Patient Administration - a hospital provider spell, identified by the Hospital Provider Spell Identifier (Account Number). Groups the Visits within it. Related to the Interweave EncounterGrouping. Copied from the NW GMSA FHIR IG.

FDP Canonical Data Model

Equivalent FDP Canonical Data Model (CDM) v1.0.0 objects: Admission, Ward Stay, Consultant Episode, Virtual Ward Stay.

Differences:

• Good fit: CDM Admission is the Hospital Provider Spell, with admission source and method, discharge method and destination, and ward stays.
• Account / Spell Number (AN): CDM admissionId / admissionExternalId - To confirm which is the spell number.
• Discharge destination and method are separate in the CDM (destinationOfDischargeCode, methodOfDischargeCode), as in this profile (dischargeDisposition, Discharge Method).
• Virtual ward stays are a separate CDM object with no link to the referral (basedOn).

The CDM is a downstream persistence model, used here as evidence of what NHS operations record, not as a design source. Mapping by property name - To confirm. See FDP Canonical Data Model Mapping for the full mapping.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
Encounter.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Encounter.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Encounter.Slices for extension.extension:dischargeMethod	S This element must be supported.	0..1	CodeableConcept	Discharge Method URL: https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/DischargeMethod Binding: Discharge Method Value Set (extensible)
Encounter.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Encounter.Slices for identifier	S This element must be supported. Σ This element is included in summaries.	1..*	CorrelationIdentifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Encounter.Slices for identifier.identifier:HospitalSpellIdentifier	S This element must be supported. Σ This element is included in summaries.	0..1	HospitalProviderSpellIdentifier	Account Number / Spell Number (HL7 v2 type AN)
Encounter.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
Encounter.class	Σ This element is included in summaries.	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
Encounter.type	Σ This element is included in summaries.	0..1	CodeableConcept	Specific type of encounter Binding: EncounterType (example): The type of encounter.
Encounter.serviceType	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
Encounter.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Patient)	The patient or group present at the encounter
Encounter.episodeOfCare	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
Encounter.basedOn	S This element must be supported.	0..*	Reference(ServiceRequest)	The referral this encounter carries out
Encounter.Slices for participant	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type.coding Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Encounter.Slices for participant.participant:All Slices				Content/Rules for all slices
Encounter.Slices for participant.participant:All Slices.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.Slices for participant.participant:All Slices.type	Σ This element is included in summaries.	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
Encounter.Slices for participant.participant:All Slices.type.coding	Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Encounter.Slices for participant.participant:All Slices.type.coding.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
Encounter.Slices for participant.participant:referringDoctor	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	List of participants involved in the encounter
Encounter.Slices for participant.participant:referringDoctor.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.Slices for participant.participant:admittingDoctor	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	List of participants involved in the encounter
Encounter.Slices for participant.participant:admittingDoctor.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.appointment	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(Appointment)	The appointment that scheduled this encounter
Encounter.period	S This element must be supported.	0..1	Period	The start and end time of the encounter
Encounter.period.start	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	Starting time with inclusive boundary
Encounter.hospitalization	S This element must be supported.	0..1	BackboneElement	Details about the admission to a healthcare service
Encounter.hospitalization.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.hospitalization.admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: Admission Source (extensible)
Encounter.hospitalization.dischargeDisposition		0..1	CodeableConcept	Discharge destination - where the patient went (PV1-37) Binding: Discharge Destination (extensible)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.5
Encounter.type	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Encounter.participant.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Encounter.hospitalization.​admitSource	Base	extensible	Admission Source	📦0.1.0	This IG
Encounter.hospitalization.​dischargeDisposition	Base	extensible	Discharge Destination	📦0.1.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Encounter	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	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()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Encounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
Encounter.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Encounter.Slices for extension.extension:dischargeMethod	S This element must be supported.	0..1	CodeableConcept	Discharge Method URL: https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/DischargeMethod Binding: Discharge Method Value Set (extensible)
Encounter.Slices for identifier				Content/Rules for all slices
Encounter.Slices for identifier.identifier:HospitalSpellIdentifier	S This element must be supported.	0..1	HospitalProviderSpellIdentifier	Account Number / Spell Number (HL7 v2 type AN)
Encounter.Slices for participant		0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type.coding Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Encounter.Slices for participant.participant:All Slices				Content/Rules for all slices
Encounter.Slices for participant.participant:All Slices.type		1..1	CodeableConcept	Role of participant in encounter
Encounter.Slices for participant.participant:All Slices.type.coding		1..*	Coding	Code defined by a terminology system
Encounter.Slices for participant.participant:All Slices.type.coding.code		1..1	code	Symbol in syntax defined by the system
Encounter.Slices for participant.participant:referringDoctor		0..1	BackboneElement	List of participants involved in the encounter
Encounter.Slices for participant.participant:referringDoctor.type
Encounter.Slices for participant.participant:referringDoctor.type.coding		0..*	Coding	Code defined by a terminology system Required Pattern: { "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code" : "REF" }
Encounter.Slices for participant.participant:referringDoctor.individual
Encounter.Slices for participant.participant:referringDoctor.individual.identifier		0..1	PractitionerIdentifier	Logical reference, when literal reference is not known
Encounter.Slices for participant.participant:admittingDoctor		0..1	BackboneElement	List of participants involved in the encounter
Encounter.Slices for participant.participant:admittingDoctor.type
Encounter.Slices for participant.participant:admittingDoctor.type.coding		0..*	Coding	Code defined by a terminology system Required Pattern: { "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code" : "ADM" }
Encounter.Slices for participant.participant:admittingDoctor.individual
Encounter.Slices for participant.participant:admittingDoctor.individual.identifier		0..1	PractitionerIdentifier	Logical reference, when literal reference is not known
Encounter.hospitalization	S This element must be supported.	0..1	BackboneElement	Details about the admission to a healthcare service
Encounter.hospitalization.admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: Admission Source (extensible)
Encounter.hospitalization.dischargeDisposition		0..1	CodeableConcept	Discharge destination - where the patient went (PV1-37) Binding: Discharge Destination (extensible)
Encounter.partOf		0..0		Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Encounter.hospitalization.​admitSource	Base	extensible	Admission Source	📦0.1.0	This IG
Encounter.hospitalization.​dischargeDisposition	Base	extensible	Discharge Destination	📦0.1.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
Encounter.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Encounter.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Encounter.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Encounter.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Encounter.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Encounter.contained		0..*	Resource	Contained, inline Resources
Encounter.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Encounter.Slices for extension.extension:dischargeMethod	S This element must be supported.	0..1	CodeableConcept	Discharge Method URL: https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/DischargeMethod Binding: Discharge Method Value Set (extensible)
Encounter.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Encounter.Slices for identifier	S This element must be supported. Σ This element is included in summaries.	1..*	CorrelationIdentifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Encounter.Slices for identifier.identifier:HospitalSpellIdentifier	S This element must be supported. Σ This element is included in summaries.	0..1	HospitalProviderSpellIdentifier	Account Number / Spell Number (HL7 v2 type AN)
Encounter.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
Encounter.statusHistory		0..*	BackboneElement	List of past encounter statuses
Encounter.statusHistory.id		0..1	string	Unique id for inter-element referencing
Encounter.statusHistory.extension		0..*	Extension	Additional content defined by implementations
Encounter.statusHistory.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.statusHistory.status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
Encounter.statusHistory.period		1..1	Period	The time that the episode was in the specified status
Encounter.class	Σ This element is included in summaries.	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
Encounter.classHistory		0..*	BackboneElement	List of past encounter classes
Encounter.classHistory.id		0..1	string	Unique id for inter-element referencing
Encounter.classHistory.extension		0..*	Extension	Additional content defined by implementations
Encounter.classHistory.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.classHistory.class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
Encounter.classHistory.period		1..1	Period	The time that the episode was in the specified class
Encounter.type	Σ This element is included in summaries.	0..1	CodeableConcept	Specific type of encounter Binding: EncounterType (example): The type of encounter.
Encounter.serviceType	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
Encounter.priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
Encounter.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Patient)	The patient or group present at the encounter
Encounter.subject.id		0..1	string	Unique id for inter-element referencing
Encounter.subject.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.subject.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Encounter.subject.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Encounter.subject.identifier	Σ This element is included in summaries.	0..1	NHSIdentifier	Logical reference, when literal reference is not known
Encounter.subject.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Encounter.episodeOfCare	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
Encounter.basedOn	S This element must be supported.	0..*	Reference(ServiceRequest)	The referral this encounter carries out
Encounter.Slices for participant	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type.coding Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Encounter.Slices for participant.participant:All Slices				Content/Rules for all slices
Encounter.Slices for participant.participant:All Slices.id		0..1	string	Unique id for inter-element referencing
Encounter.Slices for participant.participant:All Slices.extension		0..*	Extension	Additional content defined by implementations
Encounter.Slices for participant.participant:All Slices.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.Slices for participant.participant:All Slices.type	Σ This element is included in summaries.	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
Encounter.Slices for participant.participant:All Slices.type.id		0..1	string	Unique id for inter-element referencing
Encounter.Slices for participant.participant:All Slices.type.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.Slices for participant.participant:All Slices.type.coding	Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Encounter.Slices for participant.participant:All Slices.type.coding.id		0..1	string	Unique id for inter-element referencing
Encounter.Slices for participant.participant:All Slices.type.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.Slices for participant.participant:All Slices.type.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system
Encounter.Slices for participant.participant:All Slices.type.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Encounter.Slices for participant.participant:All Slices.type.coding.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
Encounter.Slices for participant.participant:All Slices.type.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Encounter.Slices for participant.participant:All Slices.type.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Encounter.Slices for participant.participant:All Slices.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Encounter.Slices for participant.participant:All Slices.period		0..1	Period	Period of time during the encounter that the participant participated
Encounter.Slices for participant.participant:All Slices.individual	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
Encounter.Slices for participant.participant:referringDoctor	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	List of participants involved in the encounter
Encounter.Slices for participant.participant:referringDoctor.id		0..1	string	Unique id for inter-element referencing
Encounter.Slices for participant.participant:referringDoctor.extension		0..*	Extension	Additional content defined by implementations
Encounter.Slices for participant.participant:referringDoctor.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.Slices for participant.participant:referringDoctor.type	Σ This element is included in summaries.	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
Encounter.Slices for participant.participant:referringDoctor.type.id		0..1	string	Unique id for inter-element referencing
Encounter.Slices for participant.participant:referringDoctor.type.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.Slices for participant.participant:referringDoctor.type.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Required Pattern: { "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code" : "REF" }
Encounter.Slices for participant.participant:referringDoctor.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Encounter.Slices for participant.participant:referringDoctor.period		0..1	Period	Period of time during the encounter that the participant participated
Encounter.Slices for participant.participant:referringDoctor.individual	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
Encounter.Slices for participant.participant:referringDoctor.individual.id		0..1	string	Unique id for inter-element referencing
Encounter.Slices for participant.participant:referringDoctor.individual.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.Slices for participant.participant:referringDoctor.individual.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Encounter.Slices for participant.participant:referringDoctor.individual.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Encounter.Slices for participant.participant:referringDoctor.individual.identifier	Σ This element is included in summaries.	0..1	PractitionerIdentifier	Logical reference, when literal reference is not known
Encounter.Slices for participant.participant:referringDoctor.individual.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Encounter.Slices for participant.participant:admittingDoctor	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	List of participants involved in the encounter
Encounter.Slices for participant.participant:admittingDoctor.id		0..1	string	Unique id for inter-element referencing
Encounter.Slices for participant.participant:admittingDoctor.extension		0..*	Extension	Additional content defined by implementations
Encounter.Slices for participant.participant:admittingDoctor.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.Slices for participant.participant:admittingDoctor.type	Σ This element is included in summaries.	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
Encounter.Slices for participant.participant:admittingDoctor.type.id		0..1	string	Unique id for inter-element referencing
Encounter.Slices for participant.participant:admittingDoctor.type.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.Slices for participant.participant:admittingDoctor.type.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Required Pattern: { "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code" : "ADM" }
Encounter.Slices for participant.participant:admittingDoctor.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Encounter.Slices for participant.participant:admittingDoctor.period		0..1	Period	Period of time during the encounter that the participant participated
Encounter.Slices for participant.participant:admittingDoctor.individual	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
Encounter.Slices for participant.participant:admittingDoctor.individual.id		0..1	string	Unique id for inter-element referencing
Encounter.Slices for participant.participant:admittingDoctor.individual.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.Slices for participant.participant:admittingDoctor.individual.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Encounter.Slices for participant.participant:admittingDoctor.individual.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Encounter.Slices for participant.participant:admittingDoctor.individual.identifier	Σ This element is included in summaries.	0..1	PractitionerIdentifier	Logical reference, when literal reference is not known
Encounter.Slices for participant.participant:admittingDoctor.individual.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Encounter.appointment	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(Appointment)	The appointment that scheduled this encounter
Encounter.period	S This element must be supported.	0..1	Period	The start and end time of the encounter
Encounter.period.id		0..1	string	Unique id for inter-element referencing
Encounter.period.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.period.start	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	Starting time with inclusive boundary
Encounter.period.end	Σ This element is included in summaries. C	0..1	dateTime	End time with inclusive boundary, if not ongoing
Encounter.length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
Encounter.reasonCode	Σ This element is included in summaries.	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
Encounter.reasonReference	Σ This element is included in summaries.	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)
Encounter.diagnosis	Σ This element is included in summaries.	0..*	BackboneElement	The list of diagnosis relevant to this encounter
Encounter.diagnosis.id		0..1	string	Unique id for inter-element referencing
Encounter.diagnosis.extension		0..*	Extension	Additional content defined by implementations
Encounter.diagnosis.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.diagnosis.condition	Σ This element is included in summaries.	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
Encounter.diagnosis.use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
Encounter.diagnosis.rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
Encounter.account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
Encounter.hospitalization	S This element must be supported.	0..1	BackboneElement	Details about the admission to a healthcare service
Encounter.hospitalization.id		0..1	string	Unique id for inter-element referencing
Encounter.hospitalization.extension		0..*	Extension	Additional content defined by implementations
Encounter.hospitalization.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.hospitalization.preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
Encounter.hospitalization.origin		0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission
Encounter.hospitalization.admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: Admission Source (extensible)
Encounter.hospitalization.reAdmission		0..1	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
Encounter.hospitalization.dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
Encounter.hospitalization.specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
Encounter.hospitalization.specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
Encounter.hospitalization.destination		0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
Encounter.hospitalization.dischargeDisposition		0..1	CodeableConcept	Discharge destination - where the patient went (PV1-37) Binding: Discharge Destination (extensible)
Encounter.location		0..*	BackboneElement	List of locations where the patient has been
Encounter.location.id		0..1	string	Unique id for inter-element referencing
Encounter.location.extension		0..*	Extension	Additional content defined by implementations
Encounter.location.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.location.location		1..1	Reference(Location)	Location the encounter takes place
Encounter.location.status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
Encounter.location.physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
Encounter.location.period		0..1	Period	Time period during which the patient was present at the location
Encounter.serviceProvider		0..1	Reference(Organization)	The organization (facility) responsible for this encounter
Encounter.serviceProvider.id		0..1	string	Unique id for inter-element referencing
Encounter.serviceProvider.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.serviceProvider.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Encounter.serviceProvider.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Encounter.serviceProvider.identifier	Σ This element is included in summaries.	0..1	OrganisationCode	Logical reference, when literal reference is not known
Encounter.serviceProvider.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.statusHistory.​status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.5
Encounter.classHistory.​class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.5
Encounter.type	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Encounter.priority	Base	example	ActPriority	📦3.0.0	THO v7.5
Encounter.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.participant.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Encounter.participant:referringDoctor.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Encounter.participant:referringDoctor.​individual.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.participant:admittingDoctor.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Encounter.participant:admittingDoctor.​individual.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.reasonCode	Base	preferred	Encounter Reason Codes	📍4.0.1	FHIR Std.
Encounter.diagnosis.​use	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
Encounter.hospitalization.​admitSource	Base	extensible	Admission Source	📦0.1.0	This IG
Encounter.hospitalization.​reAdmission	Base	example	hl7VS-re-admissionIndicator	📦3.0.0	THO v7.5
Encounter.hospitalization.​dietPreference	Base	example	Diet	📍4.0.1	FHIR Std.
Encounter.hospitalization.​specialCourtesy	Base	preferred	Special courtesy	📍4.0.1	FHIR Std.
Encounter.hospitalization.​specialArrangement	Base	preferred	Special arrangements	📍4.0.1	FHIR Std.
Encounter.hospitalization.​dischargeDisposition	Base	extensible	Discharge Destination	📦0.1.0	This IG
Encounter.location.status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location.physicalType	Base	example	Location type	📍4.0.1	FHIR Std.
Encounter.serviceProvider.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Encounter	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	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()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
Encounter.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Encounter.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Encounter.Slices for extension.extension:dischargeMethod	S This element must be supported.	0..1	CodeableConcept	Discharge Method URL: https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/DischargeMethod Binding: Discharge Method Value Set (extensible)
Encounter.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Encounter.Slices for identifier	S This element must be supported. Σ This element is included in summaries.	1..*	CorrelationIdentifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Encounter.Slices for identifier.identifier:HospitalSpellIdentifier	S This element must be supported. Σ This element is included in summaries.	0..1	HospitalProviderSpellIdentifier	Account Number / Spell Number (HL7 v2 type AN)
Encounter.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
Encounter.class	Σ This element is included in summaries.	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
Encounter.type	Σ This element is included in summaries.	0..1	CodeableConcept	Specific type of encounter Binding: EncounterType (example): The type of encounter.
Encounter.serviceType	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
Encounter.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Patient)	The patient or group present at the encounter
Encounter.episodeOfCare	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
Encounter.basedOn	S This element must be supported.	0..*	Reference(ServiceRequest)	The referral this encounter carries out
Encounter.Slices for participant	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type.coding Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Encounter.Slices for participant.participant:All Slices				Content/Rules for all slices
Encounter.Slices for participant.participant:All Slices.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.Slices for participant.participant:All Slices.type	Σ This element is included in summaries.	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
Encounter.Slices for participant.participant:All Slices.type.coding	Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Encounter.Slices for participant.participant:All Slices.type.coding.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
Encounter.Slices for participant.participant:referringDoctor	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	List of participants involved in the encounter
Encounter.Slices for participant.participant:referringDoctor.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.Slices for participant.participant:admittingDoctor	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	List of participants involved in the encounter
Encounter.Slices for participant.participant:admittingDoctor.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.appointment	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(Appointment)	The appointment that scheduled this encounter
Encounter.period	S This element must be supported.	0..1	Period	The start and end time of the encounter
Encounter.period.start	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	Starting time with inclusive boundary
Encounter.hospitalization	S This element must be supported.	0..1	BackboneElement	Details about the admission to a healthcare service
Encounter.hospitalization.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.hospitalization.admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: Admission Source (extensible)
Encounter.hospitalization.dischargeDisposition		0..1	CodeableConcept	Discharge destination - where the patient went (PV1-37) Binding: Discharge Destination (extensible)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.5
Encounter.type	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Encounter.participant.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Encounter.hospitalization.​admitSource	Base	extensible	Admission Source	📦0.1.0	This IG
Encounter.hospitalization.​dischargeDisposition	Base	extensible	Discharge Destination	📦0.1.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Encounter	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	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()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from Encounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
Encounter.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Encounter.Slices for extension.extension:dischargeMethod	S This element must be supported.	0..1	CodeableConcept	Discharge Method URL: https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/DischargeMethod Binding: Discharge Method Value Set (extensible)
Encounter.Slices for identifier				Content/Rules for all slices
Encounter.Slices for identifier.identifier:HospitalSpellIdentifier	S This element must be supported.	0..1	HospitalProviderSpellIdentifier	Account Number / Spell Number (HL7 v2 type AN)
Encounter.Slices for participant		0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type.coding Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Encounter.Slices for participant.participant:All Slices				Content/Rules for all slices
Encounter.Slices for participant.participant:All Slices.type		1..1	CodeableConcept	Role of participant in encounter
Encounter.Slices for participant.participant:All Slices.type.coding		1..*	Coding	Code defined by a terminology system
Encounter.Slices for participant.participant:All Slices.type.coding.code		1..1	code	Symbol in syntax defined by the system
Encounter.Slices for participant.participant:referringDoctor		0..1	BackboneElement	List of participants involved in the encounter
Encounter.Slices for participant.participant:referringDoctor.type
Encounter.Slices for participant.participant:referringDoctor.type.coding		0..*	Coding	Code defined by a terminology system Required Pattern: { "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code" : "REF" }
Encounter.Slices for participant.participant:referringDoctor.individual
Encounter.Slices for participant.participant:referringDoctor.individual.identifier		0..1	PractitionerIdentifier	Logical reference, when literal reference is not known
Encounter.Slices for participant.participant:admittingDoctor		0..1	BackboneElement	List of participants involved in the encounter
Encounter.Slices for participant.participant:admittingDoctor.type
Encounter.Slices for participant.participant:admittingDoctor.type.coding		0..*	Coding	Code defined by a terminology system Required Pattern: { "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code" : "ADM" }
Encounter.Slices for participant.participant:admittingDoctor.individual
Encounter.Slices for participant.participant:admittingDoctor.individual.identifier		0..1	PractitionerIdentifier	Logical reference, when literal reference is not known
Encounter.hospitalization	S This element must be supported.	0..1	BackboneElement	Details about the admission to a healthcare service
Encounter.hospitalization.admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: Admission Source (extensible)
Encounter.hospitalization.dischargeDisposition		0..1	CodeableConcept	Discharge destination - where the patient went (PV1-37) Binding: Discharge Destination (extensible)
Encounter.partOf		0..0		Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Encounter.hospitalization.​admitSource	Base	extensible	Admission Source	📦0.1.0	This IG
Encounter.hospitalization.​dischargeDisposition	Base	extensible	Discharge Destination	📦0.1.0	This IG

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
Encounter.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Encounter.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Encounter.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Encounter.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Encounter.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Encounter.contained		0..*	Resource	Contained, inline Resources
Encounter.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Encounter.Slices for extension.extension:dischargeMethod	S This element must be supported.	0..1	CodeableConcept	Discharge Method URL: https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/DischargeMethod Binding: Discharge Method Value Set (extensible)
Encounter.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Encounter.Slices for identifier	S This element must be supported. Σ This element is included in summaries.	1..*	CorrelationIdentifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Encounter.Slices for identifier.identifier:HospitalSpellIdentifier	S This element must be supported. Σ This element is included in summaries.	0..1	HospitalProviderSpellIdentifier	Account Number / Spell Number (HL7 v2 type AN)
Encounter.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
Encounter.statusHistory		0..*	BackboneElement	List of past encounter statuses
Encounter.statusHistory.id		0..1	string	Unique id for inter-element referencing
Encounter.statusHistory.extension		0..*	Extension	Additional content defined by implementations
Encounter.statusHistory.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.statusHistory.status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
Encounter.statusHistory.period		1..1	Period	The time that the episode was in the specified status
Encounter.class	Σ This element is included in summaries.	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
Encounter.classHistory		0..*	BackboneElement	List of past encounter classes
Encounter.classHistory.id		0..1	string	Unique id for inter-element referencing
Encounter.classHistory.extension		0..*	Extension	Additional content defined by implementations
Encounter.classHistory.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.classHistory.class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
Encounter.classHistory.period		1..1	Period	The time that the episode was in the specified class
Encounter.type	Σ This element is included in summaries.	0..1	CodeableConcept	Specific type of encounter Binding: EncounterType (example): The type of encounter.
Encounter.serviceType	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
Encounter.priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
Encounter.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Patient)	The patient or group present at the encounter
Encounter.subject.id		0..1	string	Unique id for inter-element referencing
Encounter.subject.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.subject.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Encounter.subject.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Encounter.subject.identifier	Σ This element is included in summaries.	0..1	NHSIdentifier	Logical reference, when literal reference is not known
Encounter.subject.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Encounter.episodeOfCare	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
Encounter.basedOn	S This element must be supported.	0..*	Reference(ServiceRequest)	The referral this encounter carries out
Encounter.Slices for participant	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	List of participants involved in the encounter Slice: Unordered, Open by value:type.coding Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Encounter.Slices for participant.participant:All Slices				Content/Rules for all slices
Encounter.Slices for participant.participant:All Slices.id		0..1	string	Unique id for inter-element referencing
Encounter.Slices for participant.participant:All Slices.extension		0..*	Extension	Additional content defined by implementations
Encounter.Slices for participant.participant:All Slices.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.Slices for participant.participant:All Slices.type	Σ This element is included in summaries.	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
Encounter.Slices for participant.participant:All Slices.type.id		0..1	string	Unique id for inter-element referencing
Encounter.Slices for participant.participant:All Slices.type.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.Slices for participant.participant:All Slices.type.coding	Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Encounter.Slices for participant.participant:All Slices.type.coding.id		0..1	string	Unique id for inter-element referencing
Encounter.Slices for participant.participant:All Slices.type.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.Slices for participant.participant:All Slices.type.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system
Encounter.Slices for participant.participant:All Slices.type.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Encounter.Slices for participant.participant:All Slices.type.coding.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
Encounter.Slices for participant.participant:All Slices.type.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Encounter.Slices for participant.participant:All Slices.type.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Encounter.Slices for participant.participant:All Slices.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Encounter.Slices for participant.participant:All Slices.period		0..1	Period	Period of time during the encounter that the participant participated
Encounter.Slices for participant.participant:All Slices.individual	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
Encounter.Slices for participant.participant:referringDoctor	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	List of participants involved in the encounter
Encounter.Slices for participant.participant:referringDoctor.id		0..1	string	Unique id for inter-element referencing
Encounter.Slices for participant.participant:referringDoctor.extension		0..*	Extension	Additional content defined by implementations
Encounter.Slices for participant.participant:referringDoctor.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.Slices for participant.participant:referringDoctor.type	Σ This element is included in summaries.	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
Encounter.Slices for participant.participant:referringDoctor.type.id		0..1	string	Unique id for inter-element referencing
Encounter.Slices for participant.participant:referringDoctor.type.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.Slices for participant.participant:referringDoctor.type.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Required Pattern: { "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code" : "REF" }
Encounter.Slices for participant.participant:referringDoctor.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Encounter.Slices for participant.participant:referringDoctor.period		0..1	Period	Period of time during the encounter that the participant participated
Encounter.Slices for participant.participant:referringDoctor.individual	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
Encounter.Slices for participant.participant:referringDoctor.individual.id		0..1	string	Unique id for inter-element referencing
Encounter.Slices for participant.participant:referringDoctor.individual.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.Slices for participant.participant:referringDoctor.individual.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Encounter.Slices for participant.participant:referringDoctor.individual.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Encounter.Slices for participant.participant:referringDoctor.individual.identifier	Σ This element is included in summaries.	0..1	PractitionerIdentifier	Logical reference, when literal reference is not known
Encounter.Slices for participant.participant:referringDoctor.individual.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Encounter.Slices for participant.participant:admittingDoctor	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	List of participants involved in the encounter
Encounter.Slices for participant.participant:admittingDoctor.id		0..1	string	Unique id for inter-element referencing
Encounter.Slices for participant.participant:admittingDoctor.extension		0..*	Extension	Additional content defined by implementations
Encounter.Slices for participant.participant:admittingDoctor.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.Slices for participant.participant:admittingDoctor.type	Σ This element is included in summaries.	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
Encounter.Slices for participant.participant:admittingDoctor.type.id		0..1	string	Unique id for inter-element referencing
Encounter.Slices for participant.participant:admittingDoctor.type.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.Slices for participant.participant:admittingDoctor.type.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Required Pattern: { "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code" : "ADM" }
Encounter.Slices for participant.participant:admittingDoctor.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Encounter.Slices for participant.participant:admittingDoctor.period		0..1	Period	Period of time during the encounter that the participant participated
Encounter.Slices for participant.participant:admittingDoctor.individual	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
Encounter.Slices for participant.participant:admittingDoctor.individual.id		0..1	string	Unique id for inter-element referencing
Encounter.Slices for participant.participant:admittingDoctor.individual.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.Slices for participant.participant:admittingDoctor.individual.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Encounter.Slices for participant.participant:admittingDoctor.individual.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Encounter.Slices for participant.participant:admittingDoctor.individual.identifier	Σ This element is included in summaries.	0..1	PractitionerIdentifier	Logical reference, when literal reference is not known
Encounter.Slices for participant.participant:admittingDoctor.individual.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Encounter.appointment	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(Appointment)	The appointment that scheduled this encounter
Encounter.period	S This element must be supported.	0..1	Period	The start and end time of the encounter
Encounter.period.id		0..1	string	Unique id for inter-element referencing
Encounter.period.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.period.start	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	Starting time with inclusive boundary
Encounter.period.end	Σ This element is included in summaries. C	0..1	dateTime	End time with inclusive boundary, if not ongoing
Encounter.length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
Encounter.reasonCode	Σ This element is included in summaries.	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
Encounter.reasonReference	Σ This element is included in summaries.	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)
Encounter.diagnosis	Σ This element is included in summaries.	0..*	BackboneElement	The list of diagnosis relevant to this encounter
Encounter.diagnosis.id		0..1	string	Unique id for inter-element referencing
Encounter.diagnosis.extension		0..*	Extension	Additional content defined by implementations
Encounter.diagnosis.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.diagnosis.condition	Σ This element is included in summaries.	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
Encounter.diagnosis.use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
Encounter.diagnosis.rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
Encounter.account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
Encounter.hospitalization	S This element must be supported.	0..1	BackboneElement	Details about the admission to a healthcare service
Encounter.hospitalization.id		0..1	string	Unique id for inter-element referencing
Encounter.hospitalization.extension		0..*	Extension	Additional content defined by implementations
Encounter.hospitalization.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.hospitalization.preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
Encounter.hospitalization.origin		0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission
Encounter.hospitalization.admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: Admission Source (extensible)
Encounter.hospitalization.reAdmission		0..1	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
Encounter.hospitalization.dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
Encounter.hospitalization.specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
Encounter.hospitalization.specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
Encounter.hospitalization.destination		0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
Encounter.hospitalization.dischargeDisposition		0..1	CodeableConcept	Discharge destination - where the patient went (PV1-37) Binding: Discharge Destination (extensible)
Encounter.location		0..*	BackboneElement	List of locations where the patient has been
Encounter.location.id		0..1	string	Unique id for inter-element referencing
Encounter.location.extension		0..*	Extension	Additional content defined by implementations
Encounter.location.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.location.location		1..1	Reference(Location)	Location the encounter takes place
Encounter.location.status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
Encounter.location.physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
Encounter.location.period		0..1	Period	Time period during which the patient was present at the location
Encounter.serviceProvider		0..1	Reference(Organization)	The organization (facility) responsible for this encounter
Encounter.serviceProvider.id		0..1	string	Unique id for inter-element referencing
Encounter.serviceProvider.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.serviceProvider.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Encounter.serviceProvider.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Encounter.serviceProvider.identifier	Σ This element is included in summaries.	0..1	OrganisationCode	Logical reference, when literal reference is not known
Encounter.serviceProvider.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.statusHistory.​status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.5
Encounter.classHistory.​class	Base	extensible	ActEncounterCode	📦3.0.0	THO v7.5
Encounter.type	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Encounter.priority	Base	example	ActPriority	📦3.0.0	THO v7.5
Encounter.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.participant.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Encounter.participant:referringDoctor.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Encounter.participant:referringDoctor.​individual.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.participant:admittingDoctor.​type	Base	extensible	Participant type	📍4.0.1	FHIR Std.
Encounter.participant:admittingDoctor.​individual.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.reasonCode	Base	preferred	Encounter Reason Codes	📍4.0.1	FHIR Std.
Encounter.diagnosis.​use	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
Encounter.hospitalization.​admitSource	Base	extensible	Admission Source	📦0.1.0	This IG
Encounter.hospitalization.​reAdmission	Base	example	hl7VS-re-admissionIndicator	📦3.0.0	THO v7.5
Encounter.hospitalization.​dietPreference	Base	example	Diet	📍4.0.1	FHIR Std.
Encounter.hospitalization.​specialCourtesy	Base	preferred	Special courtesy	📍4.0.1	FHIR Std.
Encounter.hospitalization.​specialArrangement	Base	preferred	Special arrangements	📍4.0.1	FHIR Std.
Encounter.hospitalization.​dischargeDisposition	Base	extensible	Discharge Destination	📦0.1.0	This IG
Encounter.location.status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location.physicalType	Base	example	Location type	📍4.0.1	FHIR Std.
Encounter.serviceProvider.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Encounter	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	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()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Encounter

Summary

Mandatory: 0 element(3 nested mandatory elements)
Must-Support: 3 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Hospital Provider Spell Identifier (https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/HospitalProviderSpellIdentifier)
• Practitioner Identifier (https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/PractitionerIdentifier)

Extensions

This structure refers to these extensions:

• https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/DischargeMethod

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Encounter.participant