My Health Record FHIR IG
1.2.0 - active

My Health Record FHIR IG - Local Development build (v1.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: ADHA Core Encounter

Official URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-encounter-core-1 | Version: 1.2.0
Active as of 2024-09-19 | Computable Name: ADHAEncounterCore
Copyright/Legal: Copyright © 2022 Australian Digital Health Agency - All rights reserved. This content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/.

The purpose of this profile is to provide a core representation of an encounter for the electronic exchange of health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia.

This profile identifies the additional constraints, extensions, and value sets that build on and extend Encounter that are supported.

This profile is designed to set a core Encounter standard for:

- Query for a patient's encounters
- Query for records associated with a specific patient encounter
- Record or update an encounter and records associated with an encounter

#### Profile specific guidance

- `Encounter.type` supports categorisation and provides an efficient way of supporting system interactions, e.g. restricting searches. Implementers need to understand that data categorisation is somewhat subjective. The categorisation applied by the source may not align with a receiver’s expectations.
- In an exchange with the My Health Record system `Encounter.status` is "finished".
- The Encounter resource can represent a reason using either a code with `Encounter.reasonCode`, or a reference with `Encounter.reasonReference` to a Condition or other resource.
  - Although both are marked as must support, sending systems are not required to support both a code and a reference, but they SHALL support at least one of these elements.
  - A receiving or persisting system SHALL support both elements.

Usage:

- Refer to this Resource Profile: ADHA Core Condition, ADHA Core DocumentReference, ADHA Core Flag, ADHA Core Immunization... Show 2 more, ADHA Core Observation and ADHA Core Procedure
- Examples for this Resource Profile: Encounter/annual-01, Encounter/es-01, Encounter/es-02, Encounter/psml-02 and Encounter/psml-03

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

This structure is derived from AUCoreEncounter

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Encounter | C | 0..* | AUCoreEncounter | An encounter in an Australian healthcare context inv-dh-enc-04: If present, the service provider shall at least have a reference or display or a valid identifier
Slices for extension |  |  |  | Content/Rules for all slices
extension:encounterDescription | S | 0..1 | EncounterDescription | Description, overview or summary of an encounter
type | S | 0..* | CodeableConcept | Specific type of encounter Binding: Encounter Type (preferred)
subject | S C | 1..1 | Reference(ADHA Core Patient) | The patient or group present at the encounter inv-dh-enc-01: At least reference or a valid identifier shall be present
participant | S C | 1..* | BackboneElement | List of participants involved in the encounter inv-dh-enc-02: If present, an individual shall at least have a reference, an identifier or a display
individual | S C | 0..1 | Reference(ADHA Core PractitionerRole | ADHA Core RelatedPerson) | Persons involved in the encounter other than the patient
reasonReference | S | 0..* | Reference(ADHA Core Condition | ADHA Core Observation | ADHA Core Procedure) | Reason the encounter takes place (reference)
hospitalization | S | 0..1 | BackboneElement | Details about the admission to a healthcare service
dischargeDisposition | S | 0..1 | CodeableConcept | Separation Mode
location | S C | 0..* | BackboneElement | List of locations where the patient has been inv-dh-enc-03: If present, location shall at least have a reference or display or a valid identifier
location | S C | 1..1 | Reference(ADHA Core Location) | Location the encounter takes place
serviceProvider | S C | 0..1 | Reference(ADHA Core Organization) | The organization (facility) responsible for this encounter
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Encounter.type | preferred | EncounterType `https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1` from https://tx.ontoserver.csiro.au/fhir

#### Constraints

Id | Grade | Path(s) | Details | Requirements
inv-dh-enc-01 | error | Encounter.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-enc-02 | error | Encounter.participant | If present, an individual shall at least have a reference, an identifier or a display : individual.exists() implies individual.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists()) |
inv-dh-enc-03 | error | Encounter.location | If present, location shall at least have a reference or display or a valid identifier : location.exists() implies location.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists()) |
inv-dh-enc-04 | error | Encounter | If present, the service provider shall at least have a reference or display or a valid identifier : serviceProvider.exists() implies serviceProvider.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists()) |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Encounter | C | 0..* | AUCoreEncounter | An encounter in an Australian healthcare context inv-dh-enc-04: If present, the service provider shall at least have a reference or display or a valid identifier
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
encounterDescription | S | 0..1 | string | Description, overview or summary of an encounter URL: http://hl7.org.au/fhir/StructureDefinition/encounter-description
associatedHealthcareService |  | 0..* | Reference(HealthcareService) | Associated healthcare service URL: http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!SO Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
class | SO Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode - AU Extended (extensible)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
type | S Σ | 0..* | CodeableConcept | Specific type of encounter Binding: Encounter Type (preferred)
serviceType | SO Σ | 0..1 | CodeableConcept | Specific type of service Binding: Service Type (preferred)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
subject | SO Σ C | 1..1 | Reference(ADHA Core Patient) | The patient or group present at the encounter inv-dh-enc-01: At least reference or a valid identifier shall be present
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
participant | SO Σ C | 1..* | BackboneElement | List of participants involved in the encounter inv-dh-enc-02: If present, an individual shall at least have a reference, an identifier or a display
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | SO Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
individual | SO Σ C | 0..1 | Reference(ADHA Core PractitionerRole | ADHA Core RelatedPerson) | Persons involved in the encounter other than the patient
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
period | SO | 0..1 | Period | The start and end time of the encounter
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
reasonCode | SO Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
reasonReference | SO Σ | 0..* | Reference(ADHA Core Condition | ADHA Core Observation | ADHA Core Procedure) | Reason the encounter takes place (reference)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
hospitalization | S | 0..1 | BackboneElement | Details about the admission to a healthcare service
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
dischargeDisposition | S | 0..1 | CodeableConcept | Separation Mode Binding: Separation Mode (extensible)
location | SO C | 0..* | BackboneElement | List of locations where the patient has been inv-dh-enc-03: If present, location shall at least have a reference or display or a valid identifier
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
location | SO C | 1..1 | Reference(ADHA Core Location) | Location the encounter takes place
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
serviceProvider | SO C | 0..1 | Reference(ADHA Core Organization) | The organization (facility) responsible for this encounter
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Encounter.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` from the FHIR Standard
Encounter.class | extensible | ActEncounterCodeAUExtended `http://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extended`
Encounter.type | preferred | EncounterType `https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1` from https://tx.ontoserver.csiro.au/fhir
Encounter.serviceType | preferred | ServiceType `https://healthterminologies.gov.au/fhir/ValueSet/service-type-1` from https://tx.ontoserver.csiro.au/fhir
Encounter.participant.type | extensible | ParticipantType `http://hl7.org/fhir/ValueSet/encounter-participant-type` from the FHIR Standard
Encounter.reasonCode | preferred | EncounterReasonCodes `http://hl7.org/fhir/ValueSet/encounter-reason` from the FHIR Standard
Encounter.hospitalization.dischargeDisposition | extensible | SeparationMode (a valid code from `https://healthterminologies.gov.au/fhir/CodeSystem/separation-mode-1`) `https://healthterminologies.gov.au/fhir/ValueSet/separation-mode-1` from https://tx.ontoserver.csiro.au/fhir

#### Constraints

Id | Grade | Path(s) | Details | Requirements
inv-dh-enc-01 | error | Encounter.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-enc-02 | error | Encounter.participant | If present, an individual shall at least have a reference, an identifier or a display : individual.exists() implies individual.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists()) |
inv-dh-enc-03 | error | Encounter.location | If present, location shall at least have a reference or display or a valid identifier : location.exists() implies location.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists()) |
inv-dh-enc-04 | error | Encounter | If present, the service provider shall at least have a reference or display or a valid identifier : serviceProvider.exists() implies serviceProvider.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists()) |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Encounter | C | 0..* | AUCoreEncounter | An encounter in an Australian healthcare context inv-dh-enc-04: If present, the service provider shall at least have a reference or display or a valid identifier
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
encounterDescription | S | 0..1 | string | Description, overview or summary of an encounter URL: http://hl7.org.au/fhir/StructureDefinition/encounter-description
associatedHealthcareService |  | 0..* | Reference(HealthcareService) | Associated healthcare service URL: http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known
status | ?!SO Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
statusHistory |  | 0..* | BackboneElement | List of past encounter statuses
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status |  | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period |  | 1..1 | Period | The time that the episode was in the specified status
class | SO Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode - AU Extended (extensible)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
classHistory |  | 0..* | BackboneElement | List of past encounter classes
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
class |  | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period |  | 1..1 | Period | The time that the episode was in the specified class
type | S Σ | 0..* | CodeableConcept | Specific type of encounter Binding: Encounter Type (preferred)
serviceType | SO Σ | 0..1 | CodeableConcept | Specific type of service Binding: Service Type (preferred)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject | SO Σ C | 1..1 | Reference(ADHA Core Patient) | The patient or group present at the encounter inv-dh-enc-01: At least reference or a valid identifier shall be present
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against
basedOn |  | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter
participant | SO Σ C | 1..* | BackboneElement | List of participants involved in the encounter inv-dh-enc-02: If present, an individual shall at least have a reference, an identifier or a display
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | SO Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
period |  | 0..1 | Period | Period of time during the encounter that the participant participated
individual | SO Σ C | 0..1 | Reference(ADHA Core PractitionerRole | ADHA Core RelatedPerson) | Persons involved in the encounter other than the patient
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter
period | SO | 0..1 | Period | The start and end time of the encounter
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
length |  | 0..1 | Duration | Quantity of time the encounter lasted (less time absent)
reasonCode | SO Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
reasonReference | SO Σ | 0..* | Reference(ADHA Core Condition | ADHA Core Observation | ADHA Core Procedure) | Reason the encounter takes place (reference)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
condition | Σ | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter
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.
rank |  | 0..1 | positiveInt | Ranking of the diagnosis (for each role type)
account |  | 0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter
hospitalization | S | 0..1 | BackboneElement | Details about the admission to a healthcare service
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier |  | 0..1 | Identifier | Pre-admission identifier
origin |  | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission
admitSource |  | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
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.
dietPreference |  | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy |  | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement |  | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination |  | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged
dischargeDisposition | S | 0..1 | CodeableConcept | Separation Mode Binding: Separation Mode (extensible)
location | SO C | 0..* | BackboneElement | List of locations where the patient has been inv-dh-enc-03: If present, location shall at least have a reference or display or a valid identifier
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
location | SO C | 1..1 | Reference(ADHA Core Location) | Location the encounter takes place
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
status |  | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the 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.
period |  | 0..1 | Period | Time period during which the patient was present at the location
serviceProvider | SO C | 0..1 | Reference(ADHA Core Organization) | The organization (facility) responsible for this encounter
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
partOf |  | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Encounter.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Encounter.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` from the FHIR Standard
Encounter.statusHistory.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` from the FHIR Standard
Encounter.class | extensible | ActEncounterCodeAUExtended `http://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extended`
Encounter.classHistory.class | extensible | ActEncounterCode `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode`
Encounter.type | preferred | EncounterType `https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1` from https://tx.ontoserver.csiro.au/fhir
Encounter.serviceType | preferred | ServiceType `https://healthterminologies.gov.au/fhir/ValueSet/service-type-1` from https://tx.ontoserver.csiro.au/fhir
Encounter.priority | example | ActPriority `http://terminology.hl7.org/ValueSet/v3-ActPriority`
Encounter.participant.type | extensible | ParticipantType `http://hl7.org/fhir/ValueSet/encounter-participant-type` from the FHIR Standard
Encounter.reasonCode | preferred | EncounterReasonCodes `http://hl7.org/fhir/ValueSet/encounter-reason` from the FHIR Standard
Encounter.diagnosis.use | preferred | DiagnosisRole `http://hl7.org/fhir/ValueSet/diagnosis-role` from the FHIR Standard
Encounter.hospitalization.admitSource | preferred | AdmitSource `http://hl7.org/fhir/ValueSet/encounter-admit-source` from the FHIR Standard
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicator `http://terminology.hl7.org/ValueSet/v2-0092`
Encounter.hospitalization.dietPreference | example | Diet `http://hl7.org/fhir/ValueSet/encounter-diet` from the FHIR Standard
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesy `http://hl7.org/fhir/ValueSet/encounter-special-courtesy` from the FHIR Standard
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangements `http://hl7.org/fhir/ValueSet/encounter-special-arrangements` from the FHIR Standard
Encounter.hospitalization.dischargeDisposition | extensible | SeparationMode (a valid code from `https://healthterminologies.gov.au/fhir/CodeSystem/separation-mode-1`) `https://healthterminologies.gov.au/fhir/ValueSet/separation-mode-1` from https://tx.ontoserver.csiro.au/fhir
Encounter.location.status | required | EncounterLocationStatus `http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1` from the FHIR Standard
Encounter.location.physicalType | example | LocationType `http://hl7.org/fhir/ValueSet/location-physical-type` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
inv-dh-enc-01 | error | Encounter.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-enc-02 | error | Encounter.participant | If present, an individual shall at least have a reference, an identifier or a display : individual.exists() implies individual.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists()) |
inv-dh-enc-03 | error | Encounter.location | If present, location shall at least have a reference or display or a valid identifier : location.exists() implies location.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists()) |
inv-dh-enc-04 | error | Encounter | If present, the service provider shall at least have a reference or display or a valid identifier : serviceProvider.exists() implies serviceProvider.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists()) |

This structure is derived from AUCoreEncounter

Summary

Mandatory: 2 elements
Must-Support: 11 elements

Structures

This structure refers to these other structures:

- ADHA Core Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-core-1)
- ADHA Core PractitionerRole (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-core-1)
- ADHA Core RelatedPerson (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-relatedperson-core-1)
- ADHA Core Condition (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-condition-core-1)
- ADHA Core Observation (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-core-1)
- ADHA Core Procedure (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-procedure-core-1)
- ADHA Core Location (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-location-core-1)
- ADHA Core Organization (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-organization-core-1)

Differential View

This structure is derived from AUCoreEncounter

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Encounter | C | 0..* | AUCoreEncounter | An encounter in an Australian healthcare context inv-dh-enc-04: If present, the service provider shall at least have a reference or display or a valid identifier
Slices for extension |  |  |  | Content/Rules for all slices
extension:encounterDescription | S | 0..1 | EncounterDescription | Description, overview or summary of an encounter
type | S | 0..* | CodeableConcept | Specific type of encounter Binding: Encounter Type (preferred)
subject | S C | 1..1 | Reference(ADHA Core Patient) | The patient or group present at the encounter inv-dh-enc-01: At least reference or a valid identifier shall be present
participant | S C | 1..* | BackboneElement | List of participants involved in the encounter inv-dh-enc-02: If present, an individual shall at least have a reference, an identifier or a display
individual | S C | 0..1 | Reference(ADHA Core PractitionerRole | ADHA Core RelatedPerson) | Persons involved in the encounter other than the patient
reasonReference | S | 0..* | Reference(ADHA Core Condition | ADHA Core Observation | ADHA Core Procedure) | Reason the encounter takes place (reference)
hospitalization | S | 0..1 | BackboneElement | Details about the admission to a healthcare service
dischargeDisposition | S | 0..1 | CodeableConcept | Separation Mode
location | S C | 0..* | BackboneElement | List of locations where the patient has been inv-dh-enc-03: If present, location shall at least have a reference or display or a valid identifier
location | S C | 1..1 | Reference(ADHA Core Location) | Location the encounter takes place
serviceProvider | S C | 0..1 | Reference(ADHA Core Organization) | The organization (facility) responsible for this encounter
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Encounter.type | preferred | EncounterType `https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1` from https://tx.ontoserver.csiro.au/fhir

#### Constraints

Id | Grade | Path(s) | Details | Requirements
inv-dh-enc-01 | error | Encounter.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-enc-02 | error | Encounter.participant | If present, an individual shall at least have a reference, an identifier or a display : individual.exists() implies individual.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists()) |
inv-dh-enc-03 | error | Encounter.location | If present, location shall at least have a reference or display or a valid identifier : location.exists() implies location.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists()) |
inv-dh-enc-04 | error | Encounter | If present, the service provider shall at least have a reference or display or a valid identifier : serviceProvider.exists() implies serviceProvider.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists()) |

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Encounter | C | 0..* | AUCoreEncounter | An encounter in an Australian healthcare context inv-dh-enc-04: If present, the service provider shall at least have a reference or display or a valid identifier
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
encounterDescription | S | 0..1 | string | Description, overview or summary of an encounter URL: http://hl7.org.au/fhir/StructureDefinition/encounter-description
associatedHealthcareService |  | 0..* | Reference(HealthcareService) | Associated healthcare service URL: http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!SO Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
class | SO Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode - AU Extended (extensible)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
type | S Σ | 0..* | CodeableConcept | Specific type of encounter Binding: Encounter Type (preferred)
serviceType | SO Σ | 0..1 | CodeableConcept | Specific type of service Binding: Service Type (preferred)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
subject | SO Σ C | 1..1 | Reference(ADHA Core Patient) | The patient or group present at the encounter inv-dh-enc-01: At least reference or a valid identifier shall be present
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
participant | SO Σ C | 1..* | BackboneElement | List of participants involved in the encounter inv-dh-enc-02: If present, an individual shall at least have a reference, an identifier or a display
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | SO Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
individual | SO Σ C | 0..1 | Reference(ADHA Core PractitionerRole | ADHA Core RelatedPerson) | Persons involved in the encounter other than the patient
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
period | SO | 0..1 | Period | The start and end time of the encounter
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
reasonCode | SO Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
reasonReference | SO Σ | 0..* | Reference(ADHA Core Condition | ADHA Core Observation | ADHA Core Procedure) | Reason the encounter takes place (reference)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
hospitalization | S | 0..1 | BackboneElement | Details about the admission to a healthcare service
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
dischargeDisposition | S | 0..1 | CodeableConcept | Separation Mode Binding: Separation Mode (extensible)
location | SO C | 0..* | BackboneElement | List of locations where the patient has been inv-dh-enc-03: If present, location shall at least have a reference or display or a valid identifier
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
location | SO C | 1..1 | Reference(ADHA Core Location) | Location the encounter takes place
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
serviceProvider | SO C | 0..1 | Reference(ADHA Core Organization) | The organization (facility) responsible for this encounter
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Encounter.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` from the FHIR Standard
Encounter.class | extensible | ActEncounterCodeAUExtended `http://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extended`
Encounter.type | preferred | EncounterType `https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1` from https://tx.ontoserver.csiro.au/fhir
Encounter.serviceType | preferred | ServiceType `https://healthterminologies.gov.au/fhir/ValueSet/service-type-1` from https://tx.ontoserver.csiro.au/fhir
Encounter.participant.type | extensible | ParticipantType `http://hl7.org/fhir/ValueSet/encounter-participant-type` from the FHIR Standard
Encounter.reasonCode | preferred | EncounterReasonCodes `http://hl7.org/fhir/ValueSet/encounter-reason` from the FHIR Standard
Encounter.hospitalization.dischargeDisposition | extensible | SeparationMode (a valid code from `https://healthterminologies.gov.au/fhir/CodeSystem/separation-mode-1`) `https://healthterminologies.gov.au/fhir/ValueSet/separation-mode-1` from https://tx.ontoserver.csiro.au/fhir

#### Constraints

Id | Grade | Path(s) | Details | Requirements
inv-dh-enc-01 | error | Encounter.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-enc-02 | error | Encounter.participant | If present, an individual shall at least have a reference, an identifier or a display : individual.exists() implies individual.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists()) |
inv-dh-enc-03 | error | Encounter.location | If present, location shall at least have a reference or display or a valid identifier : location.exists() implies location.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists()) |
inv-dh-enc-04 | error | Encounter | If present, the service provider shall at least have a reference or display or a valid identifier : serviceProvider.exists() implies serviceProvider.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists()) |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Encounter | C | 0..* | AUCoreEncounter | An encounter in an Australian healthcare context inv-dh-enc-04: If present, the service provider shall at least have a reference or display or a valid identifier
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
encounterDescription | S | 0..1 | string | Description, overview or summary of an encounter URL: http://hl7.org.au/fhir/StructureDefinition/encounter-description
associatedHealthcareService |  | 0..* | Reference(HealthcareService) | Associated healthcare service URL: http://hl7.org.au/fhir/StructureDefinition/associated-healthcareservice
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known
status | ?!SO Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
statusHistory |  | 0..* | BackboneElement | List of past encounter statuses
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status |  | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period |  | 1..1 | Period | The time that the episode was in the specified status
class | SO Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode - AU Extended (extensible)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
classHistory |  | 0..* | BackboneElement | List of past encounter classes
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
class |  | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period |  | 1..1 | Period | The time that the episode was in the specified class
type | S Σ | 0..* | CodeableConcept | Specific type of encounter Binding: Encounter Type (preferred)
serviceType | SO Σ | 0..1 | CodeableConcept | Specific type of service Binding: Service Type (preferred)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject | SO Σ C | 1..1 | Reference(ADHA Core Patient) | The patient or group present at the encounter inv-dh-enc-01: At least reference or a valid identifier shall be present
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against
basedOn |  | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter
participant | SO Σ C | 1..* | BackboneElement | List of participants involved in the encounter inv-dh-enc-02: If present, an individual shall at least have a reference, an identifier or a display
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | SO Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
period |  | 0..1 | Period | Period of time during the encounter that the participant participated
individual | SO Σ C | 0..1 | Reference(ADHA Core PractitionerRole | ADHA Core RelatedPerson) | Persons involved in the encounter other than the patient
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter
period | SO | 0..1 | Period | The start and end time of the encounter
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
length |  | 0..1 | Duration | Quantity of time the encounter lasted (less time absent)
reasonCode | SO Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
reasonReference | SO Σ | 0..* | Reference(ADHA Core Condition | ADHA Core Observation | ADHA Core Procedure) | Reason the encounter takes place (reference)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
condition | Σ | 1..1 | Reference(Condition | Procedure) | The diagnosis or procedure relevant to the encounter
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.
rank |  | 0..1 | positiveInt | Ranking of the diagnosis (for each role type)
account |  | 0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter
hospitalization | S | 0..1 | BackboneElement | Details about the admission to a healthcare service
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier |  | 0..1 | Identifier | Pre-admission identifier
origin |  | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission
admitSource |  | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
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.
dietPreference |  | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy |  | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement |  | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination |  | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged
dischargeDisposition | S | 0..1 | CodeableConcept | Separation Mode Binding: Separation Mode (extensible)
location | SO C | 0..* | BackboneElement | List of locations where the patient has been inv-dh-enc-03: If present, location shall at least have a reference or display or a valid identifier
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
location | SO C | 1..1 | Reference(ADHA Core Location) | Location the encounter takes place
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
status |  | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the 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.
period |  | 0..1 | Period | Time period during which the patient was present at the location
serviceProvider | SO C | 0..1 | Reference(ADHA Core Organization) | The organization (facility) responsible for this encounter
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
partOf |  | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Encounter.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Encounter.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` from the FHIR Standard
Encounter.statusHistory.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` from the FHIR Standard
Encounter.class | extensible | ActEncounterCodeAUExtended `http://terminology.hl7.org.au/ValueSet/v3-ActEncounterCode-extended`
Encounter.classHistory.class | extensible | ActEncounterCode `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode`
Encounter.type | preferred | EncounterType `https://healthterminologies.gov.au/fhir/ValueSet/encounter-type-1` from https://tx.ontoserver.csiro.au/fhir
Encounter.serviceType | preferred | ServiceType `https://healthterminologies.gov.au/fhir/ValueSet/service-type-1` from https://tx.ontoserver.csiro.au/fhir
Encounter.priority | example | ActPriority `http://terminology.hl7.org/ValueSet/v3-ActPriority`
Encounter.participant.type | extensible | ParticipantType `http://hl7.org/fhir/ValueSet/encounter-participant-type` from the FHIR Standard
Encounter.reasonCode | preferred | EncounterReasonCodes `http://hl7.org/fhir/ValueSet/encounter-reason` from the FHIR Standard
Encounter.diagnosis.use | preferred | DiagnosisRole `http://hl7.org/fhir/ValueSet/diagnosis-role` from the FHIR Standard
Encounter.hospitalization.admitSource | preferred | AdmitSource `http://hl7.org/fhir/ValueSet/encounter-admit-source` from the FHIR Standard
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicator `http://terminology.hl7.org/ValueSet/v2-0092`
Encounter.hospitalization.dietPreference | example | Diet `http://hl7.org/fhir/ValueSet/encounter-diet` from the FHIR Standard
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesy `http://hl7.org/fhir/ValueSet/encounter-special-courtesy` from the FHIR Standard
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangements `http://hl7.org/fhir/ValueSet/encounter-special-arrangements` from the FHIR Standard
Encounter.hospitalization.dischargeDisposition | extensible | SeparationMode (a valid code from `https://healthterminologies.gov.au/fhir/CodeSystem/separation-mode-1`) `https://healthterminologies.gov.au/fhir/ValueSet/separation-mode-1` from https://tx.ontoserver.csiro.au/fhir
Encounter.location.status | required | EncounterLocationStatus `http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1` from the FHIR Standard
Encounter.location.physicalType | example | LocationType `http://hl7.org/fhir/ValueSet/location-physical-type` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
inv-dh-enc-01 | error | Encounter.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-enc-02 | error | Encounter.participant | If present, an individual shall at least have a reference, an identifier or a display : individual.exists() implies individual.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists()) |
inv-dh-enc-03 | error | Encounter.location | If present, location shall at least have a reference or display or a valid identifier : location.exists() implies location.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists()) |
inv-dh-enc-04 | error | Encounter | If present, the service provider shall at least have a reference or display or a valid identifier : serviceProvider.exists() implies serviceProvider.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists()) |

This structure is derived from AUCoreEncounter

Summary

Mandatory: 2 elements
Must-Support: 11 elements

Structures

This structure refers to these other structures:

- ADHA Core Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-core-1)
- ADHA Core PractitionerRole (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-core-1)
- ADHA Core RelatedPerson (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-relatedperson-core-1)
- ADHA Core Condition (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-condition-core-1)
- ADHA Core Observation (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-core-1)
- ADHA Core Procedure (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-procedure-core-1)
- ADHA Core Location (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-location-core-1)
- ADHA Core Organization (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-organization-core-1)

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