NHSDigital-Encounter
| Profile url | FHIR Module | Maturity Level |
|---|---|---|
| https://fhir.nhs.uk/StructureDefinition/NHSDigital-Encounter | Administration | draft |
with
| Encounter | Encounter | ||
| identifier | S | 1.. | |
| system | 1.. | ||
| value | 1.. | ||
| class | |||
| type | |||
| serviceType | Binding | ||
| subject | S I | ||
| identifier | |||
| system | 1.. | ||
| value | 1.. | ||
| episodeOfCare | |||
| identifier | |||
| system | 1.. | ||
| value | 1.. | ||
| basedOn | Reference(NHSDigitalServiceRequest) | ||
| identifier | |||
| system | 1.. | ||
| value | 1.. | ||
| participant | S | ||
| individual | S | ||
| identifier | |||
| system | 1.. | ||
| value | 1.. | ||
| appointment | Reference(NHSDigitalAppointment) | ||
| period | |||
| reasonCode | S | ||
| hospitalization | |||
| dischargeDisposition | |||
| location | |||
| partOf |
from
| Encounter | Encounter | ||
| identifier | S | 1.. | |
| system | 1.. | ||
| value | 1.. | ||
| class | |||
| type | |||
| serviceType | Binding | ||
| subject | S I | ||
| identifier | |||
| system | 1.. | ||
| value | 1.. | ||
| episodeOfCare | |||
| identifier | |||
| system | 1.. | ||
| value | 1.. | ||
| basedOn | Reference(NHSDigitalServiceRequest) | ||
| identifier | |||
| system | 1.. | ||
| value | 1.. | ||
| participant | S | ||
| individual | S | ||
| identifier | |||
| system | 1.. | ||
| value | 1.. | ||
| appointment | Reference(NHSDigitalAppointment) | ||
| period | |||
| reasonCode | S | ||
| hospitalization | |||
| dischargeDisposition | |||
| location | |||
| partOf |
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Definition
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.
identifier
| Element Id | Encounter.identifier |
| Cardinality | 1..* |
| type | Identifier |
Definition
In ITK HL7v2 this is PV1.19 Visit Number .
Identifier(s) by which this encounter is known.
subject
| Element Id | Encounter.subject |
| Cardinality | 0..1 |
| type | Reference(Group UKCorePatient) |
Definition
The patient or group present at the encounter.
Comment
While the encounter is always about the patient, the patient might not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked).
Constraints
- patient-reference (WARNING) subject - An identifier reference or resource reference must be provided
- patient-nhs (ERROR) Supplied NHS Number is outside the English and Welsh NHS Number range or length of the number is wrong.
participant
| Element Id | Encounter.participant |
| Cardinality | 0..* |
| type | BackboneElement |
Definition
In HL7v2 this is PV1.7 Attending Doctor, PV1.8 Referring Doctor and PV1.9 Consulting Doctoer
The list of people responsible for providing the service.
participant.individual
| Element Id | Encounter.participant.individual |
| Cardinality | 0..1 |
| type | Reference(UKCorePractitioner UKCorePractitionerRole UKCoreRelatedPerson) |
Definition
Persons involved in the encounter other than the patient.
reasonCode
| Element Id | Encounter.reasonCode |
| Cardinality | 0..* |
| Terminology Binding | EncounterReasonCodes (Preferred) Reason why the encounter takes place. |
| type | CodeableConcept |
Definition
Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.
Comment
For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).