CH ALIS Encounter Profile - CH ALIS Connect (R4) v1.0.0-ballot

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

0..1

Narrative

Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

contained

0..*

Resource

Contained, inline Resources

0..*

Extension
Slice: Unordered, Open by value:url

extension:Termination

0..1

(Complex)

CH ALIS Extension Termination
URL: http://fhir.ch/ig/ch-alis-connect/StructureDefinition/ch-alis-connect-ext-termination

0..*

Extensions that cannot be ignored

Slices for identifier

0..*

Identifier(s) by which this encounter is known
Slice: Unordered, Open by value:$this

identifier:All Slices

Content/Rules for all slices

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

use

?!Σ

0..1

usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

0..1

Description 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.

0..1

The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

0..1

The value that is unique
Example General: 123456

0..1

Time period when id is/was valid for use

0..1

Organization that issued id (may be just text)

identifier:VisitNumber

0..*

Visit number (Fallnummer)

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

use

?!Σ

0..1

usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

0..1

Description 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.
Fixed Value: (Complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

coding

1..*

Code defined by a terminology system
Fixed Value: (Complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: VN

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

1..1

The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

1..1

The value that is unique
Example General: 123456

0..1

Time period when id is/was valid for use

0..1

Organization that issued id (may be just text)

?!Σ

1..1

finished
Binding: EncounterStatus (required): Current state of the encounter.
Fixed Value: finished

statusHistory

0..*

List of past encounter statuses

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

1..1

The time that the episode was in the specified status

1..1

Inpatient encounter
Binding: V3 Value SetActEncounterCode (extensible): Classification of the encounter.
Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: IMP

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

classHistory

0..*

List of past encounter classes

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

inpatient | outpatient | ambulatory | emergency +
Binding: V3 Value SetActEncounterCode (extensible): Classification of the encounter.

1..1

The time that the episode was in the specified class

0..*

Specific type of encounter
Binding: EncounterType (example): The type of encounter.

serviceType

0..1

Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

priority

0..1

Reference(CH ALIS Patient Profile) {c }

BFS 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

1..1

Patient

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

ΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

0..1

Logical reference, when literal reference is not known

0..1

Reference(ServiceRequest)

Text alternative for the resource

episodeOfCare

0..*

Reference(EpisodeOfCare)

Episode(s) of care that this encounter should be recorded against

basedOn

0..*

The ServiceRequest that initiated this encounter

participant

0..*

List of participants involved in the encounter

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..*

Role of participant in encounter
Binding: ChCoreEncounterParticipationType (extensible)

0..1

Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core RelatedPerson)

Period of time during the encounter that the participant participated

individual

0..1

Persons involved in the encounter other than the patient

appointment

0..*

Reference(Appointment)

The appointment that scheduled this encounter

0..1

The start and end time of the encounter

length

0..1

Duration

Quantity of time the encounter lasted (less time absent)

reasonCode

0..*

Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.

reasonReference

0..*

Reference(Condition | Procedure | Observation | ImmunizationRecommendation)

Reason the encounter takes place (reference)

diagnosis

0..*

Condition

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Reference(CH ALIS Condition Profile) {c }

Extensions that cannot be ignored even if unrecognized

condition

1..1

The diagnosis or procedure relevant to the encounter

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

ΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

0..1

Logical reference, when literal reference is not known

0..1

Text alternative for the resource

use

0..1

Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

rank

0..1

positiveInt

Ranking of the diagnosis (for each role type)

account

0..*

Reference(Account)

The set of accounts that may be used for billing for this Encounter

hospitalization

0..1

Details about the admission to a healthcare service

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url

extension:BfsAdmitRole

0..1

BFS 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.

extension:accident

0..1

(Complex)

Flag if hospitalization was due to an accident
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-accident

extension:readmission

0..1

extension:BfsMsEncounterType

Flag to indicate if it is a suspected readmission
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-encounter-susp-readmission

0..1

extension:BfsDischargeDecision

BFS Medizinische Statistik - Liegeklasse (Encounter Type)
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-bfs-ms-encountertype
Binding: BFS Medizinische Statistik - 21 1.3.V02 - Klasse / Classe / Classe (extensible): A set of codes advising a system or user which name in a set of names to select for a given purpose.

0..1

extension:BfsDischargeDestination

BFS 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.

0..1

BFS 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.

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

preAdmissionIdentifier

0..1

Pre-admission identifier

origin

0..1

The location/organization from which the patient came before admission

admitSource

0..1

BFS 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..1

The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: v2.0092 (2.9)

(example): The reason for re-admission of this hospitalization encounter.

dietPreference

0..*

Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.

specialCourtesy

0..*

Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.

specialArrangement

0..*

Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.

destination

0..1

Location/organization to which the patient is discharged

dischargeDisposition

0..1

BFS 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..*

List of locations where the patient has been

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Reference(CH Core Location)

Extensions that cannot be ignored even if unrecognized

location

1..1

Location the encounter takes place

0..1

planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

physicalType

0..1

The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.

0..1

Reference(CH Core Organization)

Time period during which the patient was present at the location

serviceProvider

0..1

The organization (facility) responsible for this encounter

partOf

0..1

Reference(CH Core Encounter)

Another Encounter this encounter is part of

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Encounter.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.identifier:VisitNumber.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier:VisitNumber.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.statusHistory.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	V3 Value SetActEncounterCode	📦2014-03-26	FHIR Std.
Encounter.classHistory.class	Base	extensible	V3 Value SetActEncounterCode	📦2014-03-26	FHIR Std.
Encounter.type	Base	example	Encounter type	📍4.0.1	FHIR Std.
Encounter.serviceType	Base	example	Service type	📍4.0.1	FHIR Std.
Encounter.priority	Base	extensible	BFS Medizinische Statistik - 18 1.2.V03 - Eintrittsart / Mode d’admission / Genere di ricovero	📦3.4.0	CH Term v3.4
Encounter.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.participant.type	Base	extensible	ChCoreEncounterParticipationType	📦3.4.0	CH Term v3.4
Encounter.reasonCode	Base	preferred	Encounter Reason Codes	📍4.0.1	FHIR Std.
Encounter.diagnosis.condition.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Encounter.diagnosis.use	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
Encounter.hospitalization.admitSource	Base	extensible	BFS Medizinische Statistik - 17 1.2.V02 - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione	📦3.4.0	CH Term v3.4
Encounter.hospitalization.reAdmission	Base	example	v2 RE-ADMISSION INDICATOR	📍2.9	tx.fhir.org
Encounter.hospitalization.dietPreference	Base	example	Diet	📍4.0.1	FHIR Std.
Encounter.hospitalization.specialCourtesy	Base	preferred	Special courtesy	📍4.0.1	FHIR Std.
Encounter.hospitalization.specialArrangement	Base	preferred	Special arrangements	📍4.0.1	FHIR Std.
Encounter.hospitalization.dischargeDisposition	Base	preferred	BFS Medizinische Statistik - 29 1.5.V04 - Behandlung nach Austritt / Prise en charge après la sortie / Trattamento dopo l’uscita	📦3.4.0	CH Term v3.4
Encounter.location.status	Base	required	EncounterLocationStatus	📍4.0.1	FHIR Std.
Encounter.location.physicalType	Base	example	Location type	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Encounter	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	ALL extensions	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`

This structure is derived from CHCoreEncounter

Summary

Mandatory: 1 element(1 nested mandatory element)
Fixed: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

http://fhir.ch/ig/ch-alis-connect/StructureDefinition/ch-alis-connect-ext-termination

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Encounter		0..*	CHCoreEncounter	CH ALIS Encounter
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Termination		0..1	(Complex)	CH ALIS Extension Termination URL: http://fhir.ch/ig/ch-alis-connect/StructureDefinition/ch-alis-connect-ext-termination
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:$this
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
value	Σ	0..1	string	The value that is unique Example General: 123456
identifier:VisitNumber	Σ	0..*	Identifier	Visit number (Fallnummer) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
type		1..1	CodeableConcept	Description of identifier Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
use	?!Σ	0..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
status	?!Σ	1..1	code	finished Binding: EncounterStatus (required): Current state of the encounter. Fixed Value: finished
class	Σ	1..1	Coding	Inpatient encounter Binding: V3 Value SetActEncounterCode (extensible): Classification of the encounter. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: IMP
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
subject	Σ	1..1	Reference(CH ALIS Patient Profile) {c }	Patient
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
diagnosis	Σ	0..*	BackboneElement	Condition
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(CH ALIS Condition Profile) {c }	The diagnosis or procedure relevant to the encounter
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.identifier:VisitNumber.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Encounter.status	Base	required	EncounterStatus	📍4.0.1	FHIR Std.
Encounter.class	Base	extensible	V3 Value SetActEncounterCode	📦2014-03-26	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Encounter	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	ALL extensions	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`

Differential View

This structure is derived from CHCoreEncounter

Name	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Encounter	0..*	CHCoreEncounter	CH ALIS Encounter
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Termination	0..1	(Complex)	CH ALIS Extension Termination URL: http://fhir.ch/ig/ch-alis-connect/StructureDefinition/ch-alis-connect-ext-termination
identifier	0..*	Identifier	Identifier(s) by which this encounter is known
value	0..1	string	The value that is unique
status	1..1	code	finished Fixed Value: finished
class	1..1	Coding	Inpatient encounter Required Pattern: At least the following
system	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
code	1..1	code	Symbol in syntax defined by the system Fixed Value: IMP
subject	1..1	Reference(CH ALIS Patient Profile) {c }	Patient
reference	1..1	string	Literal reference, Relative, internal or absolute URL
diagnosis	0..*	BackboneElement	Condition
condition	1..1	Reference(CH ALIS Condition Profile) {c }	The diagnosis or procedure relevant to the encounter
reference	1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Snapshot View

Description & Constraints Filter: Filters

Encounter

0..*

CHCoreEncounter

CH ALIS Encounter

0..1

Logical id of this artifact

Meta

Metadata about the resource

implicitRules

?!Σ

0..1

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

0..1

Narrative

Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

contained

0..*

Resource

Contained, inline Resources

0..*

Extension
Slice: Unordered, Open by value:url

extension:Termination

0..1

(Complex)

CH ALIS Extension Termination
URL: http://fhir.ch/ig/ch-alis-connect/StructureDefinition/ch-alis-connect-ext-termination

0..*

Extensions that cannot be ignored

Slices for identifier

0..*

Identifier(s) by which this encounter is known
Slice: Unordered, Open by value:$this

identifier:All Slices

Content/Rules for all slices

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

use

?!Σ

0..1

usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

0..1

Description 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.

0..1

The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

0..1

The value that is unique
Example General: 123456

0..1

Time period when id is/was valid for use

0..1

Organization that issued id (may be just text)

identifier:VisitNumber

0..*

Visit number (Fallnummer)

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

use

?!Σ

0..1

usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

0..1

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

coding

1..*

Code defined by a terminology system
Fixed Value: (Complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: VN

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

1..1

The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

1..1

The value that is unique
Example General: 123456

0..1

Time period when id is/was valid for use

0..1

Organization that issued id (may be just text)

?!Σ

1..1

finished
Binding: EncounterStatus (required): Current state of the encounter.
Fixed Value: finished

statusHistory

0..*

List of past encounter statuses

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

1..1

The time that the episode was in the specified status

1..1

Inpatient encounter
Binding: V3 Value SetActEncounterCode (extensible): Classification of the encounter.
Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: IMP

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

classHistory

0..*

List of past encounter classes

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

inpatient | outpatient | ambulatory | emergency +
Binding: V3 Value SetActEncounterCode (extensible): Classification of the encounter.

1..1

The time that the episode was in the specified class

0..*

Specific type of encounter
Binding: EncounterType (example): The type of encounter.

serviceType

0..1

Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

priority

0..1

Reference(CH ALIS Patient Profile) {c }

subject

1..1

Patient

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

ΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

0..1

Logical reference, when literal reference is not known

0..1

Reference(ServiceRequest)

Text alternative for the resource

episodeOfCare

0..*

Reference(EpisodeOfCare)

Episode(s) of care that this encounter should be recorded against

basedOn

0..*

The ServiceRequest that initiated this encounter

participant

0..*

List of participants involved in the encounter

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..*

Role of participant in encounter
Binding: ChCoreEncounterParticipationType (extensible)

0..1

Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core RelatedPerson)

Period of time during the encounter that the participant participated

individual

0..1

Persons involved in the encounter other than the patient

appointment

0..*

Reference(Appointment)

The appointment that scheduled this encounter

0..1

The start and end time of the encounter

length

0..1

Duration

Quantity of time the encounter lasted (less time absent)

reasonCode

0..*

Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.

reasonReference

0..*

Reference(Condition | Procedure | Observation | ImmunizationRecommendation)

Reason the encounter takes place (reference)

diagnosis

0..*

Condition

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Reference(CH ALIS Condition Profile) {c }

Extensions that cannot be ignored even if unrecognized

condition

1..1

The diagnosis or procedure relevant to the encounter

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

ΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

0..1

Logical reference, when literal reference is not known

0..1

Text alternative for the resource

use

0..1

Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

rank

0..1

positiveInt

Ranking of the diagnosis (for each role type)

account

0..*

Reference(Account)

The set of accounts that may be used for billing for this Encounter

hospitalization

0..1

Details about the admission to a healthcare service

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url

extension:BfsAdmitRole

0..1

extension:accident

0..1

(Complex)

Flag if hospitalization was due to an accident
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-accident

extension:readmission

0..1

extension:BfsMsEncounterType

Flag to indicate if it is a suspected readmission
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-encounter-susp-readmission

0..1

extension:BfsDischargeDecision

0..1

extension:BfsDischargeDestination

0..1

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

preAdmissionIdentifier

0..1

Pre-admission identifier

origin

0..1

The location/organization from which the patient came before admission

0..1

0..1

The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: v2.0092 (2.9)

(example): The reason for re-admission of this hospitalization encounter.

dietPreference

0..*

Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.

specialCourtesy

0..*

Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.

specialArrangement

0..*

Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.

destination

0..1

Location/organization to which the patient is discharged

0..1

0..*

List of locations where the patient has been

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Reference(CH Core Location)

Extensions that cannot be ignored even if unrecognized

location

1..1

Location the encounter takes place

0..1

planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

physicalType

0..1

The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.

0..1