MediRecords FHIR Implementation Guide
1.4.2 - release


Resource Profile: MR Encounter

Defining URL:https://fhir.medirecords.com/StructureDefinition/mr-encounter-core
Version:1.4.2
Name:MREncounter
Title:MR Encounter
Status:Active as of 2025-04-04 01:10:23+0000
Definition:

MediRecords core Encounter profile to record visit related details for a patient in context. This includes details on venue, encounter start and finish time, reason for encounter, type and participating practitioner.

Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

https://fhir.medirecords.com/StructureDefinition/mr-encounter-core

Formal Views of Profile Content

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

This structure is derived from AUBaseEncounter

Summary

Mandatory: 7 elements(1 nested mandatory element)
Must-Support: 14 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Encounter.participant

This structure is derived from AUBaseEncounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter C 0..* AUBaseEncounter An encounter in an Australian healthcare context
inv-mr-consult-period-end-01: Medirecords supports period.end for only 'finished' consultation status
inv-mr-consult-period-end-02: Medirecords expects period.end value if the consultation status is set to 'finished'
... meta 0..1 MRMeta Metadata about a resource
.... lastUpdated S 0..1 instant When the resource version last changed
.... security S 0..* Coding Security Labels applied to this resource
... status SC 1..1 code in-progress | finished
inv-mr-consult-status-01: Medirecords only supports 'in-progress' or 'finished' status
... class S 1..1 Coding General consultation type, e.g. Inpatient, Outpatient, Virtual, etc
Binding: MediRecords Encounter Class ValueSet (required)
.... coding 0..1 Coding Coded consultation type
.... text 0..1 string Consultation type text
... subject S 1..1 Reference(MR Patient) The patient or group present at the encounter
... episodeOfCare S 0..* Reference(MR EpisodeOfCare) Cases the Encounter is linked to
.... reference 1..1 string Relative reference to EpisodeOfCare representing the case
... Slices for participant 1..* BackboneElement This is about the participant who is the performer
Slice: Unordered, Open by pattern:type
.... participant:performer S 1..1 BackboneElement List of participants involved in the encounter
..... type S 1..* CodeableConcept Role of participant in encounter
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PPRF
..... individual S 1..1 Reference(MR Practitioner) Persons involved in the encounter other than the patient
... period 1..1 Period The start and end time of the encounter
.... start S 0..1 dateTime Starting time with inclusive boundary
.... end S 0..1 dateTime End time with inclusive boundary, if not ongoing
... reasonCode S 0..* CodeableConcept Coded reason the encounter takes place
... serviceProvider S 1..1 Reference(Organization) The organization (facility) responsible for this encounter

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter C 0..* AUBaseEncounter An encounter in an Australian healthcare context
inv-mr-consult-period-end-01: Medirecords supports period.end for only 'finished' consultation status
inv-mr-consult-period-end-02: Medirecords expects period.end value if the consultation status is set to 'finished'
... id Σ 0..1 id Logical id of this artifact
... meta 0..1 MRMeta Metadata about a resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security SΣC 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


inv-mr-meta-security-01: Medirecords supports only U, R security code
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... encounterDescription 0..1 string Description, overview or summary of an encounter
URL: http://hl7.org.au/fhir/StructureDefinition/encounter-description
.... associatedHealthcareService 0..* Reference(HealthcareService) Associated healthcare service
URL: http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) by which this encounter is known
... status ?!SΣC 1..1 code in-progress | finished
Binding: EncounterStatus (required): Current state of the encounter.


inv-mr-consult-status-01: Medirecords only supports 'in-progress' or 'finished' status
... 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 General consultation type, e.g. Inpatient, Outpatient, Virtual, etc
Binding: MediRecords Encounter Class ValueSet (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 SΣ 0..1 CodeableConcept Specific consultation type
Binding: Encounter Type . (extensible)
.... 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..1 Coding Coded consultation type
.... text Σ 0..1 string Consultation type text
... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... subject SΣ 1..1 Reference(MR Patient) The patient or group present at the encounter
... episodeOfCare SΣ 0..* Reference(MR EpisodeOfCare) Cases the Encounter is linked to
.... 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 1..1 string Relative reference to EpisodeOfCare representing the case
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
... Slices for participant Σ 1..* BackboneElement This is about the participant who is the performer
Slice: Unordered, Open by pattern: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 | PractitionerRole | RelatedPerson) Persons involved in the encounter other than the patient
.... participant:performer SΣ 1..1 BackboneElement List of participants involved in the encounter
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type SΣ 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: PPRF
....... 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 SΣ 1..1 Reference(MR Practitioner) Persons involved in the encounter other than the patient
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... period 1..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.


... reasonReference Σ 0..* Reference(Condition | Procedure | 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 Σ 1..1 Reference(Condition | Procedure) 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 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 0..1 CodeableConcept Separation Mode
Binding: Separation Mode . (extensible)
... location 0..* 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 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 1..1 Reference(Organization) The organization (facility) responsible for this encounter
... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* AUBaseEncounter An encounter in an Australian healthcare context
... meta 0..1 MRMeta Metadata about a resource
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... security ΣC 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


inv-mr-meta-security-01: Medirecords supports only U, R security code
... status ?!ΣC 1..1 code in-progress | finished
Binding: EncounterStatus (required): Current state of the encounter.


inv-mr-consult-status-01: Medirecords only supports 'in-progress' or 'finished' status
... class Σ 1..1 Coding General consultation type, e.g. Inpatient, Outpatient, Virtual, etc
Binding: MediRecords Encounter Class ValueSet (required)
... subject Σ 1..1 Reference(MR Patient) The patient or group present at the encounter
... episodeOfCare Σ 0..* Reference(MR EpisodeOfCare) Cases the Encounter is linked to
... Slices for participant Content/Rules for all slices
.... participant:performer Σ 1..1 BackboneElement List of participants involved in the encounter
..... type Σ 1..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PPRF
..... individual Σ 1..1 Reference(MR Practitioner) Persons involved in the encounter other than the patient
... period 1..1 Period The start and end time of the encounter
.... start ΣC 0..1 dateTime Starting time with inclusive boundary
.... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
... reasonCode Σ 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... serviceProvider 1..1 Reference(Organization) The organization (facility) responsible for this encounter

doco Documentation for this format

This structure is derived from AUBaseEncounter

Summary

Mandatory: 7 elements(1 nested mandatory element)
Must-Support: 14 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Encounter.participant

Differential View

This structure is derived from AUBaseEncounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter C 0..* AUBaseEncounter An encounter in an Australian healthcare context
inv-mr-consult-period-end-01: Medirecords supports period.end for only 'finished' consultation status
inv-mr-consult-period-end-02: Medirecords expects period.end value if the consultation status is set to 'finished'
... meta 0..1 MRMeta Metadata about a resource
.... lastUpdated S 0..1 instant When the resource version last changed
.... security S 0..* Coding Security Labels applied to this resource
... status SC 1..1 code in-progress | finished
inv-mr-consult-status-01: Medirecords only supports 'in-progress' or 'finished' status
... class S 1..1 Coding General consultation type, e.g. Inpatient, Outpatient, Virtual, etc
Binding: MediRecords Encounter Class ValueSet (required)
.... coding 0..1 Coding Coded consultation type
.... text 0..1 string Consultation type text
... subject S 1..1 Reference(MR Patient) The patient or group present at the encounter
... episodeOfCare S 0..* Reference(MR EpisodeOfCare) Cases the Encounter is linked to
.... reference 1..1 string Relative reference to EpisodeOfCare representing the case
... Slices for participant 1..* BackboneElement This is about the participant who is the performer
Slice: Unordered, Open by pattern:type
.... participant:performer S 1..1 BackboneElement List of participants involved in the encounter
..... type S 1..* CodeableConcept Role of participant in encounter
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PPRF
..... individual S 1..1 Reference(MR Practitioner) Persons involved in the encounter other than the patient
... period 1..1 Period The start and end time of the encounter
.... start S 0..1 dateTime Starting time with inclusive boundary
.... end S 0..1 dateTime End time with inclusive boundary, if not ongoing
... reasonCode S 0..* CodeableConcept Coded reason the encounter takes place
... serviceProvider S 1..1 Reference(Organization) The organization (facility) responsible for this encounter

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter C 0..* AUBaseEncounter An encounter in an Australian healthcare context
inv-mr-consult-period-end-01: Medirecords supports period.end for only 'finished' consultation status
inv-mr-consult-period-end-02: Medirecords expects period.end value if the consultation status is set to 'finished'
... id Σ 0..1 id Logical id of this artifact
... meta 0..1 MRMeta Metadata about a resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security SΣC 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


inv-mr-meta-security-01: Medirecords supports only U, R security code
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... encounterDescription 0..1 string Description, overview or summary of an encounter
URL: http://hl7.org.au/fhir/StructureDefinition/encounter-description
.... associatedHealthcareService 0..* Reference(HealthcareService) Associated healthcare service
URL: http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) by which this encounter is known
... status ?!SΣC 1..1 code in-progress | finished
Binding: EncounterStatus (required): Current state of the encounter.


inv-mr-consult-status-01: Medirecords only supports 'in-progress' or 'finished' status
... 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 General consultation type, e.g. Inpatient, Outpatient, Virtual, etc
Binding: MediRecords Encounter Class ValueSet (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 SΣ 0..1 CodeableConcept Specific consultation type
Binding: Encounter Type . (extensible)
.... 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..1 Coding Coded consultation type
.... text Σ 0..1 string Consultation type text
... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... subject SΣ 1..1 Reference(MR Patient) The patient or group present at the encounter
... episodeOfCare SΣ 0..* Reference(MR EpisodeOfCare) Cases the Encounter is linked to
.... 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 1..1 string Relative reference to EpisodeOfCare representing the case
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
... Slices for participant Σ 1..* BackboneElement This is about the participant who is the performer
Slice: Unordered, Open by pattern: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 | PractitionerRole | RelatedPerson) Persons involved in the encounter other than the patient
.... participant:performer SΣ 1..1 BackboneElement List of participants involved in the encounter
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type SΣ 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: PPRF
....... 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 SΣ 1..1 Reference(MR Practitioner) Persons involved in the encounter other than the patient
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... period 1..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.


... reasonReference Σ 0..* Reference(Condition | Procedure | 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 Σ 1..1 Reference(Condition | Procedure) 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 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 0..1 CodeableConcept Separation Mode
Binding: Separation Mode . (extensible)
... location 0..* 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 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 1..1 Reference(Organization) The organization (facility) responsible for this encounter
... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Encounter.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
Encounter.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classrequiredMREncounterClassValueSet
https://fhir.medirecords.com/ValueSet/mr-encounter-class-code
from this IG
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typeextensibleEncounterType .
https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1
Encounter.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Encounter.priorityexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.episodeOfCare.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.participant:performer.typeextensiblePattern: PPRF
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Encounter.diagnosis.usepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard
Encounter.hospitalization.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
from the FHIR Standard
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionextensibleSeparationMode . (a valid code from https://healthterminologies.gov.au/fhir/CodeSystem/separation-mode-1)
https://healthterminologies.gov.au/fhir/ValueSet/separation-mode-1
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
from the FHIR Standard
Encounter.location.physicalTypeexampleLocationType
http://hl7.org/fhir/ValueSet/location-physical-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
inv-mr-consult-period-end-01errorEncounterMedirecords supports period.end for only 'finished' consultation status
: period.end.exists() implies (status = 'finished')
inv-mr-consult-period-end-02errorEncounterMedirecords expects period.end value if the consultation status is set to 'finished'
: status = 'finished' implies (period.end.exists())
inv-mr-consult-status-01errorEncounter.statusMedirecords only supports 'in-progress' or 'finished' status
: $this.exists() implies ($this = 'in-progress' or $this = 'finished')
inv-mr-meta-security-01errorEncounter.meta.securityMedirecords supports only U, R security code
: code.exists() implies (code = 'U' or code = 'R')