http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1

An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.
NameFlagsCardTypeDescription & Constraints
Encounter
0..*An interaction during which services are provided to the patient
 
identifier
Σ
0..*IdentifierIdentifier(s) by which this encounter is known
 
status *
?!Σ
1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled + EncounterStatus (required)
 
statusHistory
0..*BackboneElementList of past encounter statuses
 
 
status *
1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled + EncounterStatus (required)
 
 
period *
1..1PeriodThe time that the episode was in the specified status
 
class *
Σ
1..1CodingClassification of patient encounter EncounterClass (extensible)
 
classHistory
0..*BackboneElementList of past encounter classes
 
 
class *
1..1Codinginpatient | outpatient | ambulatory | emergency + EncounterClass (extensible)
 
 
period *
1..1PeriodThe time that the episode was in the specified class
 
type
Σ
0..*CodeableConceptSpecific type of encounter EncounterType (example)
 
serviceType
Σ
0..1CodeableConceptSpecific type of service EncounterServiceType (example)
 
priority
0..1CodeableConceptIndicates the urgency of the encounter Priority (example)
 
subject
Σ
0..1ReferenceThe patient or group present at the encounter
 
episodeOfCare
Σ
0..*ReferenceEpisode(s) of care that this encounter should be recorded against
 
basedOn
0..*ReferenceThe ServiceRequest that initiated this encounter
 
participant
Σ
0..*BackboneElementList of participants involved in the encounter
 
 
type
Σ
0..*CodeableConceptRole of participant in encounter ParticipantType (extensible)
 
 
period
0..1PeriodPeriod of time during the encounter that the participant participated
 
 
individual
Σ
0..1ReferencePersons involved in the encounter other than the patient
 
appointment
Σ
0..*ReferenceThe appointment that scheduled this encounter
 
period
0..1PeriodThe start and end time of the encounter
 
length
0..1DurationQuantity of time the encounter lasted (less time absent)
 
reasonCode
Σ
0..*CodeableConceptCoded reason the encounter takes place EncounterReason (preferred)
 
reasonReference
Σ
0..*ReferenceReason the encounter takes place (reference)
 
diagnosis
Σ
0..*BackboneElementThe list of diagnosis relevant to this encounter
 
 
condition *
Σ
1..1ReferenceThe diagnosis or procedure relevant to the encounter
 
 
use
0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …) DiagnosisRole (preferred)
 
 
rank
0..1positiveIntRanking of the diagnosis (for each role type)
 
account
0..*ReferenceThe set of accounts that may be used for billing for this Encounter
 
hospitalization
0..1BackboneElementDetails about the admission to a healthcare service
 
 
preAdmissionIdentifier
0..1IdentifierPre-admission identifier
 
 
origin
0..1ReferenceThe location/organization from which the patient came before admission
 
 
admitSource
0..1CodeableConceptFrom where patient was admitted (physician referral, transfer) AdmitSource (preferred)
 
 
reAdmission
0..1CodeableConceptThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission ReAdmissionType (example)
 
 
dietPreference
0..*CodeableConceptDiet preferences reported by the patient PatientDiet (example)
 
 
specialCourtesy
0..*CodeableConceptSpecial courtesies (VIP, board member) Courtesies (preferred)
 
 
specialArrangement
0..*CodeableConceptWheelchair, translator, stretcher, etc. Arrangements (preferred)
 
 
destination
0..1ReferenceLocation/organization to which the patient is discharged
 
 
dischargeDisposition
0..1CodeableConceptCategory or kind of location after discharge DischargeDisp (example)
 
location
0..*BackboneElementList of locations where the patient has been
 
 
location *
1..1ReferenceLocation the encounter takes place
 
 
status
0..1codeplanned | active | reserved | completed EncounterLocationStatus (required)
 
 
physicalType
0..1CodeableConceptThe physical type of the location (usually the level in the location hierachy - bed room ward etc.) PhysicalType (example)
 
 
period
0..1PeriodTime period during which the patient was present at the location
 
serviceProvider
0..1ReferenceThe organization (facility) responsible for this encounter
 
partOf
0..1ReferenceAnother Encounter this encounter is part of