UK Core Implementation Guide STU3 Sequence - Sprint 6 Review

StructureDefinition-UKCore-Encounter

Description

This profile defines the UK constraints and extensions on the International FHIR resource Encounter.

ProfilePurpose

This profile allows exchange of information about an interaction between an individual and healthcare providers for the purpose of providing healthcare services or assessing the health status of an individual.

Snapshot View

admissionMethodI0..1Extension(CodeableConcept)
dischargeMethodI0..1Extension(CodeableConcept)
emergencyCareDischargeStatusI0..1Extension(CodeableConcept)
legalStatusI0..*Extension(Complex)
OutcomeOfAttendanceI0..1Extension(CodeableConcept)
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
statusΣ ?!1..1codeBinding
status1..1codeBinding
periodI1..1Period
classΣ1..1CodingBinding
class1..1CodingBinding
periodI1..1Period
typeΣ0..*CodeableConceptBinding
serviceTypeΣ0..1CodeableConceptBinding
priority0..1CodeableConcept
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
typeΣ0..*CodeableConceptBinding
periodI0..1Period
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
periodI0..1Period
lengthI0..1DurationBinding
reasonCodeΣ0..*CodeableConceptBinding
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
use0..1CodeableConceptBinding
rank0..1positiveInt
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
admitSource0..1CodeableConceptBinding
reAdmission0..1CodeableConcept
dietPreference0..*CodeableConcept
specialCourtesy0..*CodeableConceptBinding
specialArrangement0..*CodeableConceptBinding
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
dischargeDisposition0..1CodeableConceptBinding
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
status0..1codeBinding
physicalType0..1CodeableConceptBinding
periodI0..1Period
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string

Differential View

admissionMethodI0..1Extension(CodeableConcept)
dischargeMethodI0..1Extension(CodeableConcept)
emergencyCareDischargeStatusI0..1Extension(CodeableConcept)
legalStatusI0..*Extension(Complex)
OutcomeOfAttendanceI0..1Extension(CodeableConcept)
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
statusΣ ?!1..1codeBinding
status1..1codeBinding
periodI1..1Period
classΣ1..1CodingBinding
class1..1CodingBinding
periodI1..1Period
typeΣ0..*CodeableConceptBinding
serviceTypeΣ0..1CodeableConceptBinding
priority0..1CodeableConcept
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
typeΣ0..*CodeableConceptBinding
periodI0..1Period
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
periodI0..1Period
lengthI0..1DurationBinding
reasonCodeΣ0..*CodeableConceptBinding
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
use0..1CodeableConceptBinding
rank0..1positiveInt
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
admitSource0..1CodeableConceptBinding
reAdmission0..1CodeableConcept
dietPreference0..*CodeableConcept
specialCourtesy0..*CodeableConceptBinding
specialArrangement0..*CodeableConceptBinding
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
dischargeDisposition0..1CodeableConceptBinding
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
status0..1codeBinding
physicalType0..1CodeableConceptBinding
periodI0..1Period
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string

Hybrid View

admissionMethodI0..1Extension(CodeableConcept)
dischargeMethodI0..1Extension(CodeableConcept)
emergencyCareDischargeStatusI0..1Extension(CodeableConcept)
legalStatusI0..*Extension(Complex)
OutcomeOfAttendanceI0..1Extension(CodeableConcept)
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
statusΣ ?!1..1codeBinding
status1..1codeBinding
periodI1..1Period
classΣ1..1CodingBinding
class1..1CodingBinding
periodI1..1Period
typeΣ0..*CodeableConceptBinding
serviceTypeΣ0..1CodeableConceptBinding
priority0..1CodeableConcept
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
typeΣ0..*CodeableConceptBinding
periodI0..1Period
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
periodI0..1Period
lengthI0..1DurationBinding
reasonCodeΣ0..*CodeableConceptBinding
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
use0..1CodeableConceptBinding
rank0..1positiveInt
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
admitSource0..1CodeableConceptBinding
reAdmission0..1CodeableConcept
dietPreference0..*CodeableConcept
specialCourtesy0..*CodeableConceptBinding
specialArrangement0..*CodeableConceptBinding
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
dischargeDisposition0..1CodeableConceptBinding
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
status0..1codeBinding
physicalType0..1CodeableConceptBinding
periodI0..1Period
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string

Table View

Encounter..
Encounter.extension0..
Encounter.extensionExtension0..
Encounter.extensionExtension0..
Encounter.extensionExtension0..
Encounter.extensionExtension0..
Encounter.extensionExtension0..
Encounter.identifier..
Encounter.identifier.assignerReference(UK Core Organization)..
Encounter.type..
Encounter.serviceType..
Encounter.subjectReference(Group | UK Core Patient)..
Encounter.subject.identifier..
Encounter.subject.identifier.assignerReference(UK Core Organization)..
Encounter.episodeOfCareReference(UK Core EpisodeOfCare)..
Encounter.episodeOfCare.identifier..
Encounter.episodeOfCare.identifier.assignerReference(UK Core Organization)..
Encounter.basedOnReference(UK Core ServiceRequest)..
Encounter.basedOn.identifier..
Encounter.basedOn.identifier.assignerReference(UK Core Organization)..
Encounter.participant..
Encounter.participant.individualReference(UK Core Practitioner | UK Core PractitionerRole | UK Core RelatedPerson)..
Encounter.participant.individual.identifier..
Encounter.participant.individual.identifier.assignerReference(UK Core Organization)..
Encounter.appointmentReference(UK Core Appointment)..
Encounter.appointment.identifier..
Encounter.appointment.identifier.assignerReference(UK Core Organization)..
Encounter.reasonReferenceReference(UK Core Condition | UK Core Procedure | UK Core Observation | ImmunizationRecommendation)..
Encounter.reasonReference.identifier..
Encounter.reasonReference.identifier.assignerReference(UK Core Organization)..
Encounter.diagnosis..
Encounter.diagnosis.conditionReference(UK Core Condition | UK Core Procedure)..
Encounter.diagnosis.condition.identifier..
Encounter.diagnosis.condition.identifier.assignerReference(UK Core Organization)..
Encounter.account..
Encounter.account.identifier..
Encounter.account.identifier.assignerReference(UK Core Organization)..
Encounter.hospitalization..
Encounter.hospitalization.preAdmissionIdentifier..
Encounter.hospitalization.preAdmissionIdentifier.assignerReference(UK Core Organization)..
Encounter.hospitalization.originReference(UK Core Location | UK Core Organization)..
Encounter.hospitalization.origin.identifier..
Encounter.hospitalization.origin.identifier.assignerReference(UK Core Organization)..
Encounter.hospitalization.admitSource..
Encounter.hospitalization.destinationReference(UK Core Organization | UK Core Location)..
Encounter.hospitalization.destination.identifier..
Encounter.hospitalization.destination.identifier.assignerReference(UK Core Organization)..
Encounter.hospitalization.dischargeDisposition..
Encounter.location..
Encounter.location.locationReference(UK Core Location)..
Encounter.location.location.identifier..
Encounter.location.location.identifier.assignerReference(UK Core Organization)..
Encounter.location.physicalType..
Encounter.serviceProviderReference(UK Core Organization)..
Encounter.serviceProvider.identifier..
Encounter.serviceProvider.identifier.assignerReference(UK Core Organization)..
Encounter.partOfReference(UK Core Encounter)..
Encounter.partOf.identifier..
Encounter.partOf.identifier.assignerReference(UK Core Organization)..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="UKCore-Encounter" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Encounter" />
    <version value="2.3.0" />
    <name value="UKCoreEncounter" />
    <title value="UK Core Encounter" />
    <status value="active" />
    <date value="2023-02-14" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="ukcore@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <description value="This profile defines the UK constraints and extensions on the International FHIR resource [Encounter](https://hl7.org/fhir/R4/Encounter.html)." />
    <purpose value="This profile allows exchange of information about an interaction between an individual and healthcare providers for the purpose of providing healthcare services or assessing the health status of an individual." />
    <copyright value="Copyright &#169; 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the &quot;License&quot;); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an &quot;AS IS&quot; BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7&#174; FHIR&#174; standard Copyright &#169; 2011+ HL7 The HL7&#174; FHIR&#174; standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html." />
    <fhirVersion value="4.0.1" />
    <mapping>
        <identity value="workflow" />
        <uri value="http://hl7.org/fhir/workflow" />
        <name value="Workflow Pattern" />
    </mapping>
    <mapping>
        <identity value="rim" />
        <uri value="http://hl7.org/v3" />
        <name value="RIM Mapping" />
    </mapping>
    <mapping>
        <identity value="w5" />
        <uri value="http://hl7.org/fhir/fivews" />
        <name value="FiveWs Pattern Mapping" />
    </mapping>
    <mapping>
        <identity value="v2" />
        <uri value="http://hl7.org/v2" />
        <name value="HL7 v2 Mapping" />
    </mapping>
    <kind value="resource" />
    <abstract value="false" />
    <type value="Encounter" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Encounter" />
    <derivation value="constraint" />
    <differential>
        <element id="Encounter.extension">
            <path value="Encounter.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="0" />
        </element>
        <element id="Encounter.extension:admissionMethod">
            <path value="Encounter.extension" />
            <sliceName value="admissionMethod" />
            <short value="An extension to support the method by which an individual was admitted into hospital." />
            <definition value="This extension has been developed to demonstrate the representation of the method by which a patient was admitted to hospital." />
            <min value="0" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdmissionMethod" />
            </type>
        </element>
        <element id="Encounter.extension:dischargeMethod">
            <path value="Encounter.extension" />
            <sliceName value="dischargeMethod" />
            <short value="An extension to support the method of discharge from a hospital." />
            <definition value="This extension has been developed to demonstrate the representation of the method by which a patient was discharged from hospital." />
            <min value="0" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod" />
            </type>
        </element>
        <element id="Encounter.extension:emergencyCareDischargeStatus">
            <path value="Encounter.extension" />
            <sliceName value="emergencyCareDischargeStatus" />
            <short value="An extension to support the status of an individual on discharge from an Emergency Care Department." />
            <definition value="This extension has been developed to demonstrate the representation of the status of a patient on discharge from an Emergency Care Department." />
            <min value="0" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus" />
            </type>
        </element>
        <element id="Encounter.extension:legalStatus">
            <path value="Encounter.extension" />
            <sliceName value="legalStatus" />
            <short value="Information relating to a patient&#39;s legal status on admission or discharge." />
            <definition value="Information relating to a patient&#39;s legal status on admission or discharge." />
            <min value="0" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus" />
            </type>
        </element>
        <element id="Encounter.extension:OutcomeOfAttendance">
            <path value="Encounter.extension" />
            <sliceName value="OutcomeOfAttendance" />
            <short value="An extension to support the outcome of an Outpatient attendance." />
            <definition value="This extension has been developed to demonstrate the representation of the outcome of an Outpatient attendance." />
            <min value="0" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance" />
            </type>
        </element>
        <element id="Encounter.identifier.assigner">
            <path value="Encounter.identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Encounter.type">
            <path value="Encounter.type" />
            <binding>
                <strength value="preferred" />
                <description value="A code from the SNOMED Clinical Terminology UK coding system that describes an encounter between a care professional and the patient (or patient&#39;s record)." />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-EncounterType" />
            </binding>
        </element>
        <element id="Encounter.serviceType">
            <path value="Encounter.serviceType" />
            <binding>
                <strength value="preferred" />
                <description value="Any code from the SNOMED CT UK Refset with fully specified name &#39;Services simple reference set (foundation metadata concept)&#39; with Refset Id 1127531000000102." />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-CareSettingType" />
            </binding>
        </element>
        <element id="Encounter.subject">
            <path value="Encounter.subject" />
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" />
            </type>
        </element>
        <element id="Encounter.subject.identifier.assigner">
            <path value="Encounter.subject.identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Encounter.episodeOfCare">
            <path value="Encounter.episodeOfCare" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-EpisodeOfCare" />
            </type>
        </element>
        <element id="Encounter.episodeOfCare.identifier.assigner">
            <path value="Encounter.episodeOfCare.identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Encounter.basedOn">
            <path value="Encounter.basedOn" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest" />
            </type>
        </element>
        <element id="Encounter.basedOn.identifier.assigner">
            <path value="Encounter.basedOn.identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Encounter.participant.individual">
            <path value="Encounter.participant.individual" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson" />
            </type>
        </element>
        <element id="Encounter.participant.individual.identifier.assigner">
            <path value="Encounter.participant.individual.identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Encounter.appointment">
            <path value="Encounter.appointment" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Appointment" />
            </type>
        </element>
        <element id="Encounter.appointment.identifier.assigner">
            <path value="Encounter.appointment.identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Encounter.reasonReference">
            <path value="Encounter.reasonReference" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Procedure" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation" />
            </type>
        </element>
        <element id="Encounter.reasonReference.identifier.assigner">
            <path value="Encounter.reasonReference.identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Encounter.diagnosis">
            <path value="Encounter.diagnosis" />
            <short value="The list of diagnoses relevant to this encounter" />
            <definition value="The list of diagnoses relevant to this encounter." />
        </element>
        <element id="Encounter.diagnosis.condition">
            <path value="Encounter.diagnosis.condition" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Procedure" />
            </type>
        </element>
        <element id="Encounter.diagnosis.condition.identifier.assigner">
            <path value="Encounter.diagnosis.condition.identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Encounter.account.identifier.assigner">
            <path value="Encounter.account.identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Encounter.hospitalization.preAdmissionIdentifier.assigner">
            <path value="Encounter.hospitalization.preAdmissionIdentifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Encounter.hospitalization.origin">
            <path value="Encounter.hospitalization.origin" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Encounter.hospitalization.origin.identifier.assigner">
            <path value="Encounter.hospitalization.origin.identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Encounter.hospitalization.admitSource">
            <path value="Encounter.hospitalization.admitSource" />
            <binding>
                <strength value="preferred" />
                <description value="The source of admission to a Hospital Provider Spell or a Nursing Episode when the Patient is in a Hospital Site or a Care Home." />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-SourceOfAdmission" />
            </binding>
        </element>
        <element id="Encounter.hospitalization.destination">
            <path value="Encounter.hospitalization.destination" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location" />
            </type>
        </element>
        <element id="Encounter.hospitalization.destination.identifier.assigner">
            <path value="Encounter.hospitalization.destination.identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Encounter.hospitalization.dischargeDisposition">
            <path value="Encounter.hospitalization.dischargeDisposition" />
            <binding>
                <strength value="preferred" />
                <description value="The destination of a Patient on completion of a Hospital Provider Spell, or a note that the Patient died or was a still birth." />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-DischargeDestination" />
            </binding>
        </element>
        <element id="Encounter.location.location">
            <path value="Encounter.location.location" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location" />
            </type>
        </element>
        <element id="Encounter.location.location.identifier.assigner">
            <path value="Encounter.location.location.identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Encounter.location.physicalType">
            <path value="Encounter.location.physicalType" />
            <binding>
                <strength value="preferred" />
                <description value="A set of codes that define the physical type of location where an encounter takes place." />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-EncounterLocationType" />
            </binding>
        </element>
        <element id="Encounter.serviceProvider">
            <path value="Encounter.serviceProvider" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Encounter.serviceProvider.identifier.assigner">
            <path value="Encounter.serviceProvider.identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Encounter.partOf">
            <path value="Encounter.partOf" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Encounter" />
            </type>
        </element>
        <element id="Encounter.partOf.identifier.assigner">
            <path value="Encounter.partOf.identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "UKCore-Encounter",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Encounter",
    "version": "2.3.0",
    "name": "UKCoreEncounter",
    "title": "UK Core Encounter",
    "status": "active",
    "date": "2023-02-14",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "ukcore@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        }
    ],
    "description": "This profile defines the UK constraints and extensions on the International FHIR resource [Encounter](https://hl7.org/fhir/R4/Encounter.html).",
    "purpose": "This profile allows exchange of information about an interaction between an individual and healthcare providers for the purpose of providing healthcare services or assessing the health status of an individual.",
    "copyright": "Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the \"License\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \"AS IS\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html.",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "workflow",
            "uri": "http://hl7.org/fhir/workflow",
            "name": "Workflow Pattern"
        },
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        },
        {
            "identity": "w5",
            "uri": "http://hl7.org/fhir/fivews",
            "name": "FiveWs Pattern Mapping"
        },
        {
            "identity": "v2",
            "uri": "http://hl7.org/v2",
            "name": "HL7 v2 Mapping"
        }
    ],
    "kind": "resource",
    "abstract": false,
    "type": "Encounter",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Encounter",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Encounter.extension",
                "path": "Encounter.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "rules": "open"
                },
                "min": 0
            },
            {
                "id": "Encounter.extension:admissionMethod",
                "path": "Encounter.extension",
                "sliceName": "admissionMethod",
                "short": "An extension to support the method by which an individual was admitted into hospital.",
                "definition": "This extension has been developed to demonstrate the representation of the method by which a patient was admitted to hospital.",
                "min": 0,
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdmissionMethod"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.extension:dischargeMethod",
                "path": "Encounter.extension",
                "sliceName": "dischargeMethod",
                "short": "An extension to support the method of discharge from a hospital.",
                "definition": "This extension has been developed to demonstrate the representation of the method by which a patient was discharged from hospital.",
                "min": 0,
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.extension:emergencyCareDischargeStatus",
                "path": "Encounter.extension",
                "sliceName": "emergencyCareDischargeStatus",
                "short": "An extension to support the status of an individual on discharge from an Emergency Care Department.",
                "definition": "This extension has been developed to demonstrate the representation of the status of a patient on discharge from an Emergency Care Department.",
                "min": 0,
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.extension:legalStatus",
                "path": "Encounter.extension",
                "sliceName": "legalStatus",
                "short": "Information relating to a patient's legal status on admission or discharge.",
                "definition": "Information relating to a patient's legal status on admission or discharge.",
                "min": 0,
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.extension:OutcomeOfAttendance",
                "path": "Encounter.extension",
                "sliceName": "OutcomeOfAttendance",
                "short": "An extension to support the outcome of an Outpatient attendance.",
                "definition": "This extension has been developed to demonstrate the representation of the outcome of an Outpatient attendance.",
                "min": 0,
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.identifier.assigner",
                "path": "Encounter.identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.type",
                "path": "Encounter.type",
                "binding": {
                    "strength": "preferred",
                    "description": "A code from the SNOMED Clinical Terminology UK coding system that describes an encounter between a care professional and the patient (or patient's record).",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-EncounterType"
                }
            },
            {
                "id": "Encounter.serviceType",
                "path": "Encounter.serviceType",
                "binding": {
                    "strength": "preferred",
                    "description": "Any code from the SNOMED CT UK Refset with fully specified name 'Services simple reference set (foundation metadata concept)' with Refset Id 1127531000000102.",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-CareSettingType"
                }
            },
            {
                "id": "Encounter.subject",
                "path": "Encounter.subject",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Group",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.subject.identifier.assigner",
                "path": "Encounter.subject.identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.episodeOfCare",
                "path": "Encounter.episodeOfCare",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-EpisodeOfCare"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.episodeOfCare.identifier.assigner",
                "path": "Encounter.episodeOfCare.identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.basedOn",
                "path": "Encounter.basedOn",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.basedOn.identifier.assigner",
                "path": "Encounter.basedOn.identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.participant.individual",
                "path": "Encounter.participant.individual",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.participant.individual.identifier.assigner",
                "path": "Encounter.participant.individual.identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.appointment",
                "path": "Encounter.appointment",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Appointment"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.appointment.identifier.assigner",
                "path": "Encounter.appointment.identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.reasonReference",
                "path": "Encounter.reasonReference",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Procedure",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation",
                            "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.reasonReference.identifier.assigner",
                "path": "Encounter.reasonReference.identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.diagnosis",
                "path": "Encounter.diagnosis",
                "short": "The list of diagnoses relevant to this encounter",
                "definition": "The list of diagnoses relevant to this encounter."
            },
            {
                "id": "Encounter.diagnosis.condition",
                "path": "Encounter.diagnosis.condition",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Procedure"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.diagnosis.condition.identifier.assigner",
                "path": "Encounter.diagnosis.condition.identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.account.identifier.assigner",
                "path": "Encounter.account.identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.hospitalization.preAdmissionIdentifier.assigner",
                "path": "Encounter.hospitalization.preAdmissionIdentifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.hospitalization.origin",
                "path": "Encounter.hospitalization.origin",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.hospitalization.origin.identifier.assigner",
                "path": "Encounter.hospitalization.origin.identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.hospitalization.admitSource",
                "path": "Encounter.hospitalization.admitSource",
                "binding": {
                    "strength": "preferred",
                    "description": "The source of admission to a Hospital Provider Spell or a Nursing Episode when the Patient is in a Hospital Site or a Care Home.",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-SourceOfAdmission"
                }
            },
            {
                "id": "Encounter.hospitalization.destination",
                "path": "Encounter.hospitalization.destination",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.hospitalization.destination.identifier.assigner",
                "path": "Encounter.hospitalization.destination.identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.hospitalization.dischargeDisposition",
                "path": "Encounter.hospitalization.dischargeDisposition",
                "binding": {
                    "strength": "preferred",
                    "description": "The destination of a Patient on completion of a Hospital Provider Spell, or a note that the Patient died or was a still birth.",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-DischargeDestination"
                }
            },
            {
                "id": "Encounter.location.location",
                "path": "Encounter.location.location",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.location.location.identifier.assigner",
                "path": "Encounter.location.location.identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.location.physicalType",
                "path": "Encounter.location.physicalType",
                "binding": {
                    "strength": "preferred",
                    "description": "A set of codes that define the physical type of location where an encounter takes place.",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-EncounterLocationType"
                }
            },
            {
                "id": "Encounter.serviceProvider",
                "path": "Encounter.serviceProvider",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.serviceProvider.identifier.assigner",
                "path": "Encounter.serviceProvider.identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.partOf",
                "path": "Encounter.partOf",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Encounter"
                        ]
                    }
                ]
            },
            {
                "id": "Encounter.partOf.identifier.assigner",
                "path": "Encounter.partOf.identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            }
        ]
    }
}

Examples

Inpatient Encounter - An example to illustrate an inpatient encounter.
Example UKCore-Encounter-InpatientEncounter

Example Usage Scenarios

The following are example usage scenarios for the UK Core Encounter profile:

  • Query for a specific patient encounter
  • Query for recent patient encounters
  • Record or update an encounter

Profile Specific Implementation Guidance:

Extensions

More information about the extensions can be found using the links below.

Extension Context Link Comment
admissionMethod Encounter Extension UKCore-AdmissionMethod
dischargeMethod Encounter Extension UKCore-DischargeMethod
emergencyCareDischargeStatus Encounter Extension UKCore-EmergencyCareDischargeStatus Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.
legalStatus Encounter Extension UKCore-LegalStatus
outcomeOfAttendance Encounter Extension UKCore-OutcomeOfAttendance

Bindings (differential)

More information about the bindings to UK Core ValueSets can be found below.

Context Strength Link
Encounter.extension:admissionMethod Preferred ValueSet UKCore-AdmissionMethod
Encounter.extension:dischargeMethod Preferred ValueSet UKCore-DischargeMethod
Encounter.extension:emergencyCareDischargeStatus Preferred ValueSet UKCore-EmergencyCareDischargeStatus
Encounter.extension:legalStatus.extension:legalStatusContext Extensible ValueSet UKCore-LegalStatusContext
Encounter.extension:legalStatus.extension:legalStatusClassification Preferred ValueSet UKCore-LegalStatusClassification
Encounter.extension:OutcomeOfAttendance Preferred ValueSet UKCore-OutcomeOfAttendance
Encounter.type Preferred ValueSet UKCore-EncounterType
Encounter.serviceType Preferred ValueSet UKCore-CareSettingType
Encounter.hospitalization.admitSource Preferred ValueSet UKCore-SourceOfAdmission
Encounter.hospitalization.dischargeDisposition Preferred ValueSet UKCore-DischargeDestination
Encounter.location.physicalType Preferred ValueSet UKCore-EncounterLocationType

class

This element SHALL be present and the following values must be used. However, an alternative CodeSystem may be used if no suitable code is listed below. The binding is to the International FHIR ValueSet v3 ActEncounterCode, and is shown expanded here due to the complexity of included and excluded codes.

Code Display Definition
AMB ambulatory A comprehensive term for health care provided in a healthcare facility (e.g. a practitioners office, clinic setting, or hospital) on a nonresident basis. The term ambulatory usually implies that the patient has come to the location and is not assigned to a bed. Sometimes referred to as an outpatient encounter.
EMER emergency A patient encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment, provided until the patient can be discharged or responsibility for the patient's care is transferred elsewhere (for example, the patient could be admitted as an inpatient or transferred to another facility.)
FLD field A patient encounter that takes place both outside a dedicated service delivery location and outside a patient's residence. Example locations might include an accident site and at a supermarket.
HH home health Healthcare encounter that takes place in the residence of the patient or a designee
IMP inpatient encounter A patient encounter where a patient is admitted by a hospital or equivalent facility, assigned to a location where patients generally stay at least overnight and provided with room, board, and continuous nursing service.
ACUTE inpatient acute An acute inpatient encounter.
NONAC inpatient non-acute Any category of inpatient encounter except 'acute'
OBSENC observation encounter An encounter where the patient usually will start in different encounter, such as one in the emergency department (EMER) but then transition to this type of encounter because they require a significant period of treatment and monitoring to determine whether or not their condition warrants an inpatient admission or discharge. In the majority of cases the decision about admission or discharge will occur within a time period determined by local, regional or national regulation, often between 24 and 48 hours.
PRENC pre-admission A patient encounter where patient is scheduled or planned to receive service delivery in the future, and the patient is given a pre-admission account number. When the patient comes back for subsequent service, the pre-admission encounter is selected and is encapsulated into the service registration, and a new account number is generated. Usage Note: This is intended to be used in advance of encounter types such as ambulatory, inpatient encounter, virtual, etc.
SS short stay An encounter where the patient is admitted to a health care facility for a predetermined length of time, usually less than 24 hours.
VR virtual A patient encounter where the patient and the practitioner are not in the same physical location. Examples include telephone conference, email exchange, robotic surgery, and televideo conference.

subject

The resource being referenced SHOULD conform to the following:


episodeOfCare

The resource being referenced SHOULD conform to the Profile UKCore-EpisodeOfCare.


basedOn

The resource being referenced SHOULD conform to the Profile UKCore-ServiceRequest.


participant

The Encounter.participant.type element SHOULD include the role of the participant in the encounter using the following values which may be extended. The binding is to the International FHIR ValueSet encounter-participant-type, which is shown expanded here due to the complexity of included codes and systems.

Code System Display Definition
ADM http://terminology.hl7.org/CodeSystem/v3-ParticipationType admitter The practitioner who is responsible for admitting a patient to a patient encounter.
ATND http://terminology.hl7.org/CodeSystem/v3-ParticipationType attender The practitioner that has responsibility for overseeing a patient's care during a patient encounter.
CALLBCK http://terminology.hl7.org/CodeSystem/v3-ParticipationType callback contact A person or organization who should be contacted for follow-up questions about the act in place of the author.
CON http://terminology.hl7.org/CodeSystem/v3-ParticipationType consultant An advisor participating in the service by performing evaluations and making recommendations.
DIS http://terminology.hl7.org/CodeSystem/v3-ParticipationType discharger The practitioner who is responsible for the discharge of a patient from a patient encounter.
ESC http://terminology.hl7.org/CodeSystem/v3-ParticipationType escort Only with Transportation services. A person who escorts the patient.
REF http://terminology.hl7.org/CodeSystem/v3-ParticipationType referrer A person having referred the subject of the service to the performer (referring physician). Typically, a referring physician will receive a report.
SPRF http://terminology.hl7.org/CodeSystem/v3-ParticipationType secondary performer A person assisting in an act through his substantial presence and involvement This includes: assistants, technicians, associates, or whatever the job titles may be.
PPRF http://terminology.hl7.org/CodeSystem/v3-ParticipationType primary performer The principal or primary performer of the act.
PART http://terminology.hl7.org/CodeSystem/v3-ParticipationType Participation Indicates that the target of the participation is involved in some manner in the act, but does not qualify how.
translator http://terminology.hl7.org/CodeSystem/participant-type Translator A translator who is facilitating communication with the patient during the encounter.
emergency http://terminology.hl7.org/CodeSystem/participant-type Emergency A person to be contacted in case of an emergency during the encounter.



The Encounter.participant.individual element SHOULD use a reference to a resource which conforms to one of the following:


appointment

The resource being referenced SHOULD conform to the Profile UKCore-Appointment.


reasonReference

The resource being referenced SHOULD conform to the following:


diagnosis

The resource being referenced SHOULD conform to the following:


hospitalization

location

The resource being referenced SHOULD conform to the Profile UKCore-Location.


serviceProvider

The resource being referenced SHOULD conform to the Profile UKCore-Organization.


partOf

The resource being referenced SHOULD conform to the Profile UKCore-Encounter.


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