This page is part of the CH ORF (R4) (v2.0.0: STU 2) 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

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Resource Profile: CH ORF Requested Encounter

Profile to describe which details are represented at the requested encounter for the fulfillment of the service request. These are, for example, the status of the encounter or the class and the desired accomodation during the encounter.

Usage:

• Refer to this Resource Profile: CH ORF Requested Encounter Details
• Examples for this Resource Profile: Encounter/EncounterMusterfrau

Formal Views of Profile Content

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

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

This structure is derived from CHCoreEncounter

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	CHCoreEncounter	CH ORF Requested Encounter
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
desiredAccomodation	S	0..1	Coding	CH ORF Desired Accommodation URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-desiredaccommodation Binding: Desired Accomodation (required)
status	S	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled +
class	S	1..1	Coding	AMB | IMP | EMER Binding: Encounter Class (required)
subject	S	1..1	Reference(CH Core Patient)	The patient or group present at the encounter
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Encounter.class	required	ChOrfEncounterClass

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	CHCoreEncounter	CH ORF Requested 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
desiredAccomodation	S	0..1	Coding	CH ORF Desired Accommodation URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-desiredaccommodation Binding: Desired Accomodation (required)
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 pattern:$this
identifier:VisitNumber	Σ	0..*	Identifier	Visit number (Fallnummer) Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
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	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class	SΣ	1..1	Coding	AMB | IMP | EMER Binding: Encounter Class (required)
subject	SΣ	1..1	Reference(CH Core Patient)	The patient or group present at the encounter
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Encounter.identifier:VisitNumber.use	required	IdentifierUse
Encounter.status	required	EncounterStatus
Encounter.class	required	ChOrfEncounterClass

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	CHCoreEncounter	CH ORF Requested Encounter
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
desiredAccomodation	S	0..1	Coding	CH ORF Desired Accommodation URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-desiredaccommodation Binding: Desired Accomodation (required)
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 pattern:$this
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
use		0..1	code	usual | official | temp | secondary | old (If known)
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
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
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)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	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.
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
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory		0..*	BackboneElement	List of past encounter statuses
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period		1..1	Period	The time that the episode was in the specified status
class	SΣ	1..1	Coding	AMB | IMP | EMER Binding: Encounter Class (required)
classHistory		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class
type	Σ	0..*	CodeableConcept	Specific type of encounter Binding: EncounterType (example): The type of encounter.
serviceType	Σ	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority		0..1	CodeableConcept	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	SΣ	1..1	Reference(CH Core Patient)	The patient or group present at the encounter
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
participant	Σ	0..*	BackboneElement	List of participants involved in the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ChCoreEncounterParticipationType (extensible)
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(CH Core Practitioner)	Persons involved in the encounter other than the patient
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period		0..1	Period	The start and end time of the encounter
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	Σ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
BfsAdmitRole		0..1	Coding	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.
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..1	boolean	Flag to indicate if it is a suspected readmission URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-encounter-susp-readmission
BfsDischargeDecision		0..1	Coding	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.
BfsDischargeDestination		0..1	Coding	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.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin		0..1	Reference(CH Core Location | CH Core Organization)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	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	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination		0..1	Reference(CH Core Location | CH Core Organization)	Location/organization to which the patient is discharged
dischargeDisposition		0..1	CodeableConcept	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..*	BackboneElement	List of locations where the patient has been
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(CH Core Location)	Location the encounter takes place
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider		0..1	Reference(CH Core Organization)	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	Conformance	ValueSet
Encounter.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Encounter.identifier:VisitNumber.use	required	IdentifierUse
Encounter.identifier:VisitNumber.type	extensible	Identifier Type Codes
Encounter.status	required	EncounterStatus
Encounter.statusHistory.status	required	EncounterStatus
Encounter.class	required	ChOrfEncounterClass
Encounter.classHistory.class	extensible	ActEncounterCode
Encounter.type	example	EncounterType
Encounter.serviceType	example	ServiceType
Encounter.priority	extensible	BfsMedstats18Admittype
Encounter.participant.type	extensible	ChCoreEncounterParticipationType
Encounter.reasonCode	preferred	EncounterReasonCodes
Encounter.diagnosis.use	preferred	DiagnosisRole
Encounter.hospitalization.admitSource	extensible	BfsMedstats17Admitsource
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator
Encounter.hospitalization.dietPreference	example	Diet
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements
Encounter.hospitalization.dischargeDisposition	preferred	BfsMedstats29Dischargeencounter
Encounter.location.status	required	EncounterLocationStatus
Encounter.location.physicalType	example	LocationType

Constraints

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

This structure is derived from CHCoreEncounter

Summary

Must-Support: 4 elements

Extensions

This structure refers to these extensions:

• http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-desiredaccommodation

Differential View

This structure is derived from CHCoreEncounter

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	CHCoreEncounter	CH ORF Requested Encounter
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
desiredAccomodation	S	0..1	Coding	CH ORF Desired Accommodation URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-desiredaccommodation Binding: Desired Accomodation (required)
status	S	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled +
class	S	1..1	Coding	AMB | IMP | EMER Binding: Encounter Class (required)
subject	S	1..1	Reference(CH Core Patient)	The patient or group present at the encounter
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Encounter.class	required	ChOrfEncounterClass

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	CHCoreEncounter	CH ORF Requested 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
desiredAccomodation	S	0..1	Coding	CH ORF Desired Accommodation URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-desiredaccommodation Binding: Desired Accomodation (required)
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 pattern:$this
identifier:VisitNumber	Σ	0..*	Identifier	Visit number (Fallnummer) Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VN
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	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class	SΣ	1..1	Coding	AMB | IMP | EMER Binding: Encounter Class (required)
subject	SΣ	1..1	Reference(CH Core Patient)	The patient or group present at the encounter
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Encounter.identifier:VisitNumber.use	required	IdentifierUse
Encounter.status	required	EncounterStatus
Encounter.class	required	ChOrfEncounterClass

Constraints

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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	CHCoreEncounter	CH ORF Requested Encounter
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
desiredAccomodation	S	0..1	Coding	CH ORF Desired Accommodation URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-desiredaccommodation Binding: Desired Accomodation (required)
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 pattern:$this
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
use		0..1	code	usual | official | temp | secondary | old (If known)
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
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
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)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	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.
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
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory		0..*	BackboneElement	List of past encounter statuses
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period		1..1	Period	The time that the episode was in the specified status
class	SΣ	1..1	Coding	AMB | IMP | EMER Binding: Encounter Class (required)
classHistory		0..*	BackboneElement	List of past encounter classes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period		1..1	Period	The time that the episode was in the specified class
type	Σ	0..*	CodeableConcept	Specific type of encounter Binding: EncounterType (example): The type of encounter.
serviceType	Σ	0..1	CodeableConcept	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority		0..1	CodeableConcept	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	SΣ	1..1	Reference(CH Core Patient)	The patient or group present at the encounter
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter
participant	Σ	0..*	BackboneElement	List of participants involved in the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in encounter Binding: ChCoreEncounterParticipationType (extensible)
period		0..1	Period	Period of time during the encounter that the participant participated
individual	Σ	0..1	Reference(CH Core Practitioner)	Persons involved in the encounter other than the patient
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period		0..1	Period	The start and end time of the encounter
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	Σ	0..*	CodeableConcept	Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference	Σ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
BfsAdmitRole		0..1	Coding	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.
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..1	boolean	Flag to indicate if it is a suspected readmission URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-encounter-susp-readmission
BfsDischargeDecision		0..1	Coding	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.
BfsDischargeDestination		0..1	Coding	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.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin		0..1	Reference(CH Core Location | CH Core Organization)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	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	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination		0..1	Reference(CH Core Location | CH Core Organization)	Location/organization to which the patient is discharged
dischargeDisposition		0..1	CodeableConcept	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..*	BackboneElement	List of locations where the patient has been
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(CH Core Location)	Location the encounter takes place
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider		0..1	Reference(CH Core Organization)	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	Conformance	ValueSet
Encounter.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Encounter.identifier:VisitNumber.use	required	IdentifierUse
Encounter.identifier:VisitNumber.type	extensible	Identifier Type Codes
Encounter.status	required	EncounterStatus
Encounter.statusHistory.status	required	EncounterStatus
Encounter.class	required	ChOrfEncounterClass
Encounter.classHistory.class	extensible	ActEncounterCode
Encounter.type	example	EncounterType
Encounter.serviceType	example	ServiceType
Encounter.priority	extensible	BfsMedstats18Admittype
Encounter.participant.type	extensible	ChCoreEncounterParticipationType
Encounter.reasonCode	preferred	EncounterReasonCodes
Encounter.diagnosis.use	preferred	DiagnosisRole
Encounter.hospitalization.admitSource	extensible	BfsMedstats17Admitsource
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator
Encounter.hospitalization.dietPreference	example	Diet
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements
Encounter.hospitalization.dischargeDisposition	preferred	BfsMedstats29Dischargeencounter
Encounter.location.status	required	EncounterLocationStatus
Encounter.location.physicalType	example	LocationType

Constraints

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

This structure is derived from CHCoreEncounter

Summary

Must-Support: 4 elements

Extensions

This structure refers to these extensions:

• http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-desiredaccommodation

Other representations of profile: CSV, Excel, Schematron