MyHealth@Eu Hospital Discharge Report - Local Development build (v9.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Encounter: HDR

This profile defines how to represent Inpatient Encounter in HL7 FHIR for the scope of this guide.

Usages:

• Use this Profile: Bundle: HDR
• Refer to this Profile: Composition: HDR and Encounter: HDR
• Examples for this Profile: Encounter/b49cdbed-299c-4b95-aa9d-273811521147

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	EncounterEuHdr	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				Content/Rules for all slices
extension:note		0..*	Annotation	Enconter note URL: http://hl7.org/fhir/StructureDefinition/note
extension:legalStatus		0..*	CodeableReference(Condition)	Legal status/situation at admission URL: http://hl7.eu/fhir/StructureDefinition/encounter-legalStatus Binding: Example of Legal Status at admission (example)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	Status of this Hospital stay Binding: In-patient Encounter Status Value Set (required) Required Pattern: finished
class	Σ	1..1	Coding	Classification of patient encounter Binding: eHDSI Encounter Class (required)
priority	O	0..1	CodeableConcept	Encounter priority Binding: eHDSI Admission Urgency (required) Obligations Actor SHALL:handle HDR Handler
subject	Σ	1..1	Reference(Patient: HDR)	The patient present at the encounter
Slices for participant	Σ	0..*	BackboneElement	List of participants involved in the encounters. Slice: Unordered, Open by value:type
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
individual	Σ	0..1	Reference(Practitioner: HDR | PractitionerRole:: HDR | RelatedPerson)	Persons involved in the encounter other than the patient
participant:admitter	OΣ	0..*	BackboneElement	Admitting professional. Obligations Actor SHALL:handle HDR Handler
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ADM
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
individual	OΣ	0..1	Reference(PractitionerRole:: HDR)	Persons involved in the encounter other than the patient Obligations Actor SHALL:handle HDR Handler
participant:discharger	OΣ	0..*	BackboneElement	Discharging professional. Obligations Actor SHALL:handle HDR Handler
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DIS
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
individual	OΣ	0..1	Reference(PractitionerRole:: HDR)	Persons involved in the encounter other than the patient Obligations Actor SHALL:handle HDR Handler
participant:referrer	Σ	0..*	BackboneElement	Referring professional
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
individual	Σ	0..1	Reference(Practitioner: HDR | PractitionerRole:: HDR | RelatedPerson)	Persons involved in the encounter other than the patient
reasonCode	OΣ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: eHDSI Admission Reason With Exceptions (required) Obligations Actor SHALL:handle HDR Handler
reasonReference	OΣ	0..*	Reference(Observation | Condition | Procedure)	Reason the encounter takes place (reference) Obligations Actor SHALL:handle HDR Handler
hospitalization	O	0..1	BackboneElement	Details about the admission to a healthcare service Obligations Actor SHALL:handle HDR Handler
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
destination		0..1	Reference(Organization: HDR | Location: HDR)	Location/organization to which the patient is discharged
dischargeDisposition	O	0..1	CodeableConcept	Category or kind of location after discharge Binding: eHDSI Discharge Disposition With Exceptions (required) Obligations Actor SHALL:handle HDR Handler
serviceProvider		0..1	Reference(Organization: HDR)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter: HDR)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.status	Base	required	In-patient Encounter Status Value Set	📦0.1.0-ballot	HL7 Europe Hospital Discharge Report v0.1
Encounter.class	Base	required	eHDSI Encounter Class	📦9.1.0	This IG
Encounter.priority	Base	required	eHDSI Admission Urgency	📦9.1.0	This IG
Encounter.participant:admitter.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:discharger.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:referrer.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.reasonCode	Base	required	eHDSI Admission Reason With Exceptions	📦9.1.0	This IG
Encounter.hospitalization.​dischargeDisposition	Base	required	eHDSI Discharge Disposition With Exceptions	📦9.1.0	This IG

Constraints

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())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from EncounterEuHdr

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter			EncounterEuHdr
status		1..1	code	Status of this Hospital stay Required Pattern: finished
class		1..1	Coding	Classification of patient encounter Binding: eHDSI Encounter Class (required)
priority	O	0..1	CodeableConcept	Encounter priority Binding: eHDSI Admission Urgency (required) Obligations Actor SHALL:handle HDR Handler
subject		1..1	Reference(Patient: HDR)	The patient present at the encounter
participant		0..*	BackboneElement	List of participants involved in the encounters.
individual		0..1	Reference(Practitioner: HDR | PractitionerRole:: HDR | RelatedPerson)	Persons involved in the encounter other than the patient
Slices for participant				Content/Rules for all slices
participant:admitter	O	0..*	BackboneElement	Admitting professional. Obligations Actor SHALL:handle HDR Handler
individual	O	0..1	Reference(PractitionerRole:: HDR)	Persons involved in the encounter other than the patient Obligations Actor SHALL:handle HDR Handler
participant:discharger	O	0..*	BackboneElement	Discharging professional. Obligations Actor SHALL:handle HDR Handler
individual	O	0..1	Reference(PractitionerRole:: HDR)	Persons involved in the encounter other than the patient Obligations Actor SHALL:handle HDR Handler
participant:referrer		0..*	BackboneElement	Referring professional
individual		0..1	Reference(Practitioner: HDR | PractitionerRole:: HDR | RelatedPerson)	Persons involved in the encounter other than the patient
period
start	O	1..1	dateTime	Starting time with inclusive boundary Obligations Actor SHALL:handle HDR Handler
end	O	1..1	dateTime	End time with inclusive boundary, if not ongoing Obligations Actor SHALL:handle HDR Handler
reasonCode	O	0..*	CodeableConcept	Coded reason the encounter takes place Binding: eHDSI Admission Reason With Exceptions (required) Obligations Actor SHALL:handle HDR Handler
reasonReference	O	0..*	Reference(Observation | Condition | Procedure)	Reason the encounter takes place (reference) Obligations Actor SHALL:handle HDR Handler
hospitalization	O	0..1	BackboneElement	Details about the admission to a healthcare service Obligations Actor SHALL:handle HDR Handler
destination		0..1	Reference(Organization: HDR | Location: HDR)	Location/organization to which the patient is discharged
dischargeDisposition	O	0..1	CodeableConcept	Category or kind of location after discharge Binding: eHDSI Discharge Disposition With Exceptions (required) Obligations Actor SHALL:handle HDR Handler
location
location		1..1	Reference(Location: HDR)	Location the encounter takes place
serviceProvider		0..1	Reference(Organization: HDR)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter: HDR)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Encounter.class	Base	required	eHDSI Encounter Class	📦9.1.0	This IG
Encounter.priority	Base	required	eHDSI Admission Urgency	📦9.1.0	This IG
Encounter.reasonCode	Base	required	eHDSI Admission Reason With Exceptions	📦9.1.0	This IG
Encounter.hospitalization.​dischargeDisposition	Base	required	eHDSI Discharge Disposition With Exceptions	📦9.1.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	EncounterEuHdr	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. Additional Bindings Purpose AllLanguages Max Binding
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:note		0..*	Annotation	Enconter note URL: http://hl7.org/fhir/StructureDefinition/note
extension:legalStatus		0..*	CodeableReference(Condition)	Legal status/situation at admission URL: http://hl7.eu/fhir/StructureDefinition/encounter-legalStatus Binding: Example of Legal Status at admission (example)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier(s) by which this encounter is known.
status	?!Σ	1..1	code	Status of this Hospital stay Binding: In-patient Encounter Status Value Set (required) Required Pattern: finished
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	Σ	1..1	Coding	Classification of patient encounter Binding: eHDSI Encounter Class (required)
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	Σ	0..*	CodeableConcept	Specific type of Hospital stay Binding: In-patient Encounter Type Value Set (example)
serviceType	Σ	0..1	CodeableConcept	Specific type of service. Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority	O	0..1	CodeableConcept	Encounter priority Binding: eHDSI Admission Urgency (required) Obligations Actor SHALL:handle HDR Handler
subject	Σ	1..1	Reference(Patient: HDR)	The patient 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 request for which this encounter has been made
Slices for participant	Σ	0..*	BackboneElement	List of participants involved in the encounters. Slice: Unordered, Open by value:type
participant: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
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner: HDR | PractitionerRole:: HDR | RelatedPerson)	Persons involved in the encounter other than the patient
participant:admitter	OΣ	0..*	BackboneElement	Admitting professional. Obligations Actor SHALL:handle HDR Handler
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	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ADM
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	OΣ	0..1	Reference(PractitionerRole:: HDR)	Persons involved in the encounter other than the patient Obligations Actor SHALL:handle HDR Handler
participant:discharger	OΣ	0..*	BackboneElement	Discharging professional. Obligations Actor SHALL:handle HDR Handler
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	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DIS
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	OΣ	0..1	Reference(PractitionerRole:: HDR)	Persons involved in the encounter other than the patient Obligations Actor SHALL:handle HDR Handler
participant:referrer	Σ	0..*	BackboneElement	Referring professional
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	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner: HDR | PractitionerRole:: HDR | RelatedPerson)	Persons involved in the encounter other than the patient
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period		0..1	Period	The start and end time of 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
start	OΣC	1..1	dateTime	Starting time with inclusive boundary Obligations Actor SHALL:handle HDR Handler
end	OΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing Obligations Actor SHALL:handle HDR Handler
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	OΣ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: eHDSI Admission Reason With Exceptions (required) Obligations Actor SHALL:handle HDR Handler
reasonReference	OΣ	0..*	Reference(Observation | Condition | Procedure)	Reason the encounter takes place (reference) Obligations Actor SHALL:handle HDR Handler
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter, see comment
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		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	O	0..1	BackboneElement	Details about the admission to a healthcare service Obligations Actor SHALL:handle HDR Handler
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(Organization: HDR | Location: HDR)	Location/organization to which the patient is discharged
dischargeDisposition	O	0..1	CodeableConcept	Category or kind of location after discharge Binding: eHDSI Discharge Disposition With Exceptions (required) Obligations Actor SHALL:handle HDR Handler
location		0..*	BackboneElement	Locations where the patient stayed
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		1..1	Reference(Location: HDR)	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	Location period
serviceProvider		0..1	Reference(Organization: HDR)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter: HDR)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Encounter.status	Base	required	In-patient Encounter Status Value Set	📦0.1.0-ballot	HL7 Europe Hospital Discharge Report v0.1
Encounter.statusHistory.​status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	required	eHDSI Encounter Class	📦9.1.0	This IG
Encounter.classHistory.​class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.0
Encounter.type	Base	example	In-patient Encounter Type Value Set	📦0.1.0-ballot	HL7 Europe Hospital Discharge Report v0.1
Encounter.serviceType	Base	example	Service type	📦4.0.1	FHIR Std.
Encounter.priority	Base	required	eHDSI Admission Urgency	📦9.1.0	This IG
Encounter.participant.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:admitter.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:discharger.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:referrer.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.reasonCode	Base	required	eHDSI Admission Reason With Exceptions	📦9.1.0	This IG
Encounter.diagnosis.​use	Base	preferred	DiagnosisRole	📦4.0.1	FHIR Std.
Encounter.hospitalization.​admitSource	Base	preferred	Admit source	📦4.0.1	FHIR Std.
Encounter.hospitalization.​reAdmission	Base	example	hl7VS-re-admissionIndicator	📦2.0.0	THO v7.0
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	required	eHDSI Discharge Disposition With Exceptions	📦9.1.0	This IG
Encounter.location.status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location.physicalType	Base	example	Location type	📦4.0.1	FHIR Std.

Constraints

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())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from EncounterEuHdr

Summary

Mandatory: 0 element(2 nested mandatory elements)

Structures

This structure refers to these other structures:

• Patient: HDR (http://fhir.ehdsi.eu/hdr/StructureDefinition/patient-hdr-myhealtheu)
• Practitioner: HDR (http://fhir.ehdsi.eu/hdr/StructureDefinition/practitioner-hdr-myhealtheu)
• PractitionerRole:: HDR (http://fhir.ehdsi.eu/hdr/StructureDefinition/practitionerRole-hdr-myhealtheu)
• Organization: HDR (http://fhir.ehdsi.eu/hdr/StructureDefinition/organization-hdr-myhealtheu)
• Location: HDR (http://fhir.ehdsi.eu/hdr/StructureDefinition/location-hdr-myhealtheu)
• Encounter: HDR (http://fhir.ehdsi.eu/hdr/StructureDefinition/encounter-hdr-myhealtheu)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	EncounterEuHdr	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				Content/Rules for all slices
extension:note		0..*	Annotation	Enconter note URL: http://hl7.org/fhir/StructureDefinition/note
extension:legalStatus		0..*	CodeableReference(Condition)	Legal status/situation at admission URL: http://hl7.eu/fhir/StructureDefinition/encounter-legalStatus Binding: Example of Legal Status at admission (example)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	Status of this Hospital stay Binding: In-patient Encounter Status Value Set (required) Required Pattern: finished
class	Σ	1..1	Coding	Classification of patient encounter Binding: eHDSI Encounter Class (required)
priority	O	0..1	CodeableConcept	Encounter priority Binding: eHDSI Admission Urgency (required) Obligations Actor SHALL:handle HDR Handler
subject	Σ	1..1	Reference(Patient: HDR)	The patient present at the encounter
Slices for participant	Σ	0..*	BackboneElement	List of participants involved in the encounters. Slice: Unordered, Open by value:type
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
individual	Σ	0..1	Reference(Practitioner: HDR | PractitionerRole:: HDR | RelatedPerson)	Persons involved in the encounter other than the patient
participant:admitter	OΣ	0..*	BackboneElement	Admitting professional. Obligations Actor SHALL:handle HDR Handler
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ADM
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
individual	OΣ	0..1	Reference(PractitionerRole:: HDR)	Persons involved in the encounter other than the patient Obligations Actor SHALL:handle HDR Handler
participant:discharger	OΣ	0..*	BackboneElement	Discharging professional. Obligations Actor SHALL:handle HDR Handler
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DIS
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
individual	OΣ	0..1	Reference(PractitionerRole:: HDR)	Persons involved in the encounter other than the patient Obligations Actor SHALL:handle HDR Handler
participant:referrer	Σ	0..*	BackboneElement	Referring professional
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
individual	Σ	0..1	Reference(Practitioner: HDR | PractitionerRole:: HDR | RelatedPerson)	Persons involved in the encounter other than the patient
reasonCode	OΣ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: eHDSI Admission Reason With Exceptions (required) Obligations Actor SHALL:handle HDR Handler
reasonReference	OΣ	0..*	Reference(Observation | Condition | Procedure)	Reason the encounter takes place (reference) Obligations Actor SHALL:handle HDR Handler
hospitalization	O	0..1	BackboneElement	Details about the admission to a healthcare service Obligations Actor SHALL:handle HDR Handler
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
destination		0..1	Reference(Organization: HDR | Location: HDR)	Location/organization to which the patient is discharged
dischargeDisposition	O	0..1	CodeableConcept	Category or kind of location after discharge Binding: eHDSI Discharge Disposition With Exceptions (required) Obligations Actor SHALL:handle HDR Handler
serviceProvider		0..1	Reference(Organization: HDR)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter: HDR)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.status	Base	required	In-patient Encounter Status Value Set	📦0.1.0-ballot	HL7 Europe Hospital Discharge Report v0.1
Encounter.class	Base	required	eHDSI Encounter Class	📦9.1.0	This IG
Encounter.priority	Base	required	eHDSI Admission Urgency	📦9.1.0	This IG
Encounter.participant:admitter.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:discharger.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:referrer.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.reasonCode	Base	required	eHDSI Admission Reason With Exceptions	📦9.1.0	This IG
Encounter.hospitalization.​dischargeDisposition	Base	required	eHDSI Discharge Disposition With Exceptions	📦9.1.0	This IG

Constraints

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())
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 EncounterEuHdr

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter			EncounterEuHdr
status		1..1	code	Status of this Hospital stay Required Pattern: finished
class		1..1	Coding	Classification of patient encounter Binding: eHDSI Encounter Class (required)
priority	O	0..1	CodeableConcept	Encounter priority Binding: eHDSI Admission Urgency (required) Obligations Actor SHALL:handle HDR Handler
subject		1..1	Reference(Patient: HDR)	The patient present at the encounter
participant		0..*	BackboneElement	List of participants involved in the encounters.
individual		0..1	Reference(Practitioner: HDR | PractitionerRole:: HDR | RelatedPerson)	Persons involved in the encounter other than the patient
Slices for participant				Content/Rules for all slices
participant:admitter	O	0..*	BackboneElement	Admitting professional. Obligations Actor SHALL:handle HDR Handler
individual	O	0..1	Reference(PractitionerRole:: HDR)	Persons involved in the encounter other than the patient Obligations Actor SHALL:handle HDR Handler
participant:discharger	O	0..*	BackboneElement	Discharging professional. Obligations Actor SHALL:handle HDR Handler
individual	O	0..1	Reference(PractitionerRole:: HDR)	Persons involved in the encounter other than the patient Obligations Actor SHALL:handle HDR Handler
participant:referrer		0..*	BackboneElement	Referring professional
individual		0..1	Reference(Practitioner: HDR | PractitionerRole:: HDR | RelatedPerson)	Persons involved in the encounter other than the patient
period
start	O	1..1	dateTime	Starting time with inclusive boundary Obligations Actor SHALL:handle HDR Handler
end	O	1..1	dateTime	End time with inclusive boundary, if not ongoing Obligations Actor SHALL:handle HDR Handler
reasonCode	O	0..*	CodeableConcept	Coded reason the encounter takes place Binding: eHDSI Admission Reason With Exceptions (required) Obligations Actor SHALL:handle HDR Handler
reasonReference	O	0..*	Reference(Observation | Condition | Procedure)	Reason the encounter takes place (reference) Obligations Actor SHALL:handle HDR Handler
hospitalization	O	0..1	BackboneElement	Details about the admission to a healthcare service Obligations Actor SHALL:handle HDR Handler
destination		0..1	Reference(Organization: HDR | Location: HDR)	Location/organization to which the patient is discharged
dischargeDisposition	O	0..1	CodeableConcept	Category or kind of location after discharge Binding: eHDSI Discharge Disposition With Exceptions (required) Obligations Actor SHALL:handle HDR Handler
location
location		1..1	Reference(Location: HDR)	Location the encounter takes place
serviceProvider		0..1	Reference(Organization: HDR)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter: HDR)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Encounter.class	Base	required	eHDSI Encounter Class	📦9.1.0	This IG
Encounter.priority	Base	required	eHDSI Admission Urgency	📦9.1.0	This IG
Encounter.reasonCode	Base	required	eHDSI Admission Reason With Exceptions	📦9.1.0	This IG
Encounter.hospitalization.​dischargeDisposition	Base	required	eHDSI Discharge Disposition With Exceptions	📦9.1.0	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	EncounterEuHdr	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. Additional Bindings Purpose AllLanguages Max Binding
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:note		0..*	Annotation	Enconter note URL: http://hl7.org/fhir/StructureDefinition/note
extension:legalStatus		0..*	CodeableReference(Condition)	Legal status/situation at admission URL: http://hl7.eu/fhir/StructureDefinition/encounter-legalStatus Binding: Example of Legal Status at admission (example)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier(s) by which this encounter is known.
status	?!Σ	1..1	code	Status of this Hospital stay Binding: In-patient Encounter Status Value Set (required) Required Pattern: finished
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	Σ	1..1	Coding	Classification of patient encounter Binding: eHDSI Encounter Class (required)
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	Σ	0..*	CodeableConcept	Specific type of Hospital stay Binding: In-patient Encounter Type Value Set (example)
serviceType	Σ	0..1	CodeableConcept	Specific type of service. Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority	O	0..1	CodeableConcept	Encounter priority Binding: eHDSI Admission Urgency (required) Obligations Actor SHALL:handle HDR Handler
subject	Σ	1..1	Reference(Patient: HDR)	The patient 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 request for which this encounter has been made
Slices for participant	Σ	0..*	BackboneElement	List of participants involved in the encounters. Slice: Unordered, Open by value:type
participant: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
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner: HDR | PractitionerRole:: HDR | RelatedPerson)	Persons involved in the encounter other than the patient
participant:admitter	OΣ	0..*	BackboneElement	Admitting professional. Obligations Actor SHALL:handle HDR Handler
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	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ADM
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	OΣ	0..1	Reference(PractitionerRole:: HDR)	Persons involved in the encounter other than the patient Obligations Actor SHALL:handle HDR Handler
participant:discharger	OΣ	0..*	BackboneElement	Discharging professional. Obligations Actor SHALL:handle HDR Handler
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	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DIS
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	OΣ	0..1	Reference(PractitionerRole:: HDR)	Persons involved in the encounter other than the patient Obligations Actor SHALL:handle HDR Handler
participant:referrer	Σ	0..*	BackboneElement	Referring professional
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	Σ	1..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner: HDR | PractitionerRole:: HDR | RelatedPerson)	Persons involved in the encounter other than the patient
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period		0..1	Period	The start and end time of 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
start	OΣC	1..1	dateTime	Starting time with inclusive boundary Obligations Actor SHALL:handle HDR Handler
end	OΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing Obligations Actor SHALL:handle HDR Handler
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	OΣ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: eHDSI Admission Reason With Exceptions (required) Obligations Actor SHALL:handle HDR Handler
reasonReference	OΣ	0..*	Reference(Observation | Condition | Procedure)	Reason the encounter takes place (reference) Obligations Actor SHALL:handle HDR Handler
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter, see comment
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		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	O	0..1	BackboneElement	Details about the admission to a healthcare service Obligations Actor SHALL:handle HDR Handler
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(Organization: HDR | Location: HDR)	Location/organization to which the patient is discharged
dischargeDisposition	O	0..1	CodeableConcept	Category or kind of location after discharge Binding: eHDSI Discharge Disposition With Exceptions (required) Obligations Actor SHALL:handle HDR Handler
location		0..*	BackboneElement	Locations where the patient stayed
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		1..1	Reference(Location: HDR)	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	Location period
serviceProvider		0..1	Reference(Organization: HDR)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter: HDR)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Encounter.status	Base	required	In-patient Encounter Status Value Set	📦0.1.0-ballot	HL7 Europe Hospital Discharge Report v0.1
Encounter.statusHistory.​status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	required	eHDSI Encounter Class	📦9.1.0	This IG
Encounter.classHistory.​class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.0
Encounter.type	Base	example	In-patient Encounter Type Value Set	📦0.1.0-ballot	HL7 Europe Hospital Discharge Report v0.1
Encounter.serviceType	Base	example	Service type	📦4.0.1	FHIR Std.
Encounter.priority	Base	required	eHDSI Admission Urgency	📦9.1.0	This IG
Encounter.participant.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:admitter.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:discharger.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.participant:referrer.​type	Base	extensible	Participant type	📦4.0.1	FHIR Std.
Encounter.reasonCode	Base	required	eHDSI Admission Reason With Exceptions	📦9.1.0	This IG
Encounter.diagnosis.​use	Base	preferred	DiagnosisRole	📦4.0.1	FHIR Std.
Encounter.hospitalization.​admitSource	Base	preferred	Admit source	📦4.0.1	FHIR Std.
Encounter.hospitalization.​reAdmission	Base	example	hl7VS-re-admissionIndicator	📦2.0.0	THO v7.0
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	required	eHDSI Discharge Disposition With Exceptions	📦9.1.0	This IG
Encounter.location.status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location.physicalType	Base	example	Location type	📦4.0.1	FHIR Std.

Constraints

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())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from EncounterEuHdr

Summary

Mandatory: 0 element(2 nested mandatory elements)

Structures

This structure refers to these other structures:

• Patient: HDR (http://fhir.ehdsi.eu/hdr/StructureDefinition/patient-hdr-myhealtheu)
• Practitioner: HDR (http://fhir.ehdsi.eu/hdr/StructureDefinition/practitioner-hdr-myhealtheu)
• PractitionerRole:: HDR (http://fhir.ehdsi.eu/hdr/StructureDefinition/practitionerRole-hdr-myhealtheu)
• Organization: HDR (http://fhir.ehdsi.eu/hdr/StructureDefinition/organization-hdr-myhealtheu)
• Location: HDR (http://fhir.ehdsi.eu/hdr/StructureDefinition/location-hdr-myhealtheu)
• Encounter: HDR (http://fhir.ehdsi.eu/hdr/StructureDefinition/encounter-hdr-myhealtheu)