CH Core (R4)
4.0.1 - trial-use Switzerland flag

This page is part of the CH Core (R4) (v4.0.1: STU 4) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: CH Core Encounter

Official URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-encounter Version: 4.0.1
Active as of 2023-12-28 Computable Name: CHCoreEncounter

Copyright/Legal: CC0-1.0

The Encounter referenced in the CH Core profiles.

Core patient demographics which can be shared

Usage:

Formal Views of Profile Content

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

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*EncounterCH Core Encounter
... Slices for identifier 0..*IdentifierIdentifier(s) by which this encounter is known
Slice: Unordered, Open by pattern:$this
.... identifier:VisitNumber 0..*IdentifierVisit number (Fallnummer)

Required Pattern: At least the following
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: VN
..... system 1..1uriThe namespace for the identifier value
..... value 1..1stringThe value that is unique
... class 1..1CodingAMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR
... priority 0..1CodeableConceptBFS Medizinische Statistik - Eintrittsart / Mode d’admission / Genere di ricovero
Binding: BFS Medizinische Statistik - 18 1.2.V03 - Eintrittsart / Mode d’admission / Genere di ricovero (extensible)
... participant
.... type 0..*CodeableConceptRole of participant in encounter
Binding: ChCoreEncounterParticipationType (extensible)
.... individual 0..1Reference(CH Core Practitioner)Persons involved in the encounter other than the patient
... hospitalization
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... BfsAdmitRole 0..1CodingBFS Medizinische Statistik - Einweisende Instanz
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-admitrole
Binding: BFS Medizinische Statistik - 19 1.2.V04 - Einweisende Instanz / Décision d’envoi / Istanza ricoverante (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.

.... accident 0..1(Complex)Flag if hospitalization was due to an accident
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-accident
.... readmission 0..1booleanFlag to indicate if it is a suspected readmission
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-encounter-susp-readmission
.... BfsDischargeDecision 0..1CodingBFS Medizinische Statistik - Entscheid für Austritt
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedecision
Binding: BFS Medizinische Statistik - 27 1.5.V02 - Entscheid für Austritt / Décision de sortie / Décisione dell’uscita (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.

.... BfsDischargeDestination 0..1CodingBFS Medizinische Statistik - Aufenthalt nach Austritt
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedestination
Binding: BFS Medizinische Statistik - 28 1.5.V03 - Aufenthalt nach Austritt / Séjour après la sortie / Destinazione dopo l’uscita (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.

.... origin 0..1Reference(CH Core Location | CH Core Organization)The location/organization from which the patient came before admission
.... admitSource 0..1CodeableConceptBFS Medizinische Statistik - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione
Binding: BFS Medizinische Statistik - 17 1.2.V02 - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione (extensible)
.... destination 0..1Reference(CH Core Location | CH Core Organization)Location/organization to which the patient is discharged
.... dischargeDisposition 0..1CodeableConceptBFS Medizinische Statistik - Behandlung nach Austritt
Binding: BFS Medizinische Statistik - 29 1.5.V04 - Behandlung nach Austritt / Prise en charge après la sortie / Trattamento dopo l’uscita (preferred): BFS Medizinische Statistik - Behandlung nach Austritt

... location
.... location 1..1Reference(CH Core Location)Location the encounter takes place
... serviceProvider 0..1Reference(CH Core Organization)The organization (facility) responsible for this encounter
... partOf 0..1Reference(CH Core Encounter)Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Encounter.priorityextensibleBfsMedstats18Admittype
Encounter.participant.typeextensibleChCoreEncounterParticipationType
Encounter.hospitalization.admitSourceextensibleBfsMedstats17Admitsource
Encounter.hospitalization.dischargeDispositionpreferredBfsMedstats29Dischargeencounter
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*EncounterCH Core Encounter
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier Σ0..*IdentifierIdentifier(s) by which this encounter is known
Slice: Unordered, Open by pattern:$this
.... identifier:VisitNumber Σ0..*IdentifierVisit number (Fallnummer)

Required Pattern: At least the following
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: VN
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringThe value that is unique
Example General: 123456
... class Σ1..1CodingAMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR
Binding: ActEncounterCode (extensible): Classification of the encounter.

... priority 0..1CodeableConceptBFS Medizinische Statistik - Eintrittsart / Mode d’admission / Genere di ricovero
Binding: BFS Medizinische Statistik - 18 1.2.V03 - Eintrittsart / Mode d’admission / Genere di ricovero (extensible)
... subject Σ1..1Reference(CH Core Patient)The patient or group present at the encounter
... serviceProvider 0..1Reference(CH Core Organization)The organization (facility) responsible for this encounter
... partOf 0..1Reference(CH Core Encounter)Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Encounter.identifier:VisitNumber.userequiredIdentifierUse
Encounter.statusrequiredEncounterStatus
Encounter.classextensibleActEncounterCode
Encounter.priorityextensibleBfsMedstats18Admittype

Constraints

IdGradePath(s)DetailsRequirements
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-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*EncounterCH Core Encounter
... 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 Σ0..*IdentifierIdentifier(s) by which this encounter is known
Slice: Unordered, Open by pattern:$this
.... identifier:VisitNumber Σ0..*IdentifierVisit number (Fallnummer)

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: VN
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system0..1uriThe namespace for the identifier value
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
..... 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 Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..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 ?!Σ1..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 Σ1..1CodingAMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR
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 Σ0..*CodeableConceptSpecific type of encounter
Binding: EncounterType (example): The type of encounter.


... serviceType Σ0..1CodeableConceptSpecific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

... priority 0..1CodeableConceptBFS Medizinische Statistik - Eintrittsart / Mode d’admission / Genere di ricovero
Binding: BFS Medizinische Statistik - 18 1.2.V03 - Eintrittsart / Mode d’admission / Genere di ricovero (extensible)
... subject Σ1..1Reference(CH Core Patient)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 Σ0..*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 Σ0..*CodeableConceptRole of participant in encounter
Binding: ChCoreEncounterParticipationType (extensible)
.... period 0..1PeriodPeriod of time during the encounter that the participant participated
.... individual Σ0..1Reference(CH Core Practitioner)Persons involved in the encounter other than the patient
... appointment Σ0..*Reference(Appointment)The appointment that scheduled this encounter
... period 0..1PeriodThe start and end time of the encounter
... length 0..1DurationQuantity of time the encounter lasted (less time absent)
... reasonCode Σ0..*CodeableConceptCoded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference Σ0..*Reference(Condition | Procedure | 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 0..1BackboneElementDetails about the admission to a healthcare service
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... BfsAdmitRole 0..1CodingBFS Medizinische Statistik - Einweisende Instanz
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-admitrole
Binding: BFS Medizinische Statistik - 19 1.2.V04 - Einweisende Instanz / Décision d’envoi / Istanza ricoverante (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.


.... accident 0..1(Complex)Flag if hospitalization was due to an accident
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-accident
.... readmission 0..1booleanFlag to indicate if it is a suspected readmission
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-encounter-susp-readmission
.... BfsDischargeDecision 0..1CodingBFS Medizinische Statistik - Entscheid für Austritt
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedecision
Binding: BFS Medizinische Statistik - 27 1.5.V02 - Entscheid für Austritt / Décision de sortie / Décisione dell’uscita (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.


.... BfsDischargeDestination 0..1CodingBFS Medizinische Statistik - Aufenthalt nach Austritt
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedestination
Binding: BFS Medizinische Statistik - 28 1.5.V03 - Aufenthalt nach Austritt / Séjour après la sortie / Destinazione dopo l’uscita (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.


.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin 0..1Reference(CH Core Location | CH Core Organization)The location/organization from which the patient came before admission
.... admitSource 0..1CodeableConceptBFS Medizinische Statistik - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione
Binding: BFS Medizinische Statistik - 17 1.2.V02 - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione (extensible)
.... 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(CH Core Location | CH Core Organization)Location/organization to which the patient is discharged
.... dischargeDisposition 0..1CodeableConceptBFS Medizinische Statistik - Behandlung nach Austritt
Binding: BFS Medizinische Statistik - 29 1.5.V04 - Behandlung nach Austritt / Prise en charge après la sortie / Trattamento dopo l’uscita (preferred): BFS Medizinische Statistik - Behandlung nach Austritt

... location 0..*BackboneElementList 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 1..1Reference(CH Core 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 0..1Reference(CH Core Organization)The organization (facility) responsible for this encounter
... partOf 0..1Reference(CH Core Encounter)Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Encounter.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Encounter.identifier:VisitNumber.userequiredIdentifierUse
Encounter.identifier:VisitNumber.typeextensibleIdentifier Type Codes
Encounter.statusrequiredEncounterStatus
Encounter.statusHistory.statusrequiredEncounterStatus
Encounter.classextensibleActEncounterCode
Encounter.classHistory.classextensibleActEncounterCode
Encounter.typeexampleEncounterType
Encounter.serviceTypeexampleServiceType
Encounter.priorityextensibleBfsMedstats18Admittype
Encounter.participant.typeextensibleChCoreEncounterParticipationType
Encounter.reasonCodepreferredEncounterReasonCodes
Encounter.diagnosis.usepreferredDiagnosisRole
Encounter.hospitalization.admitSourceextensibleBfsMedstats17Admitsource
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
Encounter.hospitalization.dietPreferenceexampleDiet
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
Encounter.hospitalization.dischargeDispositionpreferredBfsMedstats29Dischargeencounter
Encounter.location.statusrequiredEncounterLocationStatus
Encounter.location.physicalTypeexampleLocationType

Constraints

IdGradePath(s)DetailsRequirements
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-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*EncounterCH Core Encounter
... Slices for identifier 0..*IdentifierIdentifier(s) by which this encounter is known
Slice: Unordered, Open by pattern:$this
.... identifier:VisitNumber 0..*IdentifierVisit number (Fallnummer)

Required Pattern: At least the following
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: VN
..... system 1..1uriThe namespace for the identifier value
..... value 1..1stringThe value that is unique
... class 1..1CodingAMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR
... priority 0..1CodeableConceptBFS Medizinische Statistik - Eintrittsart / Mode d’admission / Genere di ricovero
Binding: BFS Medizinische Statistik - 18 1.2.V03 - Eintrittsart / Mode d’admission / Genere di ricovero (extensible)
... participant
.... type 0..*CodeableConceptRole of participant in encounter
Binding: ChCoreEncounterParticipationType (extensible)
.... individual 0..1Reference(CH Core Practitioner)Persons involved in the encounter other than the patient
... hospitalization
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... BfsAdmitRole 0..1CodingBFS Medizinische Statistik - Einweisende Instanz
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-admitrole
Binding: BFS Medizinische Statistik - 19 1.2.V04 - Einweisende Instanz / Décision d’envoi / Istanza ricoverante (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.

.... accident 0..1(Complex)Flag if hospitalization was due to an accident
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-accident
.... readmission 0..1booleanFlag to indicate if it is a suspected readmission
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-encounter-susp-readmission
.... BfsDischargeDecision 0..1CodingBFS Medizinische Statistik - Entscheid für Austritt
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedecision
Binding: BFS Medizinische Statistik - 27 1.5.V02 - Entscheid für Austritt / Décision de sortie / Décisione dell’uscita (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.

.... BfsDischargeDestination 0..1CodingBFS Medizinische Statistik - Aufenthalt nach Austritt
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedestination
Binding: BFS Medizinische Statistik - 28 1.5.V03 - Aufenthalt nach Austritt / Séjour après la sortie / Destinazione dopo l’uscita (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.

.... origin 0..1Reference(CH Core Location | CH Core Organization)The location/organization from which the patient came before admission
.... admitSource 0..1CodeableConceptBFS Medizinische Statistik - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione
Binding: BFS Medizinische Statistik - 17 1.2.V02 - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione (extensible)
.... destination 0..1Reference(CH Core Location | CH Core Organization)Location/organization to which the patient is discharged
.... dischargeDisposition 0..1CodeableConceptBFS Medizinische Statistik - Behandlung nach Austritt
Binding: BFS Medizinische Statistik - 29 1.5.V04 - Behandlung nach Austritt / Prise en charge après la sortie / Trattamento dopo l’uscita (preferred): BFS Medizinische Statistik - Behandlung nach Austritt

... location
.... location 1..1Reference(CH Core Location)Location the encounter takes place
... serviceProvider 0..1Reference(CH Core Organization)The organization (facility) responsible for this encounter
... partOf 0..1Reference(CH Core Encounter)Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Encounter.priorityextensibleBfsMedstats18Admittype
Encounter.participant.typeextensibleChCoreEncounterParticipationType
Encounter.hospitalization.admitSourceextensibleBfsMedstats17Admitsource
Encounter.hospitalization.dischargeDispositionpreferredBfsMedstats29Dischargeencounter

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*EncounterCH Core Encounter
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier Σ0..*IdentifierIdentifier(s) by which this encounter is known
Slice: Unordered, Open by pattern:$this
.... identifier:VisitNumber Σ0..*IdentifierVisit number (Fallnummer)

Required Pattern: At least the following
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: VN
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringThe value that is unique
Example General: 123456
... class Σ1..1CodingAMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR
Binding: ActEncounterCode (extensible): Classification of the encounter.

... priority 0..1CodeableConceptBFS Medizinische Statistik - Eintrittsart / Mode d’admission / Genere di ricovero
Binding: BFS Medizinische Statistik - 18 1.2.V03 - Eintrittsart / Mode d’admission / Genere di ricovero (extensible)
... subject Σ1..1Reference(CH Core Patient)The patient or group present at the encounter
... serviceProvider 0..1Reference(CH Core Organization)The organization (facility) responsible for this encounter
... partOf 0..1Reference(CH Core Encounter)Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Encounter.identifier:VisitNumber.userequiredIdentifierUse
Encounter.statusrequiredEncounterStatus
Encounter.classextensibleActEncounterCode
Encounter.priorityextensibleBfsMedstats18Admittype

Constraints

IdGradePath(s)DetailsRequirements
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-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*EncounterCH Core Encounter
... 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 Σ0..*IdentifierIdentifier(s) by which this encounter is known
Slice: Unordered, Open by pattern:$this
.... identifier:VisitNumber Σ0..*IdentifierVisit number (Fallnummer)

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: VN
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system0..1uriThe namespace for the identifier value
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
..... 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 Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..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 ?!Σ1..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 Σ1..1CodingAMB | IMP : See mapping from BFS Medizinische Statistik BFS Encounter Class to FHIR
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 Σ0..*CodeableConceptSpecific type of encounter
Binding: EncounterType (example): The type of encounter.


... serviceType Σ0..1CodeableConceptSpecific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

... priority 0..1CodeableConceptBFS Medizinische Statistik - Eintrittsart / Mode d’admission / Genere di ricovero
Binding: BFS Medizinische Statistik - 18 1.2.V03 - Eintrittsart / Mode d’admission / Genere di ricovero (extensible)
... subject Σ1..1Reference(CH Core Patient)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 Σ0..*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 Σ0..*CodeableConceptRole of participant in encounter
Binding: ChCoreEncounterParticipationType (extensible)
.... period 0..1PeriodPeriod of time during the encounter that the participant participated
.... individual Σ0..1Reference(CH Core Practitioner)Persons involved in the encounter other than the patient
... appointment Σ0..*Reference(Appointment)The appointment that scheduled this encounter
... period 0..1PeriodThe start and end time of the encounter
... length 0..1DurationQuantity of time the encounter lasted (less time absent)
... reasonCode Σ0..*CodeableConceptCoded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference Σ0..*Reference(Condition | Procedure | 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 0..1BackboneElementDetails about the admission to a healthcare service
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... BfsAdmitRole 0..1CodingBFS Medizinische Statistik - Einweisende Instanz
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-admitrole
Binding: BFS Medizinische Statistik - 19 1.2.V04 - Einweisende Instanz / Décision d’envoi / Istanza ricoverante (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.


.... accident 0..1(Complex)Flag if hospitalization was due to an accident
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-accident
.... readmission 0..1booleanFlag to indicate if it is a suspected readmission
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-encounter-susp-readmission
.... BfsDischargeDecision 0..1CodingBFS Medizinische Statistik - Entscheid für Austritt
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedecision
Binding: BFS Medizinische Statistik - 27 1.5.V02 - Entscheid für Austritt / Décision de sortie / Décisione dell’uscita (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.


.... BfsDischargeDestination 0..1CodingBFS Medizinische Statistik - Aufenthalt nach Austritt
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-dischargedestination
Binding: BFS Medizinische Statistik - 28 1.5.V03 - Aufenthalt nach Austritt / Séjour après la sortie / Destinazione dopo l’uscita (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.


.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin 0..1Reference(CH Core Location | CH Core Organization)The location/organization from which the patient came before admission
.... admitSource 0..1CodeableConceptBFS Medizinische Statistik - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione
Binding: BFS Medizinische Statistik - 17 1.2.V02 - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione (extensible)
.... 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(CH Core Location | CH Core Organization)Location/organization to which the patient is discharged
.... dischargeDisposition 0..1CodeableConceptBFS Medizinische Statistik - Behandlung nach Austritt
Binding: BFS Medizinische Statistik - 29 1.5.V04 - Behandlung nach Austritt / Prise en charge après la sortie / Trattamento dopo l’uscita (preferred): BFS Medizinische Statistik - Behandlung nach Austritt

... location 0..*BackboneElementList 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 1..1Reference(CH Core 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 0..1Reference(CH Core Organization)The organization (facility) responsible for this encounter
... partOf 0..1Reference(CH Core Encounter)Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Encounter.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Encounter.identifier:VisitNumber.userequiredIdentifierUse
Encounter.identifier:VisitNumber.typeextensibleIdentifier Type Codes
Encounter.statusrequiredEncounterStatus
Encounter.statusHistory.statusrequiredEncounterStatus
Encounter.classextensibleActEncounterCode
Encounter.classHistory.classextensibleActEncounterCode
Encounter.typeexampleEncounterType
Encounter.serviceTypeexampleServiceType
Encounter.priorityextensibleBfsMedstats18Admittype
Encounter.participant.typeextensibleChCoreEncounterParticipationType
Encounter.reasonCodepreferredEncounterReasonCodes
Encounter.diagnosis.usepreferredDiagnosisRole
Encounter.hospitalization.admitSourceextensibleBfsMedstats17Admitsource
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
Encounter.hospitalization.dietPreferenceexampleDiet
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
Encounter.hospitalization.dischargeDispositionpreferredBfsMedstats29Dischargeencounter
Encounter.location.statusrequiredEncounterLocationStatus
Encounter.location.physicalTypeexampleLocationType

Constraints

IdGradePath(s)DetailsRequirements
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-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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