NHSDigital-Encounter

Profile url FHIR Module Maturity Level
https://fhir.nhs.uk/StructureDefinition/NHSDigital-Encounter Administration draft


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value1..
class
type
serviceTypeBinding
system1..
value1..
system1..
value1..
system1..
value1..
system1..
value1..
appointmentReference(NHSDigitalAppointment)
period
reasonCodeS
dischargeDisposition
location
partOf

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class
type
serviceTypeBinding
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value1..
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value1..
system1..
value1..
system1..
value1..
appointmentReference(NHSDigitalAppointment)
period
reasonCodeS
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).