FHIR Implementation Guide for NJSAMS


0.1.0 - draft New Jersey

NJSAMS - Local Development build (v0.1.0). See the Directory of published versions

Resource Profile: NJSAMSEncounter

Official URL: http://dhs.nj.gov/njsams/StructureDefinition/NJSAMSEncounter Version: 0.1.0
Active as of 2022-09-13 Computable Name: NJSAMSEncounter

NJSAMS Encounter

The NJSAMS Encounter represents a client visit with a provider.

Usage:

Formal Views of Profile Content

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

This structure is derived from USCoreEncounterProfile

Summary

Mandatory: 4 elements
Must-Support: 5 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Encounter.identifier is sliced based on the value of value:system

This structure is derived from USCoreEncounterProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*USCoreEncounterProfileAn interaction during which services are provided to the patient
... Slices for identifier 0..*IdentifierIdentifier(s) by which this encounter is known
Slice: Unordered, Open by value:system
.... identifier:mClientId S0..1IdentifierPatient identifier for dispensing methadone
..... system 1..1uriThe namespace for the identifier value
Required Pattern: http://dhs.nj.gov/njsams/m-client-id
..... value 1..1stringThe value that is unique
... status 1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
... class 1..1CodingClassification of patient encounter
... serviceType S1..1CodeableConceptSpecific type of service
Binding: NJSAMS Treatment Level of Care (required)
... subject 1..1Reference(US Core Patient Profile)The patient or group present at the encounter
... period 1..1PeriodThe start and end time of the encounter
.... start 0..1dateTimeStarting time with inclusive boundary
.... end 0..1dateTimeEnd time with inclusive boundary, if not ongoing
... hospitalization
.... admitSource S0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: NJSAMS Referral Sources (required)
..... other S0..1stringExtension
URL: http://dhs.nj.gov/njsams/StructureDefinition/OtherAdmitSource
...... valueString 0..1stringValue of extension
..... county S0..1CodingExtension
URL: http://dhs.nj.gov/njsams/StructureDefinition/AdmitCounty
Binding: NJSAMS Counties (required)
...... valueCoding 0..1CodingValue of extension
... location 1..1BackboneElementList of locations where the patient has been
.... location 1..1Reference(Location)Location the encounter takes place
... serviceProvider 1..1Reference(US Core Organization Profile)The organization (facility) responsible for this encounter
.... reference 0..1stringLiteral reference, Relative, internal or absolute URL

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*USCoreEncounterProfileAn interaction during which services are provided to the patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ0..*IdentifierIdentifier(s) by which this encounter is known
Slice: Unordered, Open by value:system
.... identifier:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:mClientId SΣ0..1IdentifierPatient identifier for dispensing methadone
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system SΣ1..1uriThe namespace for the identifier value
Required Pattern: http://dhs.nj.gov/njsams/m-client-id
..... value SΣ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!SΣ1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

... statusHistory 0..*BackboneElementList of past encounter statuses
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... status 1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified status
... class SΣ1..1CodingClassification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.

... classHistory 0..*BackboneElementList of past encounter classes
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... class 1..1Codinginpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified class
... type SΣ1..*CodeableConceptSpecific type of encounter
Binding: NJSAMS Client Type (required)
... serviceType SΣ1..1CodeableConceptSpecific type of service
Binding: NJSAMS Treatment Level of Care (required)
... priority 0..1CodeableConceptIndicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... subject SΣ1..1Reference(US Core Patient Profile)The patient or group present at the encounter
... episodeOfCare Σ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... basedOn 0..*Reference(ServiceRequest)The ServiceRequest that initiated this encounter
... participant SΣ0..*BackboneElementList of participants involved in the encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type SΣ0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.


.... period S0..1PeriodPeriod of time during the encounter that the participant participated
.... individual SΣ0..1Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | RelatedPerson)Persons involved in the encounter other than the patient
... appointment Σ0..*Reference(Appointment)The appointment that scheduled this encounter
... period S1..1PeriodThe start and end time of the encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start ΣC0..1dateTimeStarting time with inclusive boundary
.... end ΣC0..1dateTimeEnd time with inclusive boundary, if not ongoing
... length 0..1DurationQuantity of time the encounter lasted (less time absent)
... reasonCode SΣ0..*CodeableConceptCoded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference SΣ0..1Reference(US Core Condition Profile S | US Core Procedure Profile | Observation | ImmunizationRecommendation)Reason the encounter takes place (reference)
... diagnosis Σ0..*BackboneElementThe list of diagnosis relevant to this encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... condition Σ1..1Reference(Condition | Procedure)The diagnosis or procedure relevant to the encounter
.... use 0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank 0..1positiveIntRanking 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 S0..1BackboneElementDetails about the admission to a healthcare service
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin 0..1Reference(Location | Organization)The location/organization from which the patient came before admission
.... admitSource S0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: NJSAMS Referral Sources (required)
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... other S0..1stringExtension
URL: http://dhs.nj.gov/njsams/StructureDefinition/OtherAdmitSource
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..0
...... url 1..1uri"http://dhs.nj.gov/njsams/StructureDefinition/OtherAdmitSource"
...... Slices for value[x] 0..1stringValue of extension
Slice: Unordered, Closed by type:$this
....... value[x]:valueString 0..1stringValue of extension
..... county S0..1CodingExtension
URL: http://dhs.nj.gov/njsams/StructureDefinition/AdmitCounty
Binding: NJSAMS Counties (required)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..0
...... url 1..1uri"http://dhs.nj.gov/njsams/StructureDefinition/AdmitCounty"
...... Slices for value[x] 0..1CodingValue of extension
Slice: Unordered, Closed by type:$this
....... value[x]:valueCoding 0..1CodingValue of extension
Binding: NJSAMS Counties (required)
..... coding Σ0..*CodingCode defined by a terminology system
..... text Σ0..1stringPlain text representation of the concept
.... reAdmission 0..1CodeableConceptThe 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..*CodeableConceptDiet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.


.... specialCourtesy 0..*CodeableConceptSpecial courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.


.... specialArrangement 0..*CodeableConceptWheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.


.... destination 0..1Reference(Location | Organization)Location/organization to which the patient is discharged
.... dischargeDisposition S0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

... location S1..1BackboneElementList of locations where the patient has been
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... location S1..1Reference(Location)Location the encounter takes place
.... status 0..1codeplanned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... physicalType 0..1CodeableConceptThe 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..1PeriodTime period during which the patient was present at the location
... serviceProvider S1..1Reference(US Core Organization Profile)The organization (facility) responsible for this encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... partOf 0..1Reference(Encounter)Another Encounter this encounter is part of

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*USCoreEncounterProfileAn interaction during which services are provided to the patient
... Slices for identifier Σ0..*IdentifierIdentifier(s) by which this encounter is known
Slice: Unordered, Open by value:system
.... identifier:All Slices Content/Rules for all slices
..... system Σ1..1uriThe namespace for the identifier value
..... value Σ1..1stringThe value that is unique
.... identifier:mClientId Σ0..1IdentifierPatient identifier for dispensing methadone
..... system Σ1..1uriThe namespace for the identifier value
Required Pattern: http://dhs.nj.gov/njsams/m-client-id
..... value Σ1..1stringThe value that is unique
... status ?!Σ1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

... class Σ1..1CodingClassification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.

... serviceType Σ1..1CodeableConceptSpecific type of service
Binding: NJSAMS Treatment Level of Care (required)
... subject Σ1..1Reference(US Core Patient Profile)The patient or group present at the encounter
... participant Σ0..*BackboneElementList of participants involved in the encounter
.... type Σ0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.


.... period 0..1PeriodPeriod of time during the encounter that the participant participated
.... individual Σ0..1Reference(US Core Practitioner Profile)Persons involved in the encounter other than the patient
... period 1..1PeriodThe start and end time of the encounter
... reasonCode Σ0..*CodeableConceptCoded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference Σ0..1Reference(US Core Condition Profile)Reason the encounter takes place (reference)
... hospitalization 0..1BackboneElementDetails about the admission to a healthcare service
.... admitSource 0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: NJSAMS Referral Sources (required)
..... other 0..1stringExtension
URL: http://dhs.nj.gov/njsams/StructureDefinition/OtherAdmitSource
..... county 0..1CodingExtension
URL: http://dhs.nj.gov/njsams/StructureDefinition/AdmitCounty
Binding: NJSAMS Counties (required)
.... dischargeDisposition 0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

... location 1..1BackboneElementList of locations where the patient has been
.... location 1..1Reference(Location)Location the encounter takes place
... serviceProvider 1..1Reference(US Core Organization Profile)The organization (facility) responsible for this encounter

doco Documentation for this format

This structure is derived from USCoreEncounterProfile

Summary

Mandatory: 4 elements
Must-Support: 5 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Encounter.identifier is sliced based on the value of value:system

Differential View

This structure is derived from USCoreEncounterProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*USCoreEncounterProfileAn interaction during which services are provided to the patient
... Slices for identifier 0..*IdentifierIdentifier(s) by which this encounter is known
Slice: Unordered, Open by value:system
.... identifier:mClientId S0..1IdentifierPatient identifier for dispensing methadone
..... system 1..1uriThe namespace for the identifier value
Required Pattern: http://dhs.nj.gov/njsams/m-client-id
..... value 1..1stringThe value that is unique
... status 1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
... class 1..1CodingClassification of patient encounter
... serviceType S1..1CodeableConceptSpecific type of service
Binding: NJSAMS Treatment Level of Care (required)
... subject 1..1Reference(US Core Patient Profile)The patient or group present at the encounter
... period 1..1PeriodThe start and end time of the encounter
.... start 0..1dateTimeStarting time with inclusive boundary
.... end 0..1dateTimeEnd time with inclusive boundary, if not ongoing
... hospitalization
.... admitSource S0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: NJSAMS Referral Sources (required)
..... other S0..1stringExtension
URL: http://dhs.nj.gov/njsams/StructureDefinition/OtherAdmitSource
...... valueString 0..1stringValue of extension
..... county S0..1CodingExtension
URL: http://dhs.nj.gov/njsams/StructureDefinition/AdmitCounty
Binding: NJSAMS Counties (required)
...... valueCoding 0..1CodingValue of extension
... location 1..1BackboneElementList of locations where the patient has been
.... location 1..1Reference(Location)Location the encounter takes place
... serviceProvider 1..1Reference(US Core Organization Profile)The organization (facility) responsible for this encounter
.... reference 0..1stringLiteral reference, Relative, internal or absolute URL

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*USCoreEncounterProfileAn interaction during which services are provided to the patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ0..*IdentifierIdentifier(s) by which this encounter is known
Slice: Unordered, Open by value:system
.... identifier:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:mClientId SΣ0..1IdentifierPatient identifier for dispensing methadone
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system SΣ1..1uriThe namespace for the identifier value
Required Pattern: http://dhs.nj.gov/njsams/m-client-id
..... value SΣ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!SΣ1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

... statusHistory 0..*BackboneElementList of past encounter statuses
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... status 1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified status
... class SΣ1..1CodingClassification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.

... classHistory 0..*BackboneElementList of past encounter classes
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... class 1..1Codinginpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified class
... type SΣ1..*CodeableConceptSpecific type of encounter
Binding: NJSAMS Client Type (required)
... serviceType SΣ1..1CodeableConceptSpecific type of service
Binding: NJSAMS Treatment Level of Care (required)
... priority 0..1CodeableConceptIndicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... subject SΣ1..1Reference(US Core Patient Profile)The patient or group present at the encounter
... episodeOfCare Σ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... basedOn 0..*Reference(ServiceRequest)The ServiceRequest that initiated this encounter
... participant SΣ0..*BackboneElementList of participants involved in the encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type SΣ0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.


.... period S0..1PeriodPeriod of time during the encounter that the participant participated
.... individual SΣ0..1Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | RelatedPerson)Persons involved in the encounter other than the patient
... appointment Σ0..*Reference(Appointment)The appointment that scheduled this encounter
... period S1..1PeriodThe start and end time of the encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start ΣC0..1dateTimeStarting time with inclusive boundary
.... end ΣC0..1dateTimeEnd time with inclusive boundary, if not ongoing
... length 0..1DurationQuantity of time the encounter lasted (less time absent)
... reasonCode SΣ0..*CodeableConceptCoded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference SΣ0..1Reference(US Core Condition Profile S | US Core Procedure Profile | Observation | ImmunizationRecommendation)Reason the encounter takes place (reference)
... diagnosis Σ0..*BackboneElementThe list of diagnosis relevant to this encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... condition Σ1..1Reference(Condition | Procedure)The diagnosis or procedure relevant to the encounter
.... use 0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank 0..1positiveIntRanking 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 S0..1BackboneElementDetails about the admission to a healthcare service
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin 0..1Reference(Location | Organization)The location/organization from which the patient came before admission
.... admitSource S0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: NJSAMS Referral Sources (required)
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... other S0..1stringExtension
URL: http://dhs.nj.gov/njsams/StructureDefinition/OtherAdmitSource
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..0
...... url 1..1uri"http://dhs.nj.gov/njsams/StructureDefinition/OtherAdmitSource"
...... Slices for value[x] 0..1stringValue of extension
Slice: Unordered, Closed by type:$this
....... value[x]:valueString 0..1stringValue of extension
..... county S0..1CodingExtension
URL: http://dhs.nj.gov/njsams/StructureDefinition/AdmitCounty
Binding: NJSAMS Counties (required)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..0
...... url 1..1uri"http://dhs.nj.gov/njsams/StructureDefinition/AdmitCounty"
...... Slices for value[x] 0..1CodingValue of extension
Slice: Unordered, Closed by type:$this
....... value[x]:valueCoding 0..1CodingValue of extension
Binding: NJSAMS Counties (required)
..... coding Σ0..*CodingCode defined by a terminology system
..... text Σ0..1stringPlain text representation of the concept
.... reAdmission 0..1CodeableConceptThe 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..*CodeableConceptDiet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.


.... specialCourtesy 0..*CodeableConceptSpecial courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.


.... specialArrangement 0..*CodeableConceptWheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.


.... destination 0..1Reference(Location | Organization)Location/organization to which the patient is discharged
.... dischargeDisposition S0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

... location S1..1BackboneElementList of locations where the patient has been
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... location S1..1Reference(Location)Location the encounter takes place
.... status 0..1codeplanned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... physicalType 0..1CodeableConceptThe 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..1PeriodTime period during which the patient was present at the location
... serviceProvider S1..1Reference(US Core Organization Profile)The organization (facility) responsible for this encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... partOf 0..1Reference(Encounter)Another Encounter this encounter is part of

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
Encounter.languagepreferredCommonLanguages
Max Binding: AllLanguages
Encounter.identifier.userequiredIdentifierUse
Encounter.identifier.typeextensibleIdentifier Type Codes
Encounter.identifier:mClientId.userequiredIdentifierUse
Encounter.identifier:mClientId.typeextensibleIdentifier Type Codes
Encounter.statusrequiredEncounterStatus
Encounter.statusHistory.statusrequiredEncounterStatus
Encounter.classextensibleActEncounterCode
Encounter.classHistory.classextensibleActEncounterCode
Encounter.typerequiredNJSAMSClientType
Encounter.serviceTyperequiredNJSAMSTreatmentLevelOfCare
Encounter.priorityexampleActPriority
Encounter.participant.typeextensibleParticipantType
Encounter.reasonCodepreferredEncounterReasonCodes
Encounter.diagnosis.usepreferredDiagnosisRole
Encounter.hospitalization.admitSourcerequiredNJSAMSReferralSources
Encounter.hospitalization.admitSource.extension:county.value[x]:valueCodingrequiredNJSAMSCounties
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
Encounter.hospitalization.dietPreferenceexampleDiet
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
Encounter.location.statusrequiredEncounterLocationStatus
Encounter.location.physicalTypeexampleLocationType
Encounter.serviceProvider.typeextensibleResourceType

Constraints

IdGradePathDetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6Best PracticeEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1errorEncounter.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.identifier.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.identifier.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier.assignerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier:mClientIdAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier:mClientId.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.identifier:mClientId.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.identifier:mClientId.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier:mClientId.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier:mClientId.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier:mClientId.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier:mClientId.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.identifier:mClientId.assignerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.statusHistoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.statusHistory.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.statusHistory.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.statusHistory.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.statusHistory.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.statusHistory.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.statusHistory.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.classAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.classHistoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.classHistory.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.classHistory.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.classHistory.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.classHistory.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.classHistory.classAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.classHistory.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.serviceTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.priorityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.episodeOfCareAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.basedOnAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.participantAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.participant.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.participant.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.participant.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.participant.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.participant.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.participant.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.participant.individualAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.appointmentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.period.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.period.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.period.startAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.period.endAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.lengthAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.reasonCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.reasonReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.diagnosisAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.diagnosis.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.diagnosis.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.diagnosis.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.diagnosis.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.diagnosis.conditionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.diagnosis.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.diagnosis.rankAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.accountAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalizationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.hospitalization.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.hospitalization.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.hospitalization.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.hospitalization.preAdmissionIdentifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.originAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.admitSourceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.admitSource.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.hospitalization.admitSource.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.hospitalization.admitSource.extension:otherAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.hospitalization.admitSource.extension:otherMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.hospitalization.admitSource.extension:other.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.admitSource.extension:other.value[x]:valueStringAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.admitSource.extension:countyAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.hospitalization.admitSource.extension:countyMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.hospitalization.admitSource.extension:county.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.admitSource.extension:county.value[x]:valueCodingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.admitSource.codingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.admitSource.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.reAdmissionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.dietPreferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.specialCourtesyAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.specialArrangementAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.destinationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.hospitalization.dischargeDispositionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.locationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.location.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.location.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.location.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.location.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.location.locationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.location.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.location.physicalTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.location.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.serviceProviderAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.serviceProvider.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorEncounter.serviceProvider.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorEncounter.serviceProvider.referenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.serviceProvider.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.serviceProvider.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.serviceProvider.displayAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorEncounter.partOfAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())