<status value="active" /> <date value="2025-07-07" /> <publisher value="Saudi Health Council" /> <contact> <name value="Saudi Health Council" /> <telecom> <system value="url" /> <value value="https://www.shc.gov.sa" /> </telecom> </contact> <description value="Saudi Encounter Profile provides standardized healthcare encounter documentation aligned with Saudi healthcare delivery patterns and cultural considerations. This profile supports comprehensive encounter documentation including cultural accommodations, religious considerations, and Saudi-specific healthcare workflows." /> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166" /> <code value="SA" /> <display value="Saudi Arabia" /> </coding> </jurisdiction> <purpose value="To standardize healthcare encounter documentation across Saudi healthcare facilities while accommodating cultural considerations and Saudi healthcare delivery patterns." /> <copyright value="Copyright © 2025 Saudi Health Council" /> <fhirVersion value="4.0.1" /> <mapping> <identity value="shdd" /> <uri value="http://shc.gov.sa/shdd" /> <name value="Saudi Health Data Dictionary v2" /> </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> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="Encounter.extension:culturalAccommodations"> <path value="Encounter.extension" /> <sliceName value="culturalAccommodations" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/saudi-encounter-cultural-accommodations" /> </type> </element> <element id="Encounter.extension:religiousAccommodations"> <path value="Encounter.extension" /> <sliceName value="religiousAccommodations" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/saudi-encounter-religious-accommodations" /> </type> </element> <element id="Encounter.extension:familyInvolvement"> <path value="Encounter.extension" /> <sliceName value="familyInvolvement" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/saudi-encounter-family-involvement" /> </type> </element> <element id="Encounter.extension:translationServices"> <path value="Encounter.extension" /> <sliceName value="translationServices" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/saudi-encounter-translation-services" /> </type> </element> <element id="Encounter.extension:genderPreferences"> <path value="Encounter.extension" /> <sliceName value="genderPreferences" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/saudi-encounter-gender-preferences" /> </type> </element> <element id="Encounter.identifier"> <path value="Encounter.identifier" /> <mapping> <identity value="shdd" /> <map value="ENC001 - Encounter Identifier" /> </mapping> </element> <element id="Encounter.status"> <path value="Encounter.status" /> <mapping> <identity value="shdd" /> <map value="ENC002 - Encounter Status" /> </mapping> </element> <element id="Encounter.statusHistory"> <path value="Encounter.statusHistory" /> <mapping> <identity value="shdd" /> <map value="ENC003 - Encounter Status History" /> </mapping> </element> <element id="Encounter.class"> <path value="Encounter.class" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="EncounterClass" /> </extension> <strength value="extensible" /> <description value="Saudi-specific encounter class codes" /> <valueSet value="http://nphies.sa/fhir/ksa/nphies-fs/ValueSet/saudi-encounter-class" /> </binding> <mapping> <identity value="shdd" /> <map value="ENC010 - Encounter Class" /> </mapping> </element> <element id="Encounter.classHistory"> <path value="Encounter.classHistory" /> <mapping> <identity value="shdd" /> <map value="ENC011 - Encounter Class History" /> </mapping> </element> <element id="Encounter.type"> <path value="Encounter.type" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="EncounterType" /> </extension> <strength value="extensible" /> <description value="Saudi-specific encounter type codes from SNOMED CT" /> <valueSet value="http://nphies.sa/fhir/ksa/nphies-fs/ValueSet/saudi-encounter-type" /> </binding> <mapping> <identity value="shdd" /> <map value="ENC020 - Encounter Type" /> </mapping> </element> <element id="Encounter.serviceType"> <path value="Encounter.serviceType" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="EncounterServiceType" /> </extension> <strength value="extensible" /> <description value="Saudi healthcare service types" /> <valueSet value="http://nphies.sa/fhir/ksa/nphies-fs/ValueSet/saudi-service-type" /> </binding> <mapping> <identity value="shdd" /> <map value="ENC021 - Service Type" /> </mapping> </element> <element id="Encounter.priority"> <path value="Encounter.priority" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Priority" /> </extension> <strength value="extensible" /> <description value="Saudi-specific encounter priority codes" /> <valueSet value="http://nphies.sa/fhir/ksa/nphies-fs/ValueSet/saudi-encounter-priority" /> </binding> <mapping> <identity value="shdd" /> <map value="ENC030 - Encounter Priority" /> </mapping> </element> <element id="Encounter.subject"> <path value="Encounter.subject" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/saudi-patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> </type> <mapping> <identity value="shdd" /> <map value="ENC040 - Encounter Subject" /> </mapping> </element> <element id="Encounter.episodeOfCare"> <path value="Encounter.episodeOfCare" /> <mapping> <identity value="shdd" /> <map value="ENC041 - Episode of Care" /> </mapping> </element> <element id="Encounter.basedOn"> <path value="Encounter.basedOn" /> <mapping> <identity value="shdd" /> <map value="ENC042 - Based On" /> </mapping> </element> <element id="Encounter.participant"> <path value="Encounter.participant" /> <slicing> <discriminator> <type value="value" /> <path value="type.coding.code" /> </discriminator> <description value="Slice based on participant type" /> <rules value="open" /> </slicing> <mapping> <identity value="shdd" /> <map value="ENC050 - Encounter Participants" /> </mapping> </element> <element id="Encounter.participant:primaryPerformer"> <path value="Encounter.participant" /> <sliceName value="primaryPerformer" /> <short value="Primary performer" /> <definition value="Primary healthcare provider responsible for the encounter" /> <min value="0" /> <max value="1" /> </element> <element id="Encounter.participant:primaryPerformer.type.coding.system"> <path value="Encounter.participant.type.coding.system" /> <patternUri value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType" /> </element> <element id="Encounter.participant:primaryPerformer.type.coding.code"> <path value="Encounter.participant.type.coding.code" /> <min value="1" /> <patternCode value="PPRF" /> </element> <element id="Encounter.participant:primaryPerformer.individual"> <path value="Encounter.participant.individual" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> </type> </element> <element id="Encounter.participant:attendingDoctor"> <path value="Encounter.participant" /> <sliceName value="attendingDoctor" /> <short value="Attending doctor" /> <definition value="Attending physician responsible for patient care" /> <min value="0" /> <max value="1" /> </element> <element id="Encounter.participant:attendingDoctor.type.coding.system"> <path value="Encounter.participant.type.coding.system" /> <patternUri value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType" /> </element> <element id="Encounter.participant:attendingDoctor.type.coding.code"> <path value="Encounter.participant.type.coding.code" /> <min value="1" /> <patternCode value="ATND" /> </element> <element id="Encounter.participant:attendingDoctor.individual"> <path value="Encounter.participant.individual" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> </type> </element> <element id="Encounter.participant:consultingDoctor"> <path value="Encounter.participant" /> <sliceName value="consultingDoctor" /> <short value="Consulting doctor" /> <definition value="Consulting physician providing specialist input" /> <min value="0" /> <max value="*" /> </element> <element id="Encounter.participant:consultingDoctor.type.coding.system"> <path value="Encounter.participant.type.coding.system" /> <patternUri value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType" /> </element> <element id="Encounter.participant:consultingDoctor.type.coding.code"> <path value="Encounter.participant.type.coding.code" /> <min value="1" /> <patternCode value="CON" /> </element> <element id="Encounter.participant:consultingDoctor.individual"> <path value="Encounter.participant.individual" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> </type> </element> <element id="Encounter.participant:referrer"> <path value="Encounter.participant" /> <sliceName value="referrer" /> <short value="Referrer" /> <definition value="Healthcare provider who referred the patient" /> <min value="0" /> <max value="1" /> </element> <element id="Encounter.participant:referrer.type.coding.system"> <path value="Encounter.participant.type.coding.system" /> <patternUri value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType" /> </element> <element id="Encounter.participant:referrer.type.coding.code"> <path value="Encounter.participant.type.coding.code" /> <min value="1" /> <patternCode value="REF" /> </element> <element id="Encounter.participant:referrer.individual"> <path value="Encounter.participant.individual" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> </type> </element> <element id="Encounter.participant:translator"> <path value="Encounter.participant" /> <sliceName value="translator" /> <short value="Translator" /> <definition value="Language translator or interpreter" /> <min value="0" /> <max value="*" /> </element> <element id="Encounter.participant:translator.type.coding.system"> <path value="Encounter.participant.type.coding.system" /> <patternUri value="http://nphies.sa/terminology/CodeSystem/participant-type" /> </element> <element id="Encounter.participant:translator.type.coding.code"> <path value="Encounter.participant.type.coding.code" /> <min value="1" /> <patternCode value="translator" /> </element> <element id="Encounter.participant:translator.individual"> <path value="Encounter.participant.individual" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> </type> </element> <element id="Encounter.participant:familyMember"> <path value="Encounter.participant" /> <sliceName value="familyMember" /> <short value="Family member" /> <definition value="Family member involved in care decisions" /> <min value="0" /> <max value="*" /> </element> <element id="Encounter.participant:familyMember.type.coding.system"> <path value="Encounter.participant.type.coding.system" /> <patternUri value="http://nphies.sa/terminology/CodeSystem/participant-type" /> </element> <element id="Encounter.participant:familyMember.type.coding.code"> <path value="Encounter.participant.type.coding.code" /> <min value="1" /> <patternCode value="family-member" /> </element> <element id="Encounter.participant:familyMember.individual"> <path value="Encounter.participant.individual" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> </type> </element> <element id="Encounter.participant:religiousAdvisor"> <path value="Encounter.participant" /> <sliceName value="religiousAdvisor" /> <short value="Religious advisor" /> <definition value="Religious counselor or advisor" /> <min value="0" /> <max value="*" /> </element> <element id="Encounter.participant:religiousAdvisor.type.coding.system"> <path value="Encounter.participant.type.coding.system" /> <patternUri value="http://nphies.sa/terminology/CodeSystem/participant-type" /> </element> <element id="Encounter.participant:religiousAdvisor.type.coding.code"> <path value="Encounter.participant.type.coding.code" /> <min value="1" /> <patternCode value="religious-advisor" /> </element> <element id="Encounter.participant:religiousAdvisor.individual"> <path value="Encounter.participant.individual" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> </type> </element> <element id="Encounter.appointment"> <path value="Encounter.appointment" /> <mapping> <identity value="shdd" /> <map value="ENC060 - Related Appointment" /> </mapping> </element> <element id="Encounter.period"> <path value="Encounter.period" /> <min value="1" /> <mapping> <identity value="shdd" /> <map value="ENC070 - Encounter Period" /> </mapping> </element> <element id="Encounter.length"> <path value="Encounter.length" /> <mapping> <identity value="shdd" /> <map value="ENC071 - Encounter Duration" /> </mapping> </element> <element id="Encounter.reasonCode"> <path value="Encounter.reasonCode" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="EncounterReason" /> </extension> <strength value="extensible" /> <description value="ICD-10-AM diagnosis codes and SNOMED CT clinical findings" /> <valueSet value="http://nphies.sa/fhir/ksa/nphies-fs/ValueSet/saudi-encounter-reason" /> </binding> <mapping> <identity value="shdd" /> <map value="ENC080 - Encounter Reason Code" /> </mapping> </element> <element id="Encounter.reasonReference"> <path value="Encounter.reasonReference" /> <mapping> <identity value="shdd" /> <map value="ENC081 - Encounter Reason Reference" /> </mapping> </element> <element id="Encounter.diagnosis"> <path value="Encounter.diagnosis" /> <mapping> <identity value="shdd" /> <map value="ENC090 - Encounter Diagnosis" /> </mapping> </element> <element id="Encounter.diagnosis.condition"> <path value="Encounter.diagnosis.condition" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" /> </type> <mapping> <identity value="shdd" /> <map value="ENC091 - Diagnosis Condition" /> </mapping> </element> <element id="Encounter.diagnosis.use"> <path value="Encounter.diagnosis.use" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DiagnosisRole" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true" /> </extension> <strength value="extensible" /> <description value="Saudi-specific diagnosis use codes" /> <valueSet value="http://nphies.sa/fhir/ksa/nphies-fs/ValueSet/saudi-diagnosis-use" /> </binding> <mapping> <identity value="shdd" /> <map value="ENC092 - Diagnosis Use" /> </mapping> </element> <element id="Encounter.diagnosis.rank"> <path value="Encounter.diagnosis.rank" /> <mapping> <identity value="shdd" /> <map value="ENC093 - Diagnosis Rank" /> </mapping> </element> <element id="Encounter.account"> <path value="Encounter.account" /> <mapping> <identity value="shdd" /> <map value="ENC100 - Billing Account" /> </mapping> </element> <element id="Encounter.hospitalization"> <path value="Encounter.hospitalization" /> <mapping> <identity value="shdd" /> <map value="ENC110 - Hospitalization Details" /> </mapping> </element> <element id="Encounter.hospitalization.preAdmissionIdentifier"> <path value="Encounter.hospitalization.preAdmissionIdentifier" /> <mapping> <identity value="shdd" /> <map value="ENC111 - Pre-admission Identifier" /> </mapping> </element> <element id="Encounter.hospitalization.origin"> <path value="Encounter.hospitalization.origin" /> <mapping> <identity value="shdd" /> <map value="ENC112 - Admission Origin" /> </mapping> </element> <element id="Encounter.hospitalization.admitSource"> <path value="Encounter.hospitalization.admitSource" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="AdmitSource" /> </extension> <strength value="extensible" /> <description value="Saudi-specific admission source codes" /> <valueSet value="http://nphies.sa/fhir/ksa/nphies-fs/ValueSet/saudi-admit-source" /> </binding> <mapping> <identity value="shdd" /> <map value="ENC113 - Admit Source" /> </mapping> </element> <element id="Encounter.hospitalization.reAdmission"> <path value="Encounter.hospitalization.reAdmission" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ReAdmissionType" /> </extension> <strength value="extensible" /> <description value="Saudi-specific readmission indicator codes" /> <valueSet value="http://nphies.sa/fhir/ksa/nphies-fs/ValueSet/saudi-readmission-indicator" /> </binding> <mapping> <identity value="shdd" /> <map value="ENC114 - Readmission Indicator" /> </mapping> </element> <element id="Encounter.hospitalization.dietPreference"> <path value="Encounter.hospitalization.dietPreference" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="PatientDiet" /> </extension> <strength value="extensible" /> <description value="Saudi dietary preferences including halal requirements" /> <valueSet value="http://nphies.sa/fhir/ksa/nphies-fs/ValueSet/saudi-diet-preference" /> </binding> <mapping> <identity value="shdd" /> <map value="ENC115 - Diet Preference" /> </mapping> </element> <element id="Encounter.hospitalization.specialCourtesy"> <path value="Encounter.hospitalization.specialCourtesy" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Courtesies" /> </extension> <strength value="extensible" /> <description value="Saudi-specific special courtesy codes" /> <valueSet value="http://nphies.sa/fhir/ksa/nphies-fs/ValueSet/saudi-special-courtesy" /> </binding> <mapping> <identity value="shdd" /> <map value="ENC116 - Special Courtesy" /> </mapping> </element> <element id="Encounter.hospitalization.specialArrangement"> <path value="Encounter.hospitalization.specialArrangement" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Arrangements" /> </extension> <strength value="extensible" /> <description value="Saudi-specific special arrangement codes including cultural accommodations" /> <valueSet value="http://nphies.sa/fhir/ksa/nphies-fs/ValueSet/saudi-special-arrangement" /> </binding> <mapping> <identity value="shdd" /> <map value="ENC117 - Special Arrangement" /> </mapping> </element> <element id="Encounter.hospitalization.destination"> <path value="Encounter.hospitalization.destination" /> <mapping> <identity value="shdd" /> <map value="ENC118 - Discharge Destination" /> </mapping> </element> <element id="Encounter.hospitalization.dischargeDisposition"> <path value="Encounter.hospitalization.dischargeDisposition" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DischargeDisp" /> </extension> <strength value="extensible" /> <description value="Saudi-specific discharge disposition codes" /> <valueSet value="http://nphies.sa/fhir/ksa/nphies-fs/ValueSet/saudi-discharge-disposition" /> </binding> <mapping> <identity value="shdd" /> <map value="ENC119 - Discharge Disposition" /> </mapping> </element> <element id="Encounter.location"> <path value="Encounter.location" /> <mapping> <identity value="shdd" /> <map value="ENC120 - Encounter Locations" /> </mapping> </element> <element id="Encounter.location.location"> <path value="Encounter.location.location" /> <mapping> <identity value="shdd" /> <map value="ENC121 - Location Reference" /> </mapping> </element> <element id="Encounter.location.status"> <path value="Encounter.location.status" /> <mapping> <identity value="shdd" /> <map value="ENC122 - Location Status" /> </mapping> </element> <element id="Encounter.location.physicalType"> <path value="Encounter.location.physicalType" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="PhysicalType" /> </extension> <strength value="extensible" /> <description value="Saudi-specific location physical type codes" /> <valueSet value="http://nphies.sa/fhir/ksa/nphies-fs/ValueSet/saudi-location-physical-type" /> </binding> <mapping> <identity value="shdd" /> <map value="ENC123 - Location Physical Type" /> </mapping> </element> <element id="Encounter.location.period"> <path value="Encounter.location.period" /> <mapping> <identity value="shdd" /> <map value="ENC124 - Location Period" /> </mapping> </element> <element id="Encounter.serviceProvider"> <path value="Encounter.serviceProvider" /> <min value="1" /> <mapping> <identity value="shdd" /> <map value="ENC130 - Service Provider Organization" /> </mapping> </element> <element id="Encounter.partOf"> <path value="Encounter.partOf" /> <mapping> <identity value="shdd" /> <map value="ENC140 - Parent Encounter" /> </mapping> </element> </differential> </StructureDefinition>