev-14-2244 | best practice | Encounter.diagnosis.condition | If {.03>9000010} then source value from (9000010.07-.01 > 80-) |
true
|
| ev-14-2245 | best practice | Encounter.diagnosis.use | If {.03>9000010} then terminologyMaps (9000010.07-.12) using VF_EncounterDiagnosisUse |
true
|
| ev-14-1615-1 | best practice | Encounter.type.coding.system | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then fixed value http://www.ama-assn.org/go/cpt |
true
|
| ev-14-1615-2 | best practice | Encounter.type.coding.code | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-.01) |
true
|
| ev-14-1615-3 | best practice | Encounter.type.coding.display | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-2) |
true
|
| ev-14-1615-4 | best practice | Encounter.type.text | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-2) |
true
|
| ev-14-2241-1 | best practice | Encounter.identifier:va-movement.system | If admission record (9000010-.07 = H) then fixed value http://va.gov/identifiers/{sta3n}/405 |
true
|
| ev-14-447-1 | best practice | Encounter.reasonCode.coding.system | If {.03>9000010} 9000010.07-.12 = 'P' then fixed value urn:see-termmap-in-mapParameter |
true
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Encounter |
0..* | USCoreEncounterProfile(5.0.1) | An interaction during which services are provided to the patient | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| 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 | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:resource-serviceConnection |
S | 0..1 | (Complex) | Extension URL: http://va.gov/fhir/StructureDefinition/resource-serviceConnection | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://va.gov/fhir/StructureDefinition/resource-serviceConnection" | |||||
| value[x] |
SC | 0..1 | Coding | Value of extension Binding: VSResourceServiceConnection (required) Constraints: ev-14-2035, ev-14-2036 | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier |
SΣ | 0..* | Identifier | Identifier(s) by which this encounter is known Slice: Unordered, Open by value:$this | ||||
| identifier:All Slices |
Content/Rules for all slices | |||||||
| 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 |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 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 |
Σ | 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) | ||||
| identifier:va-visitid |
SΣ | 0..1 | Identifier | Identifier(s) by which this encounter is known Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |||||
| type |
0..1 | CodeableConcept | Description of identifier | |||||
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: http://va.gov/identifiers/{sta3n}/9000010-15001 | |||||
| value |
0..1 | string | The value that is unique | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| 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 |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 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 |
Σ | 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) | ||||
| identifier:va-movement |
SΣ | 0..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 |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 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 |
SΣC | 1..1 | uri | The namespace for the identifier value Constraints: ev-14-2241-1 Example General: http://www.acme.com/identifiers/patient | ||||
| value |
SΣC | 1..1 | string | The value that is unique Constraints: ev-14-2241 Example General: 123456 | ||||
| period |
Σ | 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 |
?!SΣC | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. Constraints: ev-14-430, ev-14-431, ev-14-432 | ||||
| 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: encounterClass FHIR (required): see mapping VF_encounterClass | ||||
| classHistory |
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 (extensible): Classification of the encounter. | |||||
| period |
1..1 | Period | The time that the episode was in the specified class | |||||
| type |
SΣC | 1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type Constraints: ev-14-1615 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣC | 0..1 | uri | Identity of the terminology system Constraints: ev-14-1615-1 | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣC | 0..1 | code | Symbol in syntax defined by the system Constraints: ev-14-1615-2 | ||||
| display |
SΣC | 0..1 | string | Representation defined by the system Constraints: ev-14-1615-3 | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣC | 0..1 | string | Plain text representation of the concept Constraints: ev-14-1615-4 | ||||
| serviceType |
Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 0..1 | uri | Identity of the terminology system Required Pattern: http://va.gov/terminology/VistADefinedTerms/9000010-.07 | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| priority |
0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter. | |||||
| subject |
SΣ | 1..1 | Reference(Patient) | The patient or group present at the encounter | ||||
| 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 |
SΣC | 0..* | CodeableConcept | Role of participant in encounter Binding: encounterParticipationType FHIR (required): see mapping VF_encounterParticipationType Constraints: ev-14-1854 | ||||
| period |
S | 0..1 | Period | Period of time during the encounter that the participant participated | ||||
| individual |
SΣC | 0..1 | Reference(Practitioner Role) | Persons involved in the encounter other than the patient Constraints: ev-14-1614 | ||||
| appointment |
Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | ||||
| period |
S | 0..1 | Period | The start and end time of 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 | |||||
| start |
SΣC | 0..1 | dateTime | Starting time with inclusive boundary | ||||
| end |
SΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
| 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. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣC | 0..1 | uri | Identity of the terminology system Constraints: ev-14-447-1 | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣC | 0..1 | code | Symbol in syntax defined by the system Constraints: ev-14-447 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| reasonReference |
SΣ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) S | US Core Condition Encounter Diagnosis Profile(7.0.0) S | US Core Procedure Profile(7.0.0) | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) | ||||
| diagnosis |
Σ | 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 |
SΣC | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter Constraints: ev-14-2244 | ||||
| use |
SC | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: EncounterDiagnosisUse FHIR (required): see mapping VF_EncounterDiagnosisUse Constraints: ev-14-2245 | ||||
| rank |
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 |
0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission | |||||
| admitSource |
0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted. | |||||
| reAdmission |
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 (example): The reason for re-admission of this hospitalization encounter. | |||||
| dietPreference |
0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements. | |||||
| 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: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17 | ||||
| Slices for location |
S | 0..* | BackboneElement | List of locations where the patient has been Slice: Unordered, Open by value:$this | ||||
| location:All Slices |
Content/Rules for all slices | |||||||
| 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 | ||||
| status |
0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. | |||||
| physicalType |
0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location. | |||||
| period |
0..1 | Period | Time period during which the patient was present at the location | |||||
| location:va-stop |
S | 0..1 | BackboneElement | List of locations where the patient has been | ||||
| 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 | ||||
| status |
0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. | |||||
| physicalType |
0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location. | |||||
| period |
0..1 | Period | Time period during which the patient was present at the location | |||||
| location:va-loc |
S | 0..1 | BackboneElement | List of locations where the patient has been | ||||
| 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 | ||||
| status |
0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. | |||||
| physicalType |
0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location. | |||||
| period |
0..1 | Period | Time period during which the patient was present at the location | |||||
| serviceProvider |
S | 0..1 | Reference(Organization) | The organization (facility) responsible for this 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 |
ΣC | 0..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 | ||||
| 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 |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 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 | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/4-99 | ||||
| value |
SΣ | 0..1 | string | The value that is unique Example General: 123456 | ||||
| period |
Σ | 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) | ||||
| display |
SΣ | 0..1 | string | Text alternative for the resource | ||||
| partOf |
0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Encounter.extension:resource-serviceConnection.value[x] | Base | required | VSResourceServiceConnection | 📦1.10.0 | This IG |
| Encounter.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.identifier.type | Base | extensible | IdentifierType | 📦4.0.1 | FHIR Std. |
| Encounter.identifier:va-visitid.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.identifier:va-visitid.type | Base | extensible | IdentifierType | 📦4.0.1 | FHIR Std. |
| Encounter.identifier:va-movement.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.identifier:va-movement.type | Base | extensible | IdentifierType | 📦4.0.1 | FHIR Std. |
| Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std. |
| Encounter.statusHistory.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std. |
| Encounter.class | Base | required | encounterClass FHIR | 📦1.10.0 | This IG |
| Encounter.classHistory.class | Base | extensible | ActEncounterCode | 📦3.0.0 | THO v6.5 |
| Encounter.type | Base | extensible | US Core Encounter Type | 📦7.0.0 | US Core v7.0 |
| Encounter.serviceType | Base | example | Service type | 📦4.0.1 | FHIR Std. |
| Encounter.priority | Base | example | ActPriority | 📦3.0.0 | THO v6.5 |
| Encounter.participant.type | Base | required | encounterParticipationType FHIR | 📦1.10.0 | This IG |
| Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std. |
| Encounter.diagnosis.use | Base | required | EncounterDiagnosisUse FHIR | 📦1.10.0 | This IG |
| Encounter.hospitalization.admitSource | Base | preferred | Admit source | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.reAdmission | Base | example | hl7VS-re-admissionIndicator | 📦2.0.0 | THO v6.5 |
| Encounter.hospitalization.dietPreference | Base | example | Diet | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.specialCourtesy | Base | preferred | Special courtesy | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.specialArrangement | Base | preferred | Special arrangements | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.dischargeDisposition | Base | preferred | US Core Discharge Disposition | 📦7.0.0 | US Core v7.0 |
| Encounter.location.status | Base | required | EncounterLocationStatus | 📍4.0.1 | FHIR Std. |
| Encounter.location.physicalType | Base | example | Location type | 📦4.0.1 | FHIR Std. |
| Encounter.location:va-stop.status | Base | required | EncounterLocationStatus | 📍4.0.1 | FHIR Std. |
| Encounter.location:va-stop.physicalType | Base | example | Location type | 📦4.0.1 | FHIR Std. |
| Encounter.location:va-loc.status | Base | required | EncounterLocationStatus | 📍4.0.1 | FHIR Std. |
| Encounter.location:va-loc.physicalType | Base | example | Location type | 📦4.0.1 | FHIR Std. |
| Encounter.serviceProvider.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Encounter.serviceProvider.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.serviceProvider.identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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())
|
| ev-14-430 | best practice | Encounter.status | If (9000010-.01) is IMP, null or > now then fixed value #planned |
true
|
| ev-14-431 | best practice | Encounter.status | If (9000010-.01) is IMP, not null, < now, .18 null then fixed value #in-progress |
true
|
| ev-14-432 | best practice | Encounter.status | If (9000010-.18) is IMP, not null, < now then fixed value #finished |
true
|
| ev-14-447 | best practice | Encounter.reasonCode.coding.code | If {.03>9000010} 9000010.07-.12 = 'P' then source value from (9000010.07-.01 > 80-.01) |
true
|
| ev-14-1614 | best practice | Encounter.participant.individual | If {.03>9000010} then reference /PractitionerRole based on (9000010.06-.01 > 200-) |
true
|
| ev-14-1615 | best practice | Encounter.type | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-) |
true
|
| ev-14-1854 | best practice | Encounter.participant.type | If {.03>9000010} then terminologyMaps (9000010.06-.04) using VF_encounterParticipationType |
true
|
| ev-14-2035 | best practice | Encounter.extension:resource-serviceConnection.value[x] | If (409.68-.1 > 409.1-.01) is {.03>9000010} SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#SC "Service Connected" |
true
|
| ev-14-2036 | best practice | Encounter.extension:resource-serviceConnection.value[x] | If (409.68-.1 > 409.1-.01) is {.03>9000010} Not SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#NSC "Not Service Connected" |
true
|
| ev-14-2241 | best practice | Encounter.identifier:va-movement.value | If admission record (9000010-.07 = H) then source value from (405-.27) |
true
|
| ev-14-2244 | best practice | Encounter.diagnosis.condition | If {.03>9000010} then source value from (9000010.07-.01 > 80-) |
true
|
| ev-14-2245 | best practice | Encounter.diagnosis.use | If {.03>9000010} then terminologyMaps (9000010.07-.12) using VF_EncounterDiagnosisUse |
true
|
| ev-14-1615-1 | best practice | Encounter.type.coding.system | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then fixed value http://www.ama-assn.org/go/cpt |
true
|
| ev-14-1615-2 | best practice | Encounter.type.coding.code | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-.01) |
true
|
| ev-14-1615-3 | best practice | Encounter.type.coding.display | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-2) |
true
|
| ev-14-1615-4 | best practice | Encounter.type.text | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-2) |
true
|
| ev-14-2241-1 | best practice | Encounter.identifier:va-movement.system | If admission record (9000010-.07 = H) then fixed value http://va.gov/identifiers/{sta3n}/405 |
true
|
| ev-14-447-1 | best practice | Encounter.reasonCode.coding.system | If {.03>9000010} 9000010.07-.12 = 'P' then fixed value urn:see-termmap-in-mapParameter |
true
|
| 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
Must-Support: 21 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Encounter |
0..* | USCoreEncounterProfile(5.0.1) | An interaction during which services are provided to the patient | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:resource-serviceConnection |
S | 0..1 | (Complex) | Extension URL: http://va.gov/fhir/StructureDefinition/resource-serviceConnection |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://va.gov/fhir/StructureDefinition/resource-serviceConnection" | |
| value[x] |
SC | 0..1 | Coding | Value of extension Binding: VSResourceServiceConnection (required) Constraints: ev-14-2035, ev-14-2036 |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| Slices for identifier |
SΣ | 0..* | Identifier | Identifier(s) by which this encounter is known Slice: Unordered, Open by value:$this |
| identifier:All Slices |
Content/Rules for all slices | |||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| 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 |
| identifier:va-visitid |
SΣ | 0..1 | Identifier | Identifier(s) by which this encounter is known Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |
| type |
0..1 | CodeableConcept | Description of identifier | |
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: http://va.gov/identifiers/{sta3n}/9000010-15001 | |
| value |
0..1 | string | The value that is unique | |
| period |
0..1 | Period | Time period when id is/was valid for use | |
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| 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 |
| identifier:va-movement |
SΣ | 0..1 | Identifier | Identifier(s) by which this encounter is known |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system |
SΣC | 1..1 | uri | The namespace for the identifier value Constraints: ev-14-2241-1 Example General: http://www.acme.com/identifiers/patient |
| value |
SΣC | 1..1 | string | The value that is unique Constraints: ev-14-2241 Example General: 123456 |
| status |
?!SΣC | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. Constraints: ev-14-430, ev-14-431, ev-14-432 |
| class |
SΣ | 1..1 | Coding | Classification of patient encounter Binding: encounterClass FHIR (required): see mapping VF_encounterClass |
| type |
SΣC | 1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type Constraints: ev-14-1615 |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system |
| system |
SΣC | 0..1 | uri | Identity of the terminology system Constraints: ev-14-1615-1 |
| code |
SΣC | 0..1 | code | Symbol in syntax defined by the system Constraints: ev-14-1615-2 |
| display |
SΣC | 0..1 | string | Representation defined by the system Constraints: ev-14-1615-3 |
| text |
SΣC | 0..1 | string | Plain text representation of the concept Constraints: ev-14-1615-4 |
| serviceType |
Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system |
| system |
SΣ | 0..1 | uri | Identity of the terminology system Required Pattern: http://va.gov/terminology/VistADefinedTerms/9000010-.07 |
| code |
SΣ | 0..1 | code | Symbol in syntax defined by the system |
| subject |
SΣ | 1..1 | Reference(Patient) | The patient or group present at the encounter |
| participant |
SΣ | 0..* | BackboneElement | List of participants involved in the encounter |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| type |
SΣC | 0..* | CodeableConcept | Role of participant in encounter Binding: encounterParticipationType FHIR (required): see mapping VF_encounterParticipationType Constraints: ev-14-1854 |
| period |
S | 0..1 | Period | Period of time during the encounter that the participant participated |
| individual |
SΣC | 0..1 | Reference(Practitioner Role) | Persons involved in the encounter other than the patient Constraints: ev-14-1614 |
| period |
S | 0..1 | Period | The start and end time of the encounter |
| start |
SΣC | 0..1 | dateTime | Starting time with inclusive boundary |
| end |
SΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing |
| reasonCode |
SΣ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system |
| system |
SΣC | 0..1 | uri | Identity of the terminology system Constraints: ev-14-447-1 |
| code |
SΣC | 0..1 | code | Symbol in syntax defined by the system Constraints: ev-14-447 |
| reasonReference |
SΣ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) S | US Core Condition Encounter Diagnosis Profile(7.0.0) S | US Core Procedure Profile(7.0.0) | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) |
| diagnosis |
Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| condition |
SΣC | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter Constraints: ev-14-2244 |
| use |
SC | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: EncounterDiagnosisUse FHIR (required): see mapping VF_EncounterDiagnosisUse Constraints: ev-14-2245 |
| 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 |
| dischargeDisposition |
S | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17 |
| Slices for location |
S | 0..* | BackboneElement | List of locations where the patient has been Slice: Unordered, Open by value:$this |
| location:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| location |
S | 1..1 | Reference(Location) | Location the encounter takes place |
| location:va-stop |
S | 0..1 | BackboneElement | List of locations where the patient has been |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| location |
S | 1..1 | Reference(Location) | Location the encounter takes place |
| location:va-loc |
S | 0..1 | BackboneElement | List of locations where the patient has been |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| location |
S | 1..1 | Reference(Location) | Location the encounter takes place |
| serviceProvider |
S | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter |
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system |
SΣ | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/4-99 |
| value |
SΣ | 0..1 | string | The value that is unique Example General: 123456 |
| display |
SΣ | 0..1 | string | Text alternative for the resource |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.extension:resource-serviceConnection.value[x] | Base | required | VSResourceServiceConnection | 📦1.10.0 | This IG |
| Encounter.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.identifier:va-visitid.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.identifier:va-movement.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std. |
| Encounter.class | Base | required | encounterClass FHIR | 📦1.10.0 | This IG |
| Encounter.type | Base | extensible | US Core Encounter Type | 📦7.0.0 | US Core v7.0 |
| Encounter.serviceType | Base | example | Service type | 📦4.0.1 | FHIR Std. |
| Encounter.participant.type | Base | required | encounterParticipationType FHIR | 📦1.10.0 | This IG |
| Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std. |
| Encounter.diagnosis.use | Base | required | EncounterDiagnosisUse FHIR | 📦1.10.0 | This IG |
| Encounter.hospitalization.dischargeDisposition | Base | preferred | US Core Discharge Disposition | 📦7.0.0 | US Core v7.0 |
| Encounter.serviceProvider.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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())
|
| ev-14-430 | best practice | Encounter.status | If (9000010-.01) is IMP, null or > now then fixed value #planned |
true
|
| ev-14-431 | best practice | Encounter.status | If (9000010-.01) is IMP, not null, < now, .18 null then fixed value #in-progress |
true
|
| ev-14-432 | best practice | Encounter.status | If (9000010-.18) is IMP, not null, < now then fixed value #finished |
true
|
| ev-14-447 | best practice | Encounter.reasonCode.coding.code | If {.03>9000010} 9000010.07-.12 = 'P' then source value from (9000010.07-.01 > 80-.01) |
true
|
| ev-14-1614 | best practice | Encounter.participant.individual | If {.03>9000010} then reference /PractitionerRole based on (9000010.06-.01 > 200-) |
true
|
| ev-14-1615 | best practice | Encounter.type | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-) |
true
|
| ev-14-1854 | best practice | Encounter.participant.type | If {.03>9000010} then terminologyMaps (9000010.06-.04) using VF_encounterParticipationType |
true
|
| ev-14-2035 | best practice | Encounter.extension:resource-serviceConnection.value[x] | If (409.68-.1 > 409.1-.01) is {.03>9000010} SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#SC "Service Connected" |
true
|
| ev-14-2036 | best practice | Encounter.extension:resource-serviceConnection.value[x] | If (409.68-.1 > 409.1-.01) is {.03>9000010} Not SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#NSC "Not Service Connected" |
true
|
| ev-14-2241 | best practice | Encounter.identifier:va-movement.value | If admission record (9000010-.07 = H) then source value from (405-.27) |
true
|
| ev-14-2244 | best practice | Encounter.diagnosis.condition | If {.03>9000010} then source value from (9000010.07-.01 > 80-) |
true
|
| ev-14-2245 | best practice | Encounter.diagnosis.use | If {.03>9000010} then terminologyMaps (9000010.07-.12) using VF_EncounterDiagnosisUse |
true
|
| ev-14-1615-1 | best practice | Encounter.type.coding.system | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then fixed value http://www.ama-assn.org/go/cpt |
true
|
| ev-14-1615-2 | best practice | Encounter.type.coding.code | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-.01) |
true
|
| ev-14-1615-3 | best practice | Encounter.type.coding.display | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-2) |
true
|
| ev-14-1615-4 | best practice | Encounter.type.text | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-2) |
true
|
| ev-14-2241-1 | best practice | Encounter.identifier:va-movement.system | If admission record (9000010-.07 = H) then fixed value http://va.gov/identifiers/{sta3n}/405 |
true
|
| ev-14-447-1 | best practice | Encounter.reasonCode.coding.system | If {.03>9000010} 9000010.07-.12 = 'P' then fixed value urn:see-termmap-in-mapParameter |
true
|
| 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 |
0..* | USCoreEncounterProfile(5.0.1) | An interaction during which services are provided to the patient | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:resource-serviceConnection |
S | 0..1 | (Complex) | Extension URL: http://va.gov/fhir/StructureDefinition/resource-serviceConnection |
| value[x] |
SC | 0..1 | Coding | Value of extension Constraints: ev-14-2035, ev-14-2036 |
| Slices for identifier |
0..* | Identifier | Identifier(s) by which this encounter is known Slice: Unordered, Open by value:$this | |
| identifier:va-visitid |
S | 0..1 | Identifier | Identifier(s) by which this encounter is known Required Pattern: At least the following |
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: http://va.gov/identifiers/{sta3n}/9000010-15001 | |
| system |
1..1 | uri | The namespace for the identifier value | |
| value |
1..1 | string | The value that is unique | |
| identifier:va-movement |
S | 0..1 | Identifier | Identifier(s) by which this encounter is known |
| system |
C | 1..1 | uri | The namespace for the identifier value Constraints: ev-14-2241-1 |
| value |
C | 1..1 | string | The value that is unique Constraints: ev-14-2241 |
| status |
C | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Constraints: ev-14-430, ev-14-431, ev-14-432 |
| class |
1..1 | Coding | Classification of patient encounter Binding: encounterClass FHIR (required): see mapping VF_encounterClass | |
| type |
C | 1..* | CodeableConcept | Specific type of encounter Constraints: ev-14-1615 |
| coding |
||||
| system |
SC | 0..1 | uri | Identity of the terminology system Constraints: ev-14-1615-1 |
| code |
SC | 0..1 | code | Symbol in syntax defined by the system Constraints: ev-14-1615-2 |
| display |
SC | 0..1 | string | Representation defined by the system Constraints: ev-14-1615-3 |
| text |
SC | 0..1 | string | Plain text representation of the concept Constraints: ev-14-1615-4 |
| serviceType |
||||
| coding |
||||
| system |
S | 0..1 | uri | Identity of the terminology system Required Pattern: http://va.gov/terminology/VistADefinedTerms/9000010-.07 |
| code |
S | 0..1 | code | Symbol in syntax defined by the system |
| subject |
1..1 | Reference(Patient) | The patient or group present at the encounter | |
| participant |
||||
| type |
C | 0..* | CodeableConcept | Role of participant in encounter Binding: encounterParticipationType FHIR (required): see mapping VF_encounterParticipationType Constraints: ev-14-1854 |
| period |
0..1 | Period | Period of time during the encounter that the participant participated | |
| individual |
C | 0..1 | Reference(Practitioner Role) | Persons involved in the encounter other than the patient Constraints: ev-14-1614 |
| period |
||||
| start |
S | 0..1 | dateTime | Starting time with inclusive boundary |
| end |
S | 0..1 | dateTime | End time with inclusive boundary, if not ongoing |
| reasonCode |
||||
| coding |
||||
| system |
SC | 0..1 | uri | Identity of the terminology system Constraints: ev-14-447-1 |
| code |
SC | 0..1 | code | Symbol in syntax defined by the system Constraints: ev-14-447 |
| diagnosis |
||||
| condition |
SC | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter Constraints: ev-14-2244 |
| use |
SC | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: EncounterDiagnosisUse FHIR (required): see mapping VF_EncounterDiagnosisUse Constraints: ev-14-2245 |
| hospitalization |
0..1 | BackboneElement | Details about the admission to a healthcare service | |
| Slices for location |
0..* | BackboneElement | List of locations where the patient has been Slice: Unordered, Open by value:$this | |
| location:va-stop |
S | 0..1 | BackboneElement | List of locations where the patient has been |
| location |
1..1 | Reference(Location) | Location the encounter takes place | |
| location:va-loc |
S | 0..1 | BackboneElement | List of locations where the patient has been |
| location |
1..1 | Reference(Location) | Location the encounter takes place | |
| serviceProvider |
0..1 | Reference(Organization) | The organization (facility) responsible for this encounter | |
| identifier |
||||
| system |
S | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/4-99 |
| value |
S | 0..1 | string | The value that is unique |
| display |
S | 0..1 | string | Text alternative for the resource |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.class | Base | required | encounterClass FHIR | 📦1.10.0 | This IG |
| Encounter.participant.type | Base | required | encounterParticipationType FHIR | 📦1.10.0 | This IG |
| Encounter.diagnosis.use | Base | required | EncounterDiagnosisUse FHIR | 📦1.10.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| ev-14-430 | best practice | Encounter.status | If (9000010-.01) is IMP, null or > now then fixed value #planned |
true
|
| ev-14-431 | best practice | Encounter.status | If (9000010-.01) is IMP, not null, < now, .18 null then fixed value #in-progress |
true
|
| ev-14-432 | best practice | Encounter.status | If (9000010-.18) is IMP, not null, < now then fixed value #finished |
true
|
| ev-14-447 | best practice | Encounter.reasonCode.coding.code | If {.03>9000010} 9000010.07-.12 = 'P' then source value from (9000010.07-.01 > 80-.01) |
true
|
| ev-14-1614 | best practice | Encounter.participant.individual | If {.03>9000010} then reference /PractitionerRole based on (9000010.06-.01 > 200-) |
true
|
| ev-14-1615 | best practice | Encounter.type | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-) |
true
|
| ev-14-1854 | best practice | Encounter.participant.type | If {.03>9000010} then terminologyMaps (9000010.06-.04) using VF_encounterParticipationType |
true
|
| ev-14-2035 | best practice | Encounter.extension:resource-serviceConnection.value[x] | If (409.68-.1 > 409.1-.01) is {.03>9000010} SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#SC "Service Connected" |
true
|
| ev-14-2036 | best practice | Encounter.extension:resource-serviceConnection.value[x] | If (409.68-.1 > 409.1-.01) is {.03>9000010} Not SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#NSC "Not Service Connected" |
true
|
| ev-14-2241 | best practice | Encounter.identifier:va-movement.value | If admission record (9000010-.07 = H) then source value from (405-.27) |
true
|
| ev-14-2244 | best practice | Encounter.diagnosis.condition | If {.03>9000010} then source value from (9000010.07-.01 > 80-) |
true
|
| ev-14-2245 | best practice | Encounter.diagnosis.use | If {.03>9000010} then terminologyMaps (9000010.07-.12) using VF_EncounterDiagnosisUse |
true
|
| ev-14-1615-1 | best practice | Encounter.type.coding.system | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then fixed value http://www.ama-assn.org/go/cpt |
true
|
| ev-14-1615-2 | best practice | Encounter.type.coding.code | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-.01) |
true
|
| ev-14-1615-3 | best practice | Encounter.type.coding.display | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-2) |
true
|
| ev-14-1615-4 | best practice | Encounter.type.text | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-2) |
true
|
| ev-14-2241-1 | best practice | Encounter.identifier:va-movement.system | If admission record (9000010-.07 = H) then fixed value http://va.gov/identifiers/{sta3n}/405 |
true
|
| ev-14-447-1 | best practice | Encounter.reasonCode.coding.system | If {.03>9000010} 9000010.07-.12 = 'P' then fixed value urn:see-termmap-in-mapParameter |
true
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Encounter |
0..* | USCoreEncounterProfile(5.0.1) | An interaction during which services are provided to the patient | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| 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 | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:resource-serviceConnection |
S | 0..1 | (Complex) | Extension URL: http://va.gov/fhir/StructureDefinition/resource-serviceConnection | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://va.gov/fhir/StructureDefinition/resource-serviceConnection" | |||||
| value[x] |
SC | 0..1 | Coding | Value of extension Binding: VSResourceServiceConnection (required) Constraints: ev-14-2035, ev-14-2036 | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier |
SΣ | 0..* | Identifier | Identifier(s) by which this encounter is known Slice: Unordered, Open by value:$this | ||||
| identifier:All Slices |
Content/Rules for all slices | |||||||
| 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 |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 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 |
Σ | 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) | ||||
| identifier:va-visitid |
SΣ | 0..1 | Identifier | Identifier(s) by which this encounter is known Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |||||
| type |
0..1 | CodeableConcept | Description of identifier | |||||
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: http://va.gov/identifiers/{sta3n}/9000010-15001 | |||||
| value |
0..1 | string | The value that is unique | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| 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 |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 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 |
Σ | 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) | ||||
| identifier:va-movement |
SΣ | 0..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 |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 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 |
SΣC | 1..1 | uri | The namespace for the identifier value Constraints: ev-14-2241-1 Example General: http://www.acme.com/identifiers/patient | ||||
| value |
SΣC | 1..1 | string | The value that is unique Constraints: ev-14-2241 Example General: 123456 | ||||
| period |
Σ | 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 |
?!SΣC | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. Constraints: ev-14-430, ev-14-431, ev-14-432 | ||||
| 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: encounterClass FHIR (required): see mapping VF_encounterClass | ||||
| classHistory |
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 (extensible): Classification of the encounter. | |||||
| period |
1..1 | Period | The time that the episode was in the specified class | |||||
| type |
SΣC | 1..* | CodeableConcept | Specific type of encounter Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type Constraints: ev-14-1615 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣC | 0..1 | uri | Identity of the terminology system Constraints: ev-14-1615-1 | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣC | 0..1 | code | Symbol in syntax defined by the system Constraints: ev-14-1615-2 | ||||
| display |
SΣC | 0..1 | string | Representation defined by the system Constraints: ev-14-1615-3 | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣC | 0..1 | string | Plain text representation of the concept Constraints: ev-14-1615-4 | ||||
| serviceType |
Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 0..1 | uri | Identity of the terminology system Required Pattern: http://va.gov/terminology/VistADefinedTerms/9000010-.07 | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| priority |
0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter. | |||||
| subject |
SΣ | 1..1 | Reference(Patient) | The patient or group present at the encounter | ||||
| 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 |
SΣC | 0..* | CodeableConcept | Role of participant in encounter Binding: encounterParticipationType FHIR (required): see mapping VF_encounterParticipationType Constraints: ev-14-1854 | ||||
| period |
S | 0..1 | Period | Period of time during the encounter that the participant participated | ||||
| individual |
SΣC | 0..1 | Reference(Practitioner Role) | Persons involved in the encounter other than the patient Constraints: ev-14-1614 | ||||
| appointment |
Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | ||||
| period |
S | 0..1 | Period | The start and end time of 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 | |||||
| start |
SΣC | 0..1 | dateTime | Starting time with inclusive boundary | ||||
| end |
SΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
| 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. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣC | 0..1 | uri | Identity of the terminology system Constraints: ev-14-447-1 | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣC | 0..1 | code | Symbol in syntax defined by the system Constraints: ev-14-447 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| reasonReference |
SΣ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) S | US Core Condition Encounter Diagnosis Profile(7.0.0) S | US Core Procedure Profile(7.0.0) | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) | ||||
| diagnosis |
Σ | 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 |
SΣC | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter Constraints: ev-14-2244 | ||||
| use |
SC | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: EncounterDiagnosisUse FHIR (required): see mapping VF_EncounterDiagnosisUse Constraints: ev-14-2245 | ||||
| rank |
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 |
0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission | |||||
| admitSource |
0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted. | |||||
| reAdmission |
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 (example): The reason for re-admission of this hospitalization encounter. | |||||
| dietPreference |
0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements. | |||||
| 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: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17 | ||||
| Slices for location |
S | 0..* | BackboneElement | List of locations where the patient has been Slice: Unordered, Open by value:$this | ||||
| location:All Slices |
Content/Rules for all slices | |||||||
| 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 | ||||
| status |
0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. | |||||
| physicalType |
0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location. | |||||
| period |
0..1 | Period | Time period during which the patient was present at the location | |||||
| location:va-stop |
S | 0..1 | BackboneElement | List of locations where the patient has been | ||||
| 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 | ||||
| status |
0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. | |||||
| physicalType |
0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location. | |||||
| period |
0..1 | Period | Time period during which the patient was present at the location | |||||
| location:va-loc |
S | 0..1 | BackboneElement | List of locations where the patient has been | ||||
| 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 | ||||
| status |
0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location. | |||||
| physicalType |
0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location. | |||||
| period |
0..1 | Period | Time period during which the patient was present at the location | |||||
| serviceProvider |
S | 0..1 | Reference(Organization) | The organization (facility) responsible for this 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 |
ΣC | 0..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 | ||||
| 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 |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 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 | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/4-99 | ||||
| value |
SΣ | 0..1 | string | The value that is unique Example General: 123456 | ||||
| period |
Σ | 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) | ||||
| display |
SΣ | 0..1 | string | Text alternative for the resource | ||||
| partOf |
0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Encounter.extension:resource-serviceConnection.value[x] | Base | required | VSResourceServiceConnection | 📦1.10.0 | This IG |
| Encounter.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.identifier.type | Base | extensible | IdentifierType | 📦4.0.1 | FHIR Std. |
| Encounter.identifier:va-visitid.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.identifier:va-visitid.type | Base | extensible | IdentifierType | 📦4.0.1 | FHIR Std. |
| Encounter.identifier:va-movement.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.identifier:va-movement.type | Base | extensible | IdentifierType | 📦4.0.1 | FHIR Std. |
| Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std. |
| Encounter.statusHistory.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std. |
| Encounter.class | Base | required | encounterClass FHIR | 📦1.10.0 | This IG |
| Encounter.classHistory.class | Base | extensible | ActEncounterCode | 📦3.0.0 | THO v6.5 |
| Encounter.type | Base | extensible | US Core Encounter Type | 📦7.0.0 | US Core v7.0 |
| Encounter.serviceType | Base | example | Service type | 📦4.0.1 | FHIR Std. |
| Encounter.priority | Base | example | ActPriority | 📦3.0.0 | THO v6.5 |
| Encounter.participant.type | Base | required | encounterParticipationType FHIR | 📦1.10.0 | This IG |
| Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std. |
| Encounter.diagnosis.use | Base | required | EncounterDiagnosisUse FHIR | 📦1.10.0 | This IG |
| Encounter.hospitalization.admitSource | Base | preferred | Admit source | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.reAdmission | Base | example | hl7VS-re-admissionIndicator | 📦2.0.0 | THO v6.5 |
| Encounter.hospitalization.dietPreference | Base | example | Diet | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.specialCourtesy | Base | preferred | Special courtesy | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.specialArrangement | Base | preferred | Special arrangements | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.dischargeDisposition | Base | preferred | US Core Discharge Disposition | 📦7.0.0 | US Core v7.0 |
| Encounter.location.status | Base | required | EncounterLocationStatus | 📍4.0.1 | FHIR Std. |
| Encounter.location.physicalType | Base | example | Location type | 📦4.0.1 | FHIR Std. |
| Encounter.location:va-stop.status | Base | required | EncounterLocationStatus | 📍4.0.1 | FHIR Std. |
| Encounter.location:va-stop.physicalType | Base | example | Location type | 📦4.0.1 | FHIR Std. |
| Encounter.location:va-loc.status | Base | required | EncounterLocationStatus | 📍4.0.1 | FHIR Std. |
| Encounter.location:va-loc.physicalType | Base | example | Location type | 📦4.0.1 | FHIR Std. |
| Encounter.serviceProvider.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Encounter.serviceProvider.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.serviceProvider.identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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())
|
| ev-14-430 | best practice | Encounter.status | If (9000010-.01) is IMP, null or > now then fixed value #planned |
true
|
| ev-14-431 | best practice | Encounter.status | If (9000010-.01) is IMP, not null, < now, .18 null then fixed value #in-progress |
true
|
| ev-14-432 | best practice | Encounter.status | If (9000010-.18) is IMP, not null, < now then fixed value #finished |
true
|
| ev-14-447 | best practice | Encounter.reasonCode.coding.code | If {.03>9000010} 9000010.07-.12 = 'P' then source value from (9000010.07-.01 > 80-.01) |
true
|
| ev-14-1614 | best practice | Encounter.participant.individual | If {.03>9000010} then reference /PractitionerRole based on (9000010.06-.01 > 200-) |
true
|
| ev-14-1615 | best practice | Encounter.type | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-) |
true
|
| ev-14-1854 | best practice | Encounter.participant.type | If {.03>9000010} then terminologyMaps (9000010.06-.04) using VF_encounterParticipationType |
true
|
| ev-14-2035 | best practice | Encounter.extension:resource-serviceConnection.value[x] | If (409.68-.1 > 409.1-.01) is {.03>9000010} SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#SC "Service Connected" |
true
|
| ev-14-2036 | best practice | Encounter.extension:resource-serviceConnection.value[x] | If (409.68-.1 > 409.1-.01) is {.03>9000010} Not SERVICE CONNECTED then fixed value http://va.gov/fhir/vistaDefinedTerms/409.1#NSC "Not Service Connected" |
true
|
| ev-14-2241 | best practice | Encounter.identifier:va-movement.value | If admission record (9000010-.07 = H) then source value from (405-.27) |
true
|
| ev-14-2244 | best practice | Encounter.diagnosis.condition | If {.03>9000010} then source value from (9000010.07-.01 > 80-) |
true
|
| ev-14-2245 | best practice | Encounter.diagnosis.use | If {.03>9000010} then terminologyMaps (9000010.07-.12) using VF_EncounterDiagnosisUse |
true
|
| ev-14-1615-1 | best practice | Encounter.type.coding.system | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then fixed value http://www.ama-assn.org/go/cpt |
true
|
| ev-14-1615-2 | best practice | Encounter.type.coding.code | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-.01) |
true
|
| ev-14-1615-3 | best practice | Encounter.type.coding.display | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-2) |
true
|
| ev-14-1615-4 | best practice | Encounter.type.text | If {.03>9000010} Not admission record (rule not needed in examples we've seen) then source value from (9000010.18-.01 > 81-2) |
true
|
| ev-14-2241-1 | best practice | Encounter.identifier:va-movement.system | If admission record (9000010-.07 = H) then fixed value http://va.gov/identifiers/{sta3n}/405 |
true
|
| ev-14-447-1 | best practice | Encounter.reasonCode.coding.system | If {.03>9000010} 9000010.07-.12 = 'P' then fixed value urn:see-termmap-in-mapParameter |
true
|
| 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
Must-Support: 21 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron