<status value="active" /> <description value="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." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Encounter" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Encounter" /> <derivation value="constraint" /> <differential> <element id="Encounter.contained"> <path value="Encounter.contained" /> <short value="Tracks balance, charges, for patient or cost center" /> <definition value="A financial tool for tracking value accrued for a particular purpose. In the healthcare field, used to track charges for a patient, cost centers, etc." /> <alias value="Cost center" /> <alias value="Record" /> <type> <code value="Resource" /> <profile value="http://ontariohealth.ca/fhir/iar/StructureDefinition/profile-account" /> <profile value="http://ontariohealth.ca/fhir/iar/StructureDefinition/profile-coverage" /> <profile value="http://ontariohealth.ca/fhir/iar/StructureDefinition/profile-location" /> </type> <constraint> <key value="dom-2" /> <severity value="error" /> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" /> <expression value="contained.contained.empty()" /> <xpath value="not(parent::f:contained and f:contained)" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-4" /> <severity value="error" /> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" /> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" /> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-3" /> <severity value="error" /> <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" /> <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" /> <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-6" /> <severity value="warning" /> <human value="A resource should have narrative for robust management" /> <expression value="text.`div`.exists()" /> <xpath value="exists(f:text/h:div)" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-5" /> <severity value="error" /> <human value="If a resource is contained in another resource, it SHALL NOT have a security label" /> <expression value="contained.meta.security.empty()" /> <xpath value="not(exists(f:contained/*/f:meta/f:security))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <mustSupport value="true" /> <mapping> <identity value="rim" /> <map value="Account" /> </mapping> </element> <element id="Encounter.identifier"> <path value="Encounter.identifier" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Encounter.identifier.type"> <path value="Encounter.identifier.type" /> <min value="1" /> <mustSupport value="true" /> <binding> <strength value="extensible" /> <valueSet value="http://ontariohealth.ca/fhir/ehr/ValueSet/identifier-type" /> </binding> </element> <element id="Encounter.identifier.type.coding"> <path value="Encounter.identifier.type.coding" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Encounter.identifier.type.coding.system"> <path value="Encounter.identifier.type.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Encounter.identifier.type.coding.code"> <path value="Encounter.identifier.type.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Encounter.identifier.type.coding.display"> <path value="Encounter.identifier.type.coding.display" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Encounter.identifier.system"> <path value="Encounter.identifier.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Encounter.identifier.value"> <path value="Encounter.identifier.value" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Encounter.status"> <path value="Encounter.status" /> <mustSupport value="true" /> </element> <element id="Encounter.class"> <path value="Encounter.class" /> <type> <code value="Coding" /> <profile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/Coding-oh-ehr" /> </type> <mustSupport value="true" /> <binding> <strength value="extensible" /> <valueSet value="http://ontariohealth.ca/fhir/ehr/ValueSet/encounter-class" /> </binding> </element> <element id="Encounter.class.display.extension:translation"> <path value="Encounter.class.display.extension" /> <sliceName value="translation" /> </element> <element id="Encounter.class.display.extension:translation.extension"> <path value="Encounter.class.display.extension.extension" /> <min value="2" /> </element> <element id="Encounter.type"> <path value="Encounter.type" /> <max value="1" /> <type> <code value="CodeableConcept" /> <profile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" /> </type> <mustSupport value="true" /> <binding> <strength value="extensible" /> <valueSet value="http://ontariohealth.ca/fhir/iar/ValueSet/program-type" /> </binding> </element> <element id="Encounter.type.coding.display.extension:translation"> <path value="Encounter.type.coding.display.extension" /> <sliceName value="translation" /> </element> <element id="Encounter.type.coding.display.extension:translation.extension"> <path value="Encounter.type.coding.display.extension.extension" /> <min value="2" /> </element> <element id="Encounter.subject"> <path value="Encounter.subject" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-patient" /> </type> <mustSupport value="true" /> </element> <element id="Encounter.subject.reference"> <path value="Encounter.subject.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Encounter.period"> <path value="Encounter.period" /> <min value="1" /> <mustSupport value="true" /> <isSummary value="true" /> </element> <element id="Encounter.period.start"> <path value="Encounter.period.start" /> <min value="1" /> <mustSupport value="true" /> <mapping> <identity value="interRAI" /> <map value="iB2 (Date Stay began/Case opened), cihiB2 (Return date), AD4b (Program start date)" /> </mapping> </element> <element id="Encounter.period.end"> <path value="Encounter.period.end" /> <mustSupport value="true" /> <mapping> <identity value="interRAI" /> <map value="iT1 (Last day of stay), AD4c (Program end date)" /> </mapping> </element> <element id="Encounter.reasonCode"> <path value="Encounter.reasonCode" /> <mustSupport value="false" /> </element> <element id="Encounter.reasonCode.coding.display.extension:translation"> <path value="Encounter.reasonCode.coding.display.extension" /> <sliceName value="translation" /> </element> <element id="Encounter.reasonCode.coding.display.extension:translation.url"> <path value="Encounter.reasonCode.coding.display.extension.url" /> <fixedUri value="translation" /> </element> <element id="Encounter.account"> <path value="Encounter.account" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/iar/StructureDefinition/profile-account" /> <aggregation value="contained" /> </type> <mustSupport value="true" /> </element> <element id="Encounter.account.reference"> <path value="Encounter.account.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Encounter.hospitalization"> <path value="Encounter.hospitalization" /> <mustSupport value="true" /> </element> <element id="Encounter.hospitalization.origin"> <path value="Encounter.hospitalization.origin" /> <mustSupport value="true" /> </element> <element id="Encounter.hospitalization.origin.reference"> <path value="Encounter.hospitalization.origin.reference" /> <mustSupport value="true" /> </element> <element id="Encounter.hospitalization.admitSource"> <path value="Encounter.hospitalization.admitSource" /> <type> <code value="CodeableConcept" /> <profile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" /> </type> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://cihi.ca/fhir/ValueSet/aac-admit-source" /> </binding> </element> <element id="Encounter.hospitalization.admitSource.coding"> <path value="Encounter.hospitalization.admitSource.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Encounter.hospitalization.admitSource.coding.system"> <path value="Encounter.hospitalization.admitSource.coding.system" /> <fixedUri value="http://cihi.ca/fhir/CodeSystem/aac-admit-source" /> </element> <element id="Encounter.hospitalization.admitSource.coding.display.extension:translation"> <path value="Encounter.hospitalization.admitSource.coding.display.extension" /> <sliceName value="translation" /> </element> <element id="Encounter.hospitalization.admitSource.coding.display.extension:translation.extension"> <path value="Encounter.hospitalization.admitSource.coding.display.extension.extension" /> <min value="2" /> </element> <element id="Encounter.hospitalization.reAdmission"> <path value="Encounter.hospitalization.reAdmission" /> <mustSupport value="true" /> </element> <element id="Encounter.hospitalization.reAdmission.coding"> <path value="Encounter.hospitalization.reAdmission.coding" /> <type> <code value="Coding" /> <profile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/Coding-oh-ehr" /> </type> <mustSupport value="true" /> </element> <element id="Encounter.hospitalization.reAdmission.coding.display.extension:translation"> <path value="Encounter.hospitalization.reAdmission.coding.display.extension" /> <sliceName value="translation" /> </element> <element id="Encounter.hospitalization.reAdmission.coding.display.extension:translation.extension"> <path value="Encounter.hospitalization.reAdmission.coding.display.extension.extension" /> <min value="2" /> </element> <element id="Encounter.hospitalization.destination"> <path value="Encounter.hospitalization.destination" /> <mustSupport value="true" /> </element> <element id="Encounter.hospitalization.destination.reference"> <path value="Encounter.hospitalization.destination.reference" /> <mustSupport value="true" /> </element> <element id="Encounter.hospitalization.dischargeDisposition"> <path value="Encounter.hospitalization.dischargeDisposition" /> <type> <code value="CodeableConcept" /> <profile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" /> </type> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://cihi.ca/fhir/ValueSet/aac-discharge-disposition" /> </binding> </element> <element id="Encounter.hospitalization.dischargeDisposition.coding.display.extension:translation"> <path value="Encounter.hospitalization.dischargeDisposition.coding.display.extension" /> <sliceName value="translation" /> </element> <element id="Encounter.hospitalization.dischargeDisposition.coding.display.extension:translation.extension"> <path value="Encounter.hospitalization.dischargeDisposition.coding.display.extension.extension" /> <min value="2" /> </element> <element id="Encounter.location"> <path value="Encounter.location" /> <mustSupport value="true" /> </element> <element id="Encounter.location.location"> <path value="Encounter.location.location" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/iar/StructureDefinition/profile-location" /> <aggregation value="contained" /> </type> <mustSupport value="true" /> </element> <element id="Encounter.location.location.reference"> <path value="Encounter.location.location.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Encounter.location.period"> <path value="Encounter.location.period" /> <mustSupport value="true" /> </element> <element id="Encounter.location.period.start"> <path value="Encounter.location.period.start" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Encounter.location.period.end"> <path value="Encounter.location.period.end" /> <mustSupport value="true" /> </element> <element id="Encounter.serviceProvider"> <path value="Encounter.serviceProvider" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-organization" /> </type> <mustSupport value="true" /> </element> <element id="Encounter.serviceProvider.reference"> <path value="Encounter.serviceProvider.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Encounter.partOf"> <path value="Encounter.partOf" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/iar/StructureDefinition/profile-encounter" /> <aggregation value="contained" /> </type> <mustSupport value="true" /> </element> <element id="Encounter.partOf.reference"> <path value="Encounter.partOf.reference" /> <min value="1" /> <mustSupport value="true" /> </element> </differential> </StructureDefinition>