DRAFT Implementation Guide

This is for collaboration and discussion purposes and is subject to change.

North West Genomic Medicine Service Alliance - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• Examples
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Resource Profile: Encounter

Includes constraints from:

• HL7 PV1 segment definitions from NHS England HL7 v2 ADT Message Specification

Usages:

• Refer to this Profile: Diagnostic Report, DocumentReference, Observation Diagnostic Implication, Observation Variant... Show 2 more, Observation and ServiceRequest

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 UKCoreEncounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter			UKCoreEncounter
Slices for identifier		1..*	CorrelationIdentifier	Identifier(s) by which this encounter is known. Slice: Unordered, Open by value:type
identifier:VisitNumber	SO	0..1	EpisodeNumber	Identifier assigned by the Order Placer Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
type	S	0..1	CodeableConcept	Specific type of encounter Binding: Admission Method (required)
serviceType	S	0..1	CodeableConcept	Specific type of service Binding: Service (required)
subject		1..1	Reference(Patient)	The patient or group present at the encounter.
identifier		0..1	NHSNumber	Logical reference, when literal reference is not known
Slices for participant		0..*	BackboneElement	The list of people responsible for providing the service. Slice: Unordered, Open by value:type.coding
participant:All Slices				Content/Rules for all slices
type		1..1	CodeableConcept	Role of participant in encounter
coding		1..*	Coding	Code defined by a terminology system
code		1..1	code	Symbol in syntax defined by the system
participant:attendingDoctor		0..1	BackboneElement	The list of people responsible for providing the service.
type
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ATND
individual
identifier		0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
participant:referringDoctor		0..1	BackboneElement	The list of people responsible for providing the service.
type
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
individual
identifier		0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
participant:consultingDoctor		0..*	BackboneElement	The list of people responsible for providing the service.
type
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CON
individual
identifier		0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
participant:admittingDoctor		0..1	BackboneElement	The list of people responsible for providing the service.
type
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ADM
individual
identifier		0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
period	S	0..1	Period	The start and end time of the encounter
start	S	0..1	dateTime	Starting time with inclusive boundary
hospitalization
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: Admission Source (required)
dischargeDisposition		0..1	CodeableConcept	Category or kind of location after discharge Binding: Discharge Disposition (required)
location
location
identifier		0..1	OrganisationSiteCode	Logical reference, when literal reference is not known
serviceProvider
identifier		0..1	OrganisationCode	Logical reference, when literal reference is not known
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.type	required	AdmissionMethod https://nw-gmsa.github.io/ValueSet/admission-method From this IG
Encounter.serviceType	required	Service https://nw-gmsa.github.io/ValueSet/service From this IG
Encounter.hospitalization.admitSource	required	AdmissionSource https://nw-gmsa.github.io/ValueSet/admission-source From this IG
Encounter.hospitalization.dischargeDisposition	required	DischargeDisposition https://nw-gmsa.github.io/ValueSet/discharge-disposition From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	UKCoreEncounter	An interaction during which services are provided to the patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:dischargeMethod	N	0..1	CodeableConcept	An extension to support the method of discharge from a hospital. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod Binding: UK Core Discharge Method (extensible): The method by which a patient was discharged from hospital
extension:emergencyCareDischargeStatus	N	0..1	CodeableConcept	An extension to support the status of an individual on discharge from an Emergency Care Department. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus Binding: UK Core Emergency Care Discharge Status (preferred): The status of a patient on discharge from an Emergency Care Department
extension:legalStatus	N	0..*	(Complex)	Information relating to a patient's legal status on admission or discharge. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus
extension:OutcomeOfAttendance	N	0..1	CodeableConcept	An extension to support the outcome of an Outpatient attendance. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance Binding: UK Core Outcome Of Attendance (extensible): The outcome of an outpatient attendance
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Identifier(s) by which this encounter is known. Slice: Unordered, Open by value:type
identifier:VisitNumber	SOΣ	0..1	EpisodeNumber	Identifier assigned by the Order Placer Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
status	?!SΣ	1..1	code	The status of this encounter: planned | arrived | triaged | in-progress | onleave | finished | cancelled | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter.
class	SΣ	1..1	Coding	Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations. Binding: ActEncounterCode (extensible): Classification of the encounter.
type	SΣ	0..1	CodeableConcept	Specific type of encounter Binding: Admission Method (required)
serviceType	SΣ	0..1	CodeableConcept	Specific type of service Binding: Service (required)
subject	SΣ	1..1	Reference(Patient)	The patient or group present at the encounter.
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known
Slices for participant	SΣ	0..*	BackboneElement	The list of people responsible for providing the service. Slice: Unordered, Open by value:type.coding
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	1..*	Coding	Code defined by a terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
participant:attendingDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the service.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ATND
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	Σ	1..1	code	Symbol in syntax defined by the system
participant:referringDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the service.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	Σ	1..1	code	Symbol in syntax defined by the system
participant:consultingDoctor	SΣ	0..*	BackboneElement	The list of people responsible for providing the service.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CON
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	Σ	1..1	code	Symbol in syntax defined by the system
participant:admittingDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the service.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ADM
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	Σ	1..1	code	Symbol in syntax defined by the system
period	S	0..1	Period	The start and end time of the encounter
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
reasonCode	SΣ	0..*	CodeableConcept	Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis. Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	SΣ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place, expressed as a reference to a Condition, Procedure, Observation, or ImmunizationRecommendation.
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	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	required	AdmissionMethod https://nw-gmsa.github.io/ValueSet/admission-method From this IG
Encounter.serviceType	required	Service https://nw-gmsa.github.io/ValueSet/service From this IG
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.participant:attendingDoctor.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.participant:referringDoctor.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.participant:consultingDoctor.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.participant:admittingDoctor.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

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	UKCoreEncounter	An interaction during which services are provided to the patient
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:dischargeMethod	N	0..1	CodeableConcept	An extension to support the method of discharge from a hospital. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod Binding: UK Core Discharge Method (extensible): The method by which a patient was discharged from hospital
extension:emergencyCareDischargeStatus	N	0..1	CodeableConcept	An extension to support the status of an individual on discharge from an Emergency Care Department. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus Binding: UK Core Emergency Care Discharge Status (preferred): The status of a patient on discharge from an Emergency Care Department
extension:legalStatus	N	0..*	(Complex)	Information relating to a patient's legal status on admission or discharge. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus
extension:OutcomeOfAttendance	N	0..1	CodeableConcept	An extension to support the outcome of an Outpatient attendance. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance Binding: UK Core Outcome Of Attendance (extensible): The outcome of an outpatient attendance
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Identifier(s) by which this encounter is known. Slice: Unordered, Open by value:type
identifier:VisitNumber	SOΣ	0..1	EpisodeNumber	Identifier assigned by the Order Placer Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
status	?!SΣ	1..1	code	The status of this encounter: planned | arrived | triaged | in-progress | onleave | finished | cancelled | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter.
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	SΣ	1..1	Coding	Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations. Binding: ActEncounterCode (extensible): Classification of the encounter.
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	SΣ	0..1	CodeableConcept	Specific type of encounter Binding: Admission Method (required)
serviceType	SΣ	0..1	CodeableConcept	Specific type of service Binding: Service (required)
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject	SΣ	1..1	Reference(Patient)	The patient or group present at the encounter.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	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).
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
Slices for participant	SΣ	0..*	BackboneElement	The list of people responsible for providing the service. Slice: Unordered, Open by value:type.coding
participant:All Slices				Content/Rules for all slices
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	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
participant:attendingDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the 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
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ATND
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	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).
identifier	Σ	0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
participant:referringDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the 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
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	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).
identifier	Σ	0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
participant:consultingDoctor	SΣ	0..*	BackboneElement	The list of people responsible for providing the 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
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CON
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	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).
identifier	Σ	0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
participant:admittingDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the 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
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ADM
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	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).
identifier	Σ	0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period	S	0..1	Period	The start and end time of the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	SΣ	0..*	CodeableConcept	Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis. Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	SΣ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place, expressed as a reference to a Condition, Procedure, Observation, or ImmunizationRecommendation.
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		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:admissionMethod	N	0..1	CodeableConcept	An extension to support the method by which an individual was admitted into hospital. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdmissionMethod Binding: UK Core Admission Method (extensible): The method by which a patient was admitted to hospital
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: Admission Source (required)
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		0..1	CodeableConcept	Category or kind of location after discharge Binding: Discharge Disposition (required)
location		0..*	BackboneElement	List of locations where the patient has been
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		1..1	Reference(Location)	Location the encounter takes place
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	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).
identifier	Σ	0..1	OrganisationSiteCode	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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: UK Core Encounter Location Type (preferred): A set of codes that define the physical type of location where an encounter takes place.
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider		0..1	Reference(Organization)	The organization (facility) responsible for this encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	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).
identifier	Σ	0..1	OrganisationCode	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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 http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	required	AdmissionMethod https://nw-gmsa.github.io/ValueSet/admission-method From this IG
Encounter.serviceType	required	Service https://nw-gmsa.github.io/ValueSet/service From this IG
Encounter.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.participant:attendingDoctor.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.participant:attendingDoctor.individual.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Encounter.participant:referringDoctor.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.participant:referringDoctor.individual.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Encounter.participant:consultingDoctor.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.participant:consultingDoctor.individual.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Encounter.participant:admittingDoctor.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.participant:admittingDoctor.individual.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types 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	required	AdmissionSource https://nw-gmsa.github.io/ValueSet/admission-source From this IG
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	required	DischargeDisposition https://nw-gmsa.github.io/ValueSet/discharge-disposition From this IG
Encounter.location.location.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 From the FHIR Standard
Encounter.location.physicalType	preferred	UKCoreEncounterLocationType https://fhir.hl7.org.uk/ValueSet/UKCore-EncounterLocationType
Encounter.serviceProvider.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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 UKCoreEncounter

Summary

Mandatory: 2 elements(3 nested mandatory elements)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Correlation Identifier (https://nw-gmsa.github.io/StructureDefinition/CorrelationIdentifier)
• Episode Number (https://nw-gmsa.github.io/StructureDefinition/EpisodeNumber)
• Patient (https://nw-gmsa.github.io/StructureDefinition/Patient)
• NHS Number (https://nw-gmsa.github.io/StructureDefinition/NHSNumber)
• England Practitioner Identifier (https://nw-gmsa.github.io/StructureDefinition/EnglandPractitionerIdentifier)
• Organisation Site Code (https://nw-gmsa.github.io/StructureDefinition/OrganisationSiteCode)
• Organisation Code (https://nw-gmsa.github.io/StructureDefinition/OrganisationCode)

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from UKCoreEncounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter			UKCoreEncounter
Slices for identifier		1..*	CorrelationIdentifier	Identifier(s) by which this encounter is known. Slice: Unordered, Open by value:type
identifier:VisitNumber	SO	0..1	EpisodeNumber	Identifier assigned by the Order Placer Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
type	S	0..1	CodeableConcept	Specific type of encounter Binding: Admission Method (required)
serviceType	S	0..1	CodeableConcept	Specific type of service Binding: Service (required)
subject		1..1	Reference(Patient)	The patient or group present at the encounter.
identifier		0..1	NHSNumber	Logical reference, when literal reference is not known
Slices for participant		0..*	BackboneElement	The list of people responsible for providing the service. Slice: Unordered, Open by value:type.coding
participant:All Slices				Content/Rules for all slices
type		1..1	CodeableConcept	Role of participant in encounter
coding		1..*	Coding	Code defined by a terminology system
code		1..1	code	Symbol in syntax defined by the system
participant:attendingDoctor		0..1	BackboneElement	The list of people responsible for providing the service.
type
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ATND
individual
identifier		0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
participant:referringDoctor		0..1	BackboneElement	The list of people responsible for providing the service.
type
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
individual
identifier		0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
participant:consultingDoctor		0..*	BackboneElement	The list of people responsible for providing the service.
type
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CON
individual
identifier		0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
participant:admittingDoctor		0..1	BackboneElement	The list of people responsible for providing the service.
type
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ADM
individual
identifier		0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
period	S	0..1	Period	The start and end time of the encounter
start	S	0..1	dateTime	Starting time with inclusive boundary
hospitalization
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: Admission Source (required)
dischargeDisposition		0..1	CodeableConcept	Category or kind of location after discharge Binding: Discharge Disposition (required)
location
location
identifier		0..1	OrganisationSiteCode	Logical reference, when literal reference is not known
serviceProvider
identifier		0..1	OrganisationCode	Logical reference, when literal reference is not known
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.type	required	AdmissionMethod https://nw-gmsa.github.io/ValueSet/admission-method From this IG
Encounter.serviceType	required	Service https://nw-gmsa.github.io/ValueSet/service From this IG
Encounter.hospitalization.admitSource	required	AdmissionSource https://nw-gmsa.github.io/ValueSet/admission-source From this IG
Encounter.hospitalization.dischargeDisposition	required	DischargeDisposition https://nw-gmsa.github.io/ValueSet/discharge-disposition From this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	UKCoreEncounter	An interaction during which services are provided to the patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:dischargeMethod	N	0..1	CodeableConcept	An extension to support the method of discharge from a hospital. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod Binding: UK Core Discharge Method (extensible): The method by which a patient was discharged from hospital
extension:emergencyCareDischargeStatus	N	0..1	CodeableConcept	An extension to support the status of an individual on discharge from an Emergency Care Department. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus Binding: UK Core Emergency Care Discharge Status (preferred): The status of a patient on discharge from an Emergency Care Department
extension:legalStatus	N	0..*	(Complex)	Information relating to a patient's legal status on admission or discharge. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus
extension:OutcomeOfAttendance	N	0..1	CodeableConcept	An extension to support the outcome of an Outpatient attendance. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance Binding: UK Core Outcome Of Attendance (extensible): The outcome of an outpatient attendance
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Identifier(s) by which this encounter is known. Slice: Unordered, Open by value:type
identifier:VisitNumber	SOΣ	0..1	EpisodeNumber	Identifier assigned by the Order Placer Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
status	?!SΣ	1..1	code	The status of this encounter: planned | arrived | triaged | in-progress | onleave | finished | cancelled | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter.
class	SΣ	1..1	Coding	Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations. Binding: ActEncounterCode (extensible): Classification of the encounter.
type	SΣ	0..1	CodeableConcept	Specific type of encounter Binding: Admission Method (required)
serviceType	SΣ	0..1	CodeableConcept	Specific type of service Binding: Service (required)
subject	SΣ	1..1	Reference(Patient)	The patient or group present at the encounter.
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known
Slices for participant	SΣ	0..*	BackboneElement	The list of people responsible for providing the service. Slice: Unordered, Open by value:type.coding
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	1..*	Coding	Code defined by a terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
participant:attendingDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the service.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ATND
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	Σ	1..1	code	Symbol in syntax defined by the system
participant:referringDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the service.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	Σ	1..1	code	Symbol in syntax defined by the system
participant:consultingDoctor	SΣ	0..*	BackboneElement	The list of people responsible for providing the service.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CON
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	Σ	1..1	code	Symbol in syntax defined by the system
participant:admittingDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the service.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ADM
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	Σ	1..1	code	Symbol in syntax defined by the system
period	S	0..1	Period	The start and end time of the encounter
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
reasonCode	SΣ	0..*	CodeableConcept	Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis. Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	SΣ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place, expressed as a reference to a Condition, Procedure, Observation, or ImmunizationRecommendation.
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	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	required	AdmissionMethod https://nw-gmsa.github.io/ValueSet/admission-method From this IG
Encounter.serviceType	required	Service https://nw-gmsa.github.io/ValueSet/service From this IG
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.participant:attendingDoctor.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.participant:referringDoctor.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.participant:consultingDoctor.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.participant:admittingDoctor.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

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	UKCoreEncounter	An interaction during which services are provided to the patient
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:dischargeMethod	N	0..1	CodeableConcept	An extension to support the method of discharge from a hospital. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod Binding: UK Core Discharge Method (extensible): The method by which a patient was discharged from hospital
extension:emergencyCareDischargeStatus	N	0..1	CodeableConcept	An extension to support the status of an individual on discharge from an Emergency Care Department. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus Binding: UK Core Emergency Care Discharge Status (preferred): The status of a patient on discharge from an Emergency Care Department
extension:legalStatus	N	0..*	(Complex)	Information relating to a patient's legal status on admission or discharge. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus
extension:OutcomeOfAttendance	N	0..1	CodeableConcept	An extension to support the outcome of an Outpatient attendance. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance Binding: UK Core Outcome Of Attendance (extensible): The outcome of an outpatient attendance
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Identifier(s) by which this encounter is known. Slice: Unordered, Open by value:type
identifier:VisitNumber	SOΣ	0..1	EpisodeNumber	Identifier assigned by the Order Placer Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
status	?!SΣ	1..1	code	The status of this encounter: planned | arrived | triaged | in-progress | onleave | finished | cancelled | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter.
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	SΣ	1..1	Coding	Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations. Binding: ActEncounterCode (extensible): Classification of the encounter.
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	SΣ	0..1	CodeableConcept	Specific type of encounter Binding: Admission Method (required)
serviceType	SΣ	0..1	CodeableConcept	Specific type of service Binding: Service (required)
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject	SΣ	1..1	Reference(Patient)	The patient or group present at the encounter.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	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).
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
Slices for participant	SΣ	0..*	BackboneElement	The list of people responsible for providing the service. Slice: Unordered, Open by value:type.coding
participant:All Slices				Content/Rules for all slices
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	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
participant:attendingDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the 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
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ATND
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	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).
identifier	Σ	0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
participant:referringDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the 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
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: REF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	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).
identifier	Σ	0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
participant:consultingDoctor	SΣ	0..*	BackboneElement	The list of people responsible for providing the 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
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CON
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	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).
identifier	Σ	0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
participant:admittingDoctor	SΣ	0..1	BackboneElement	The list of people responsible for providing the 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
type	Σ	1..1	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ADM
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	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).
identifier	Σ	0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period	S	0..1	Period	The start and end time of the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	SΣ	0..*	CodeableConcept	Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis. Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	SΣ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place, expressed as a reference to a Condition, Procedure, Observation, or ImmunizationRecommendation.
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		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:admissionMethod	N	0..1	CodeableConcept	An extension to support the method by which an individual was admitted into hospital. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdmissionMethod Binding: UK Core Admission Method (extensible): The method by which a patient was admitted to hospital
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: Admission Source (required)
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		0..1	CodeableConcept	Category or kind of location after discharge Binding: Discharge Disposition (required)
location		0..*	BackboneElement	List of locations where the patient has been
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		1..1	Reference(Location)	Location the encounter takes place
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	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).
identifier	Σ	0..1	OrganisationSiteCode	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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: UK Core Encounter Location Type (preferred): A set of codes that define the physical type of location where an encounter takes place.
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider		0..1	Reference(Organization)	The organization (facility) responsible for this encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	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).
identifier	Σ	0..1	OrganisationCode	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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 http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	required	AdmissionMethod https://nw-gmsa.github.io/ValueSet/admission-method From this IG
Encounter.serviceType	required	Service https://nw-gmsa.github.io/ValueSet/service From this IG
Encounter.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.participant:attendingDoctor.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.participant:attendingDoctor.individual.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Encounter.participant:referringDoctor.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.participant:referringDoctor.individual.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Encounter.participant:consultingDoctor.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.participant:consultingDoctor.individual.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Encounter.participant:admittingDoctor.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.participant:admittingDoctor.individual.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types 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	required	AdmissionSource https://nw-gmsa.github.io/ValueSet/admission-source From this IG
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	required	DischargeDisposition https://nw-gmsa.github.io/ValueSet/discharge-disposition From this IG
Encounter.location.location.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 From the FHIR Standard
Encounter.location.physicalType	preferred	UKCoreEncounterLocationType https://fhir.hl7.org.uk/ValueSet/UKCore-EncounterLocationType
Encounter.serviceProvider.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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 UKCoreEncounter

Summary

Mandatory: 2 elements(3 nested mandatory elements)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Correlation Identifier (https://nw-gmsa.github.io/StructureDefinition/CorrelationIdentifier)
• Episode Number (https://nw-gmsa.github.io/StructureDefinition/EpisodeNumber)
• Patient (https://nw-gmsa.github.io/StructureDefinition/Patient)
• NHS Number (https://nw-gmsa.github.io/StructureDefinition/NHSNumber)
• England Practitioner Identifier (https://nw-gmsa.github.io/StructureDefinition/EnglandPractitionerIdentifier)
• Organisation Site Code (https://nw-gmsa.github.io/StructureDefinition/OrganisationSiteCode)
• Organisation Code (https://nw-gmsa.github.io/StructureDefinition/OrganisationCode)

Slices

This structure defines the following Slices:

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