{ "resourceType": "StructureDefinition", "id": "il-core-encounter", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "trial-use" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger": 1 } ], "url": "http://fhir.health.gov.il/StructureDefinition/il-core-encounter", "version": "0.21.0", "name": "ILCoreEncounter", "title": "ILCore Encounter Profile", "status": "active", "date": "2026-03-23", "publisher": "Israel Core Team", "contact": [ { "telecom": [ { "system": "email", "value": "tal.primak@moh.gov.il" } ] } ], "description": "Israel Core proposed constraints and extensions on the Encounter Resource", "fhirVersion": "4.0.1", "kind": "resource", "abstract": false, "type": "Encounter", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Encounter", "derivation": "constraint", "differential": { "element": [ { "id": "Encounter", "path": "Encounter", "short": "ILCore Encounter Profile", "definition": "Israel Core proposed constraints and extensions on the Encounter resource profile." }, { "id": "Encounter.extension", "path": "Encounter.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "ordered": false, "rules": "open" } }, { "id": "Encounter.extension:modeOfArrival", "path": "Encounter.extension", "sliceName": "modeOfArrival", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival" ] } ] }, { "id": "Encounter.extension:modeOfArrival.value[x]", "path": "Encounter.extension.value[x]", "binding": { "strength": "example", "valueSet": "http://fhir.health.gov.il/ValueSet/patient-mode-of-arrival-moh" } }, { "id": "Encounter.extension:paying-entity", "path": "Encounter.extension", "sliceName": "paying-entity", "short": "Extension: Encounter Paying Entity", "definition": "Paying Entity for the Encounter", "min": 0, "max": "*", "type": [ { "code": "Extension", "profile": [ "http://fhir.health.gov.il/StructureDefinition/ext-encounter-paying-entity" ] } ] }, { "id": "Encounter.extension:movement-number", "path": "Encounter.extension", "sliceName": "movement-number", "short": "Ext: Movement Sequence-Number", "definition": "Extension: Movement Sequence-Number", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://fhir.health.gov.il/StructureDefinition/ext-movement-number" ] } ] }, { "id": "Encounter.identifier", "path": "Encounter.identifier", "definition": "Must support - receiving system SHOULD store the value", "type": [ { "code": "Identifier", "profile": [ "http://fhir.health.gov.il/StructureDefinition/il-core-identifier" ] } ], "mustSupport": true }, { "id": "Encounter.status", "path": "Encounter.status", "definition": "Must support - receiving system SHALL either store the value as-is or SHALL be able to translate it into internal state and SHALL be able to reconstruct the value when requested to retrieve data", "mustSupport": true }, { "id": "Encounter.class", "path": "Encounter.class", "definition": "Must support - receiving system SHALL either store the value as-is or SHALL be able to translate it into internal state and SHALL be able to reconstruct the value when requested to retrieve data", "mustSupport": true, "binding": { "strength": "extensible", "valueSet": "http://fhir.health.gov.il/ValueSet/il-core-encounter-class" } }, { "id": "Encounter.classHistory.class", "path": "Encounter.classHistory.class", "binding": { "strength": "extensible", "valueSet": "http://fhir.health.gov.il/ValueSet/il-core-encounter-class" } }, { "id": "Encounter.type", "path": "Encounter.type", "slicing": { "discriminator": [ { "type": "pattern", "path": "$this" } ], "rules": "open" }, "definition": "Specific type of encounter that is orthogonal to class and serviceType (e.g. e-mail consultation)", "binding": { "strength": "extensible", "valueSet": "http://fhir.health.gov.il/ValueSet/il-core-encounter-type" } }, { "id": "Encounter.type:face-to-face", "path": "Encounter.type", "sliceName": "face-to-face", "min": 0, "max": "1", "patternCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "1258986006" } ] } }, { "id": "Encounter.type:without-patient-present", "path": "Encounter.type", "sliceName": "without-patient-present", "min": 0, "max": "1", "patternCodeableConcept": { "coding": [ { "system": "http://fhir.health.gov.il/cs/il-core-encounter-type", "code": "without-patient-present" } ] } }, { "id": "Encounter.type:virtual-encounters", "path": "Encounter.type", "sliceName": "virtual-encounters", "min": 0, "max": "*", "binding": { "strength": "required", "valueSet": "http://fhir.health.gov.il/ValueSet/il-core-virtual-type" } }, { "id": "Encounter.type:doctor-to-doctor-consultation", "path": "Encounter.type", "sliceName": "doctor-to-doctor-consultation", "min": 0, "max": "*", "binding": { "strength": "required", "valueSet": "http://fhir.health.gov.il/ValueSet/il-core-doctor-to-doctor" } }, { "id": "Encounter.serviceType", "path": "Encounter.serviceType", "binding": { "strength": "extensible", "valueSet": "http://fhir.health.gov.il/ValueSet/il-core-service-type" } }, { "id": "Encounter.subject", "path": "Encounter.subject", "definition": "Must support - receiving system SHALL either store the value as-is or SHALL be able to translate it into internal state and SHALL be able to reconstruct the value when requested to retrieve data", "min": 1, "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.health.gov.il/StructureDefinition/il-core-patient", "http://fhir.health.gov.il/StructureDefinition/il-core-group" ] } ], "mustSupport": true }, { "id": "Encounter.subject.extension:visitor-type", "path": "Encounter.subject.extension", "sliceName": "visitor-type", "short": "Extension: Israeli CORE Encounter Visitor Type", "definition": "Classification of the visitor type (סוג מבקר/סוג כניסה) for the Encounter", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://fhir.health.gov.il/StructureDefinition/ext-encounter-visitor-type" ] } ] }, { "id": "Encounter.basedOn", "path": "Encounter.basedOn", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.health.gov.il/StructureDefinition/il-core-service-request" ] } ] }, { "id": "Encounter.participant", "path": "Encounter.participant", "slicing": { "discriminator": [ { "type": "pattern", "path": "type" } ], "rules": "open" } }, { "id": "Encounter.participant.individual", "path": "Encounter.participant.individual", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner", "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role", "http://fhir.health.gov.il/StructureDefinition/il-core-related-person" ] } ] }, { "id": "Encounter.participant:primary-performer", "path": "Encounter.participant", "sliceName": "primary-performer", "definition": "Must support - receiving system SHALL either store the value as-is or SHALL be able to translate it into internal state and SHALL be able to reconstruct the value when requested to retrieve data", "min": 0, "max": "*", "mustSupport": true }, { "id": "Encounter.participant:primary-performer.type", "path": "Encounter.participant.type", "min": 1, "max": "1", "patternCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "PPRF" } ] }, "mustSupport": true }, { "id": "Encounter.participant:primary-performer.period", "path": "Encounter.participant.period", "mustSupport": true }, { "id": "Encounter.participant:primary-performer.individual", "path": "Encounter.participant.individual", "min": 1, "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner", "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role", "http://fhir.health.gov.il/StructureDefinition/il-core-related-person" ] } ], "mustSupport": true }, { "id": "Encounter.participant:consultant", "path": "Encounter.participant", "sliceName": "consultant", "short": "Consulting practitioner", "definition": "Consulting practitioner involved in the encounter.", "min": 0, "max": "*" }, { "id": "Encounter.participant:consultant.type", "path": "Encounter.participant.type", "min": 1, "max": "1", "patternCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "CON" } ] } }, { "id": "Encounter.participant:consultant.individual", "path": "Encounter.participant.individual", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner", "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role", "http://fhir.health.gov.il/StructureDefinition/il-core-related-person" ] } ] }, { "id": "Encounter.participant:reffering-practitioner", "path": "Encounter.participant", "sliceName": "reffering-practitioner", "short": "Referring practitioner", "definition": "Referring practitioner involved in the encounter.", "min": 0, "max": "*" }, { "id": "Encounter.participant:reffering-practitioner.type", "path": "Encounter.participant.type", "min": 1, "max": "1", "patternCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "REF" } ] } }, { "id": "Encounter.participant:reffering-practitioner.individual", "path": "Encounter.participant.individual", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner", "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role", "http://fhir.health.gov.il/StructureDefinition/il-core-related-person" ] } ] }, { "id": "Encounter.period", "path": "Encounter.period", "definition": "Must support - receiving system SHALL either store the value as-is or SHALL be able to translate it into internal state and SHALL be able to reconstruct the value when requested to retrieve data", "mustSupport": true }, { "id": "Encounter.reasonCode", "path": "Encounter.reasonCode", "slicing": { "discriminator": [ { "type": "pattern", "path": "$this" } ], "rules": "open" }, "binding": { "strength": "extensible", "valueSet": "http://fhir.health.gov.il/ValueSet/il-core-encounter-reason-codes" } }, { "id": "Encounter.reasonCode:moh-reason-code", "path": "Encounter.reasonCode", "sliceName": "moh-reason-code", "min": 0, "max": "*", "binding": { "strength": "required", "valueSet": "http://fhir.health.gov.il/ValueSet/patient-visit-reason-moh" } }, { "id": "Encounter.reasonReference", "path": "Encounter.reasonReference", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.health.gov.il/StructureDefinition/il-core-condition", "http://fhir.health.gov.il/StructureDefinition/il-core-procedure", "http://fhir.health.gov.il/StructureDefinition/il-core-observation", "http://fhir.health.gov.il/StructureDefinition/il-core-immunization-recommendation" ] } ] }, { "id": "Encounter.diagnosis.condition", "path": "Encounter.diagnosis.condition", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.health.gov.il/StructureDefinition/il-core-condition", "http://fhir.health.gov.il/StructureDefinition/il-core-procedure" ] } ] }, { "id": "Encounter.diagnosis.use", "path": "Encounter.diagnosis.use", "binding": { "strength": "extensible", "valueSet": "http://fhir.health.gov.il/ValueSet/il-core-diagnosis-role" } }, { "id": "Encounter.hospitalization.origin", "path": "Encounter.hospitalization.origin", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.health.gov.il/StructureDefinition/il-core-location", "http://fhir.health.gov.il/StructureDefinition/il-core-organization" ] } ] }, { "id": "Encounter.hospitalization.admitSource", "path": "Encounter.hospitalization.admitSource", "binding": { "strength": "preferred", "valueSet": "http://fhir.health.gov.il/ValueSet/patient-admit-source-moh" } }, { "id": "Encounter.hospitalization.destination", "path": "Encounter.hospitalization.destination", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.health.gov.il/StructureDefinition/il-core-location", "http://fhir.health.gov.il/StructureDefinition/il-core-organization" ] } ] }, { "id": "Encounter.hospitalization.dischargeDisposition", "path": "Encounter.hospitalization.dischargeDisposition", "binding": { "strength": "example", "valueSet": "http://fhir.health.gov.il/ValueSet/patient-release-type-moh" } }, { "id": "Encounter.location.location", "path": "Encounter.location.location", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.health.gov.il/StructureDefinition/il-core-location" ] } ] }, { "id": "Encounter.location.physicalType", "path": "Encounter.location.physicalType", "binding": { "strength": "preferred", "valueSet": "http://fhir.health.gov.il/ValueSet/il-core-location-physical-type" } }, { "id": "Encounter.serviceProvider", "path": "Encounter.serviceProvider", "definition": "Must support - receiving system SHALL either store the value as-is or SHALL be able to translate it into internal state and SHALL be able to reconstruct the value when requested to retrieve data", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.health.gov.il/StructureDefinition/il-core-organization" ] } ], "mustSupport": true }, { "id": "Encounter.partOf", "path": "Encounter.partOf", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.health.gov.il/StructureDefinition/il-core-encounter" ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy", "valueBoolean": true } ] } ] } ] } }