IL Core Implementation Guide
0.18.0 - draft
This page is part of the IL-Core IG (v0.18.0: draft-1 Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Official URL: http://fhir.health.gov.il/StructureDefinition/il-core-encounter | Version: 0.18.0 | |||
Standards status: Trial-use | Maturity Level: 1 | Computable Name: ILCoreEncounter |
Israel Core proposed constraints and extensions on the Encounter Resource
משאב הבסיס Encounter נועד לתעד מפגשים הכוללים כל סוג של אינטראקציה בין המטופל לספקי שירותי הבריאות לצורך מתן שירותי בריאות או הערכת מצב בריאותו של מטופל. מפגש עם מטופל מאופיין בד”כ לפי הסביבה שבה הוא מתרחש, למשל, ביקור במרפאה אמבולטורית, ביקור במוקדי חירום, ביקורי בית, אשפוז בבית החולים או מפגשים וירטואליים עם המטופל או בין הרופאים המבצעים ייעוץ לגבי המטופל. ע”מ להסדיר משאב זה לצרכי מערכת הבריאות בישראל באופן המקיף ביותר ובעיקר להתאימו לרשימת הסיווגים בוצעה אפיון עומק עם כלל הארגונים בישראל: חטיבת בתי החולים הממשלתיים, קופות החולים השונות , מרכזי רפואה ראשונית ושניונית ורפואת חירום, פסיכיאטריה, מרכזים גריאטריים כולל שירותי שיקום בית. האפיון כלל גם מפגשים עם מנהלים אדמיניסטרטיביים, אנשי ה IT , רופאים, אחיות, ופארמדיקים. רשימת הסיווגים הינו דבר עקרוני בפרופיל ונעשה דרך שלושה אלמנטים עיקריים : class, type, serviceType . בהסתכלות על הפרופיל ב 7HL ובמדריכים של CORE אחרים בעולם נראה שהסיווג הקיים באלמנטים אלו הוא חלקי וכללי מאוד , ואינו נותן מענה לצרכים של מערכת הבריאות בישראל. לכן, הוחלט לסווג את המפגש לפי שלוש קטגוריות עיקריות אשר לכל אחת הותאמה רשימת ערכים המחדדת את מהות הסיווג . זו גם הגישה שישנה בגרסה 5R של הפרופיל:
עוד מידע על פרופיל זה ניתן למצוא באתר הקהילה
במהלך הסדרת הפרופיל עם ארגוני הבריאות עלו מספר תרחישי שימוש ספציפיים הנוגעים לשמירת המידע של המטופל במערכות התיק הרפואי בעת אשפוז, ולכן הוחלט להוסיף את ההרחבות הבאות :
שם ההרחבה | הסבר | האלמנט עליו נוספה ההרחבה |
---|---|---|
Mode-of-arrival | דרך ההגעה של המטופל לביקור | Encounter (על הפרופיל עצמו). הרחבה זו מבוססת על HL7 ובה הוגדרה רשימת ערכים של מב”ר |
paying-entity | גורם משלם | Encounter (על הפרופיל עצמו) |
visitor-type | סוג המבקר | Subject |
movement-sequence-number | מס’ תנועה באשפוז | Hospitalization |
להלן הסלייסים שנוספו בפרופיל:
האלמנט | שם הסלייס | סיבת ההוספה | הערות |
---|---|---|---|
type | virtual-encounters | תמיכה בביקור וירטואלי | |
type | doctor-to-doctor-consultation | תמיכה בייעוץ בין מטפלים על מטופל (גם כשאינו נוכח) | ניתן להשתמש בשדה זה כדי לתעד מפגש שבו המטופל אינו נוכח (כגון פתיחת תיק המטופל כדי לעדכן את מינון התרופות) |
participant | primary-performer | תיעוד התייחסות למטפל העיקרי במפגש | |
reasonCode | moh-reason-code | תמיכה בקודים קיימים של אגף מידע לתיעוד סיבת הביקור אשר ידועים ובשימוש נרחב במערכת הבריאות בישראל |
בכל משאב התואם לפרופיל ILCore Encounter חייבים להיות האלמנטים הבאים:
בנוסף לאלמנטים שהוגדרו כחובה, הכיתוב (MS) Must Support משמש להסב את תשומת לב המיישמים לתיעוד המצורף אליו. כלומר, במקומות שבהם ישנה הנחייה על אופן המימוש של MS יש לנהוג לפי ההגדרה שכתובה, ובמקומות שאין הגדרה מפורשת, על המיישם להחליט מה משמעות התמיכה הנדרשת באלמנט זה. להלן האלמנטים שהוגדר להם MS וההוראות למיישם:
אלמנט | שם | הוראות למיישם |
---|---|---|
identifier | מזהה עסקי | receiving system SHOULD store the value |
status | סטטוס | receiving system SHALL either store the value as-is or SHALL be able to translate it into internal state and SHALL be able to reconstruct the value when requested to retrieve data |
Period | תקופת המפגש | receiving system SHALL either store the value as-is or SHALL be able to translate it into internal state and SHALL be able to reconstruct the value when requested to retrieve dat |
serviceProvider | ארגון הבריאות המספק את השירות הניתן במפגש | receiving system SHALL either store the value as-is or SHALL be able to translate it into internal state and SHALL be able to reconstruct the value when requested to retrieve data |
class | סוג מקום המפגש | receiving system SHALL either store the value as-is or SHALL be able to translate it into internal state and SHALL be able to reconstruct the value when requested to retrieve data |
Subject | מטופל | receiving system SHALL either store the value as-is or SHALL be able to translate it into internal state and SHALL be able to reconstruct the value when requested to retrieve data |
Participant[primary-performer] | מטפל עיקרי | receiving system either SHALL store the value or SHALL be able to translate it into internal state and SHALL be able to recover it when required to send data |
Participant[primary-performer].type | סוג מטפל עיקרי | receiving system either SHALL store the value or SHALL be able to translate it into internal state and SHALL be able to recover it when required to send data |
Participant[primary-performer].period | פרק זמן במהלך המפגש בו השתתף המטפל העיקרי | receiving system either SHALL store the value or SHALL be able to translate it into internal state and SHALL be able to recover it when required to send data |
Participant[primary-performer].individual | אנשים המעורבים במפגש מלבד המטופל | receiving system either SHALL store the value or SHALL be able to translate it into internal state and SHALL be able to recover it when required to send data |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Encounter
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | 0..* | Encounter | ILCore Encounter Profile | |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
modeOfArrival | 0..1 | (Complex) | The method of arrival of the patient into the facility URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival | |
value[x] | 1..1 | Coding | Value of extension Binding: Patient Mode of Arrival MoH (example) | |
paying-entity | 0..* | CodeableConcept | Extension: Encounter Paying Entity URL: http://fhir.health.gov.il/StructureDefinition/ext-encounter-paying-entity Binding: Encounter Paying Entity MoH (example) | |
movement-number | 0..1 | string | Ext: Movement Sequence-Number URL: http://fhir.health.gov.il/StructureDefinition/ext-movement-number | |
identifier | S | 0..* | Identifier | Identifier(s) by which this encounter is known |
status | S | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + |
class | S | 1..1 | Coding | Classification of patient encounter Binding: IL Core Encounter Class Codes (extensible) |
classHistory | ||||
class | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: IL Core Encounter Class Codes (extensible) | |
Slices for type | 0..* | CodeableConcept | Specific type of encounter Slice: Unordered, Open by pattern:$this | |
type:virtual-encounters | 0..* | CodeableConcept | Specific type of encounter Binding: IL Core Virtual encounter Type Codes (required) | |
type:doctor-to-doctor-consultation | 0..* | CodeableConcept | Specific type of encounter Binding: IL Core Doctor To Doctor Codes (required) | |
serviceType | 0..1 | CodeableConcept | Specific type of service Binding: IL Core Service type (extensible) | |
subject | S | 1..1 | Reference(ILCore Patient Profile | ILCore Group Profile) | The patient or group present at the encounter |
Slices for extension | Content/Rules for all slices | |||
visitor-type | 0..1 | CodeableConcept | Extension: Israeli CORE Encounter Visitor Type URL: http://fhir.health.gov.il/StructureDefinition/ext-encounter-visitor-type Binding: Patient Visitor Type MoH (example) | |
basedOn | 0..* | Reference(ILCore ServiceRequest Profile) | The ServiceRequest that initiated this encounter | |
Slices for participant | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by value:type | |
participant:All Slices | Content/Rules for all slices | |||
individual | 0..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile) | Persons involved in the encounter other than the patient | |
participant:primary-performer | S | 0..* | BackboneElement | List of participants involved in the encounter |
type | S | 1..1 | CodeableConcept | Role of participant in encounter |
coding | ||||
system | 0..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
code | 0..1 | code | Symbol in syntax defined by the system Fixed Value: PPRF | |
period | S | 0..1 | Period | Period of time during the encounter that the participant participated |
individual | S | 1..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile) | Persons involved in the encounter other than the patient |
period | S | 0..1 | Period | The start and end time of the encounter |
Slices for reasonCode | 0..* | CodeableConcept | Coded reason the encounter takes place Slice: Unordered, Open by pattern:$this | |
reasonCode:moh-reason-code | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Patient Visit Reason MoH (preferred) | |
reasonReference | 0..* | Reference(ILCore Condition Profile | ILCore Procedure Profile | ILCore Observation Profile | ImmunizationRecommendation) | Reason the encounter takes place (reference) | |
diagnosis | ||||
condition | 1..1 | Reference(ILCore Condition Profile | ILCore Procedure Profile) | The diagnosis or procedure relevant to the encounter | |
hospitalization | ||||
origin | 0..1 | Reference(ILCore Location Profile | ILCore Organization Profile) | The location/organization from which the patient came before admission | |
admitSource | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: Patient Admit Source MoH (preferred) | |
destination | 0..1 | Reference(ILCore Location Profile | ILCore Organization Profile) | Location/organization to which the patient is discharged | |
dischargeDisposition | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: Patient Realease Type MoH (example) | |
location | ||||
location | 1..1 | Reference(ILCore Location Profile) | Location the encounter takes place | |
serviceProvider | S | 0..1 | Reference(ILCore Organization Profile) | The organization (facility) responsible for this encounter |
partOf | 0..1 | Reference(ILCore Encounter Profile) | Another Encounter this encounter is part of | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Encounter.extension:modeOfArrival.value[x] | example | PatientModeOfArrivalMoH (a valid code from Patient Mode of Arrival MoH)http://fhir.health.gov.il/ValueSet/patient-mode-of-arrival-moh from this IG | |
Encounter.class | extensible | ILCoreEncounterClasshttp://fhir.health.gov.il/ValueSet/il-core-encounter-class from this IG | |
Encounter.classHistory.class | extensible | ILCoreEncounterClasshttp://fhir.health.gov.il/ValueSet/il-core-encounter-class from this IG | |
Encounter.type:virtual-encounters | required | ILCoreVirtualTypehttp://fhir.health.gov.il/ValueSet/il-core-virtual-type from this IG | |
Encounter.type:doctor-to-doctor-consultation | required | ILCoreDoctorToDoctorhttp://fhir.health.gov.il/ValueSet/il-core-doctor-to-doctor from this IG | |
Encounter.serviceType | extensible | ILCoreServiceTypehttp://fhir.health.gov.il/ValueSet/il-core-service-type from this IG | |
Encounter.reasonCode:moh-reason-code | preferred | PatientVisitReasonMoH (a valid code from Patient Visit Reason MoH)http://fhir.health.gov.il/ValueSet/patient-visit-reason-moh from this IG | |
Encounter.hospitalization.admitSource | preferred | PatientAdmitSourceMoH (a valid code from Patient Admit Source MoH)http://fhir.health.gov.il/ValueSet/patient-admit-source-moh from this IG | |
Encounter.hospitalization.dischargeDisposition | example | PatientRealeaseTypeMoH (a valid code from Patient Realease Type MoH)http://fhir.health.gov.il/ValueSet/patient-release-type-moh from this IG |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | 0..* | Encounter | ILCore Encounter Profile | |
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 | |
modeOfArrival | 0..1 | (Complex) | The method of arrival of the patient into the facility URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival | |
extension | 0..0 | |||
url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival" | |
value[x] | 1..1 | Coding | Value of extension Binding: Patient Mode of Arrival MoH (example) | |
paying-entity | 0..* | CodeableConcept | Extension: Encounter Paying Entity URL: http://fhir.health.gov.il/StructureDefinition/ext-encounter-paying-entity Binding: Encounter Paying Entity MoH (example) | |
movement-number | 0..1 | string | Ext: Movement Sequence-Number URL: http://fhir.health.gov.il/StructureDefinition/ext-movement-number | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | SΣ | 0..* | Identifier | Identifier(s) by which this encounter is known |
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 | Classification of patient encounter Binding: IL Core Encounter Class Codes (extensible) |
Slices for type | Σ | 0..* | CodeableConcept | Specific type of encounter Slice: Unordered, Open by pattern:$this Binding: EncounterType (example): The type of encounter. |
type:virtual-encounters | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: IL Core Virtual encounter Type Codes (required) |
type:doctor-to-doctor-consultation | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: IL Core Doctor To Doctor Codes (required) |
serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: IL Core Service type (extensible) |
subject | SΣ | 1..1 | Reference(ILCore Patient Profile | ILCore Group Profile) | The patient or group present at the encounter |
Slices for extension | Content/Rules for all slices | |||
visitor-type | 0..1 | CodeableConcept | Extension: Israeli CORE Encounter Visitor Type URL: http://fhir.health.gov.il/StructureDefinition/ext-encounter-visitor-type Binding: Patient Visitor Type MoH (example) | |
basedOn | 0..* | Reference(ILCore ServiceRequest Profile) | The ServiceRequest that initiated this encounter | |
Slices for participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by value:type |
participant:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
individual | Σ | 0..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile) | Persons involved in the encounter other than the patient |
participant:primary-performer | SΣ | 0..* | BackboneElement | List of participants involved in the encounter |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
type | SΣ | 1..1 | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. |
period | S | 0..1 | Period | Period of time during the encounter that the participant participated |
individual | SΣ | 1..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile) | Persons involved in the encounter other than the patient |
period | S | 0..1 | Period | The start and end time of the encounter |
Slices for reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Slice: Unordered, Open by pattern:$this Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. |
reasonCode:moh-reason-code | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Patient Visit Reason MoH (preferred) |
reasonReference | Σ | 0..* | Reference(ILCore Condition Profile | ILCore Procedure Profile | ILCore Observation Profile | ImmunizationRecommendation) | Reason the encounter takes place (reference) |
serviceProvider | S | 0..1 | Reference(ILCore Organization Profile) | The organization (facility) responsible for this encounter |
partOf | 0..1 | Reference(ILCore Encounter Profile) | Another Encounter this encounter is part of | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Encounter.extension:modeOfArrival.value[x] | example | PatientModeOfArrivalMoH (a valid code from Patient Mode of Arrival MoH)http://fhir.health.gov.il/ValueSet/patient-mode-of-arrival-moh from this IG | |
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | |
Encounter.class | extensible | ILCoreEncounterClasshttp://fhir.health.gov.il/ValueSet/il-core-encounter-class from this IG | |
Encounter.type | example | EncounterTypehttp://hl7.org/fhir/ValueSet/encounter-type from the FHIR Standard | |
Encounter.type:virtual-encounters | required | ILCoreVirtualTypehttp://fhir.health.gov.il/ValueSet/il-core-virtual-type from this IG | |
Encounter.type:doctor-to-doctor-consultation | required | ILCoreDoctorToDoctorhttp://fhir.health.gov.il/ValueSet/il-core-doctor-to-doctor from this IG | |
Encounter.serviceType | extensible | ILCoreServiceTypehttp://fhir.health.gov.il/ValueSet/il-core-service-type from this IG | |
Encounter.participant:primary-performer.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | |
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard | |
Encounter.reasonCode:moh-reason-code | preferred | PatientVisitReasonMoH (a valid code from Patient Visit Reason MoH)http://fhir.health.gov.il/ValueSet/patient-visit-reason-moh from this IG |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Encounter | 0..* | Encounter | ILCore Encounter Profile | |||||
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.
| |||||
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 | |||||
modeOfArrival | 0..1 | (Complex) | The method of arrival of the patient into the facility URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival | |||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival" | |||||
value[x] | 1..1 | Coding | Value of extension Binding: Patient Mode of Arrival MoH (example) | |||||
paying-entity | 0..* | CodeableConcept | Extension: Encounter Paying Entity URL: http://fhir.health.gov.il/StructureDefinition/ext-encounter-paying-entity Binding: Encounter Paying Entity MoH (example) | |||||
movement-number | 0..1 | string | Ext: Movement Sequence-Number URL: http://fhir.health.gov.il/StructureDefinition/ext-movement-number | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | SΣ | 0..* | Identifier | Identifier(s) by which this encounter is known | ||||
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 | Classification of patient encounter Binding: IL Core Encounter Class Codes (extensible) | ||||
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: IL Core Encounter Class Codes (extensible) | |||||
period | 1..1 | Period | The time that the episode was in the specified class | |||||
Slices for type | Σ | 0..* | CodeableConcept | Specific type of encounter Slice: Unordered, Open by pattern:$this Binding: EncounterType (example): The type of encounter. | ||||
type:virtual-encounters | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: IL Core Virtual encounter Type Codes (required) | ||||
type:doctor-to-doctor-consultation | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: IL Core Doctor To Doctor Codes (required) | ||||
serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: IL Core Service type (extensible) | ||||
priority | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter. | |||||
subject | SΣ | 1..1 | Reference(ILCore Patient Profile | ILCore Group Profile) | The patient or group present at the encounter | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
visitor-type | 0..1 | CodeableConcept | Extension: Israeli CORE Encounter Visitor Type URL: http://fhir.health.gov.il/StructureDefinition/ext-encounter-visitor-type Binding: Patient Visitor Type MoH (example) | |||||
reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against | ||||
basedOn | 0..* | Reference(ILCore ServiceRequest Profile) | The ServiceRequest that initiated this encounter | |||||
Slices for participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by value:type | ||||
participant:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
type | Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | ||||
period | 0..1 | Period | Period of time during the encounter that the participant participated | |||||
individual | Σ | 0..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile) | Persons involved in the encounter other than the patient | ||||
participant:primary-performer | SΣ | 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 | SΣ | 1..1 | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: PPRF | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
period | S | 0..1 | Period | Period of time during the encounter that the participant participated | ||||
individual | SΣ | 1..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile) | Persons involved in the encounter other than the patient | ||||
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | ||||
period | S | 0..1 | Period | The start and end time of the encounter | ||||
length | 0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |||||
Slices for reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Slice: Unordered, Open by pattern:$this Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | ||||
reasonCode:moh-reason-code | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Patient Visit Reason MoH (preferred) | ||||
reasonReference | Σ | 0..* | Reference(ILCore Condition Profile | ILCore Procedure Profile | ILCore Observation Profile | 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(ILCore Condition Profile | ILCore Procedure Profile) | 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 | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
preAdmissionIdentifier | 0..1 | Identifier | Pre-admission identifier | |||||
origin | 0..1 | Reference(ILCore Location Profile | ILCore Organization Profile) | The location/organization from which the patient came before admission | |||||
admitSource | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: Patient Admit Source MoH (preferred) | |||||
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(ILCore Location Profile | ILCore Organization Profile) | Location/organization to which the patient is discharged | |||||
dischargeDisposition | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: Patient Realease Type MoH (example) | |||||
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(ILCore Location Profile) | 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 | S | 0..1 | Reference(ILCore Organization Profile) | The organization (facility) responsible for this encounter | ||||
partOf | 0..1 | Reference(ILCore Encounter Profile) | Another Encounter this encounter is part of | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Encounter.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Encounter.extension:modeOfArrival.value[x] | example | PatientModeOfArrivalMoH (a valid code from Patient Mode of Arrival MoH)http://fhir.health.gov.il/ValueSet/patient-mode-of-arrival-moh from this IG | ||||
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.class | extensible | ILCoreEncounterClasshttp://fhir.health.gov.il/ValueSet/il-core-encounter-class from this IG | ||||
Encounter.classHistory.class | extensible | ILCoreEncounterClasshttp://fhir.health.gov.il/ValueSet/il-core-encounter-class from this IG | ||||
Encounter.type | example | EncounterTypehttp://hl7.org/fhir/ValueSet/encounter-type from the FHIR Standard | ||||
Encounter.type:virtual-encounters | required | ILCoreVirtualTypehttp://fhir.health.gov.il/ValueSet/il-core-virtual-type from this IG | ||||
Encounter.type:doctor-to-doctor-consultation | required | ILCoreDoctorToDoctorhttp://fhir.health.gov.il/ValueSet/il-core-doctor-to-doctor from this IG | ||||
Encounter.serviceType | extensible | ILCoreServiceTypehttp://fhir.health.gov.il/ValueSet/il-core-service-type from this IG | ||||
Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | ||||
Encounter.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | ||||
Encounter.participant:primary-performer.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | ||||
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard | ||||
Encounter.reasonCode:moh-reason-code | preferred | PatientVisitReasonMoH (a valid code from Patient Visit Reason MoH)http://fhir.health.gov.il/ValueSet/patient-visit-reason-moh from this IG | ||||
Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard | ||||
Encounter.hospitalization.admitSource | preferred | PatientAdmitSourceMoH (a valid code from Patient Admit Source MoH)http://fhir.health.gov.il/ValueSet/patient-admit-source-moh from this IG | ||||
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard | ||||
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard | ||||
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard | ||||
Encounter.hospitalization.dischargeDisposition | example | PatientRealeaseTypeMoH (a valid code from Patient Realease Type MoH)http://fhir.health.gov.il/ValueSet/patient-release-type-moh from this IG | ||||
Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard | ||||
Encounter.location.physicalType | example | LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard |
This structure is derived from Encounter
Differential View
This structure is derived from Encounter
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | 0..* | Encounter | ILCore Encounter Profile | |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
modeOfArrival | 0..1 | (Complex) | The method of arrival of the patient into the facility URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival | |
value[x] | 1..1 | Coding | Value of extension Binding: Patient Mode of Arrival MoH (example) | |
paying-entity | 0..* | CodeableConcept | Extension: Encounter Paying Entity URL: http://fhir.health.gov.il/StructureDefinition/ext-encounter-paying-entity Binding: Encounter Paying Entity MoH (example) | |
movement-number | 0..1 | string | Ext: Movement Sequence-Number URL: http://fhir.health.gov.il/StructureDefinition/ext-movement-number | |
identifier | S | 0..* | Identifier | Identifier(s) by which this encounter is known |
status | S | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + |
class | S | 1..1 | Coding | Classification of patient encounter Binding: IL Core Encounter Class Codes (extensible) |
classHistory | ||||
class | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: IL Core Encounter Class Codes (extensible) | |
Slices for type | 0..* | CodeableConcept | Specific type of encounter Slice: Unordered, Open by pattern:$this | |
type:virtual-encounters | 0..* | CodeableConcept | Specific type of encounter Binding: IL Core Virtual encounter Type Codes (required) | |
type:doctor-to-doctor-consultation | 0..* | CodeableConcept | Specific type of encounter Binding: IL Core Doctor To Doctor Codes (required) | |
serviceType | 0..1 | CodeableConcept | Specific type of service Binding: IL Core Service type (extensible) | |
subject | S | 1..1 | Reference(ILCore Patient Profile | ILCore Group Profile) | The patient or group present at the encounter |
Slices for extension | Content/Rules for all slices | |||
visitor-type | 0..1 | CodeableConcept | Extension: Israeli CORE Encounter Visitor Type URL: http://fhir.health.gov.il/StructureDefinition/ext-encounter-visitor-type Binding: Patient Visitor Type MoH (example) | |
basedOn | 0..* | Reference(ILCore ServiceRequest Profile) | The ServiceRequest that initiated this encounter | |
Slices for participant | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by value:type | |
participant:All Slices | Content/Rules for all slices | |||
individual | 0..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile) | Persons involved in the encounter other than the patient | |
participant:primary-performer | S | 0..* | BackboneElement | List of participants involved in the encounter |
type | S | 1..1 | CodeableConcept | Role of participant in encounter |
coding | ||||
system | 0..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
code | 0..1 | code | Symbol in syntax defined by the system Fixed Value: PPRF | |
period | S | 0..1 | Period | Period of time during the encounter that the participant participated |
individual | S | 1..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile) | Persons involved in the encounter other than the patient |
period | S | 0..1 | Period | The start and end time of the encounter |
Slices for reasonCode | 0..* | CodeableConcept | Coded reason the encounter takes place Slice: Unordered, Open by pattern:$this | |
reasonCode:moh-reason-code | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Patient Visit Reason MoH (preferred) | |
reasonReference | 0..* | Reference(ILCore Condition Profile | ILCore Procedure Profile | ILCore Observation Profile | ImmunizationRecommendation) | Reason the encounter takes place (reference) | |
diagnosis | ||||
condition | 1..1 | Reference(ILCore Condition Profile | ILCore Procedure Profile) | The diagnosis or procedure relevant to the encounter | |
hospitalization | ||||
origin | 0..1 | Reference(ILCore Location Profile | ILCore Organization Profile) | The location/organization from which the patient came before admission | |
admitSource | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: Patient Admit Source MoH (preferred) | |
destination | 0..1 | Reference(ILCore Location Profile | ILCore Organization Profile) | Location/organization to which the patient is discharged | |
dischargeDisposition | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: Patient Realease Type MoH (example) | |
location | ||||
location | 1..1 | Reference(ILCore Location Profile) | Location the encounter takes place | |
serviceProvider | S | 0..1 | Reference(ILCore Organization Profile) | The organization (facility) responsible for this encounter |
partOf | 0..1 | Reference(ILCore Encounter Profile) | Another Encounter this encounter is part of | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Encounter.extension:modeOfArrival.value[x] | example | PatientModeOfArrivalMoH (a valid code from Patient Mode of Arrival MoH)http://fhir.health.gov.il/ValueSet/patient-mode-of-arrival-moh from this IG | |
Encounter.class | extensible | ILCoreEncounterClasshttp://fhir.health.gov.il/ValueSet/il-core-encounter-class from this IG | |
Encounter.classHistory.class | extensible | ILCoreEncounterClasshttp://fhir.health.gov.il/ValueSet/il-core-encounter-class from this IG | |
Encounter.type:virtual-encounters | required | ILCoreVirtualTypehttp://fhir.health.gov.il/ValueSet/il-core-virtual-type from this IG | |
Encounter.type:doctor-to-doctor-consultation | required | ILCoreDoctorToDoctorhttp://fhir.health.gov.il/ValueSet/il-core-doctor-to-doctor from this IG | |
Encounter.serviceType | extensible | ILCoreServiceTypehttp://fhir.health.gov.il/ValueSet/il-core-service-type from this IG | |
Encounter.reasonCode:moh-reason-code | preferred | PatientVisitReasonMoH (a valid code from Patient Visit Reason MoH)http://fhir.health.gov.il/ValueSet/patient-visit-reason-moh from this IG | |
Encounter.hospitalization.admitSource | preferred | PatientAdmitSourceMoH (a valid code from Patient Admit Source MoH)http://fhir.health.gov.il/ValueSet/patient-admit-source-moh from this IG | |
Encounter.hospitalization.dischargeDisposition | example | PatientRealeaseTypeMoH (a valid code from Patient Realease Type MoH)http://fhir.health.gov.il/ValueSet/patient-release-type-moh from this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Encounter | 0..* | Encounter | ILCore Encounter Profile | |
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 | |
modeOfArrival | 0..1 | (Complex) | The method of arrival of the patient into the facility URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival | |
extension | 0..0 | |||
url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival" | |
value[x] | 1..1 | Coding | Value of extension Binding: Patient Mode of Arrival MoH (example) | |
paying-entity | 0..* | CodeableConcept | Extension: Encounter Paying Entity URL: http://fhir.health.gov.il/StructureDefinition/ext-encounter-paying-entity Binding: Encounter Paying Entity MoH (example) | |
movement-number | 0..1 | string | Ext: Movement Sequence-Number URL: http://fhir.health.gov.il/StructureDefinition/ext-movement-number | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | SΣ | 0..* | Identifier | Identifier(s) by which this encounter is known |
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 | Classification of patient encounter Binding: IL Core Encounter Class Codes (extensible) |
Slices for type | Σ | 0..* | CodeableConcept | Specific type of encounter Slice: Unordered, Open by pattern:$this Binding: EncounterType (example): The type of encounter. |
type:virtual-encounters | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: IL Core Virtual encounter Type Codes (required) |
type:doctor-to-doctor-consultation | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: IL Core Doctor To Doctor Codes (required) |
serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: IL Core Service type (extensible) |
subject | SΣ | 1..1 | Reference(ILCore Patient Profile | ILCore Group Profile) | The patient or group present at the encounter |
Slices for extension | Content/Rules for all slices | |||
visitor-type | 0..1 | CodeableConcept | Extension: Israeli CORE Encounter Visitor Type URL: http://fhir.health.gov.il/StructureDefinition/ext-encounter-visitor-type Binding: Patient Visitor Type MoH (example) | |
basedOn | 0..* | Reference(ILCore ServiceRequest Profile) | The ServiceRequest that initiated this encounter | |
Slices for participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by value:type |
participant:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
individual | Σ | 0..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile) | Persons involved in the encounter other than the patient |
participant:primary-performer | SΣ | 0..* | BackboneElement | List of participants involved in the encounter |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
type | SΣ | 1..1 | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. |
period | S | 0..1 | Period | Period of time during the encounter that the participant participated |
individual | SΣ | 1..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile) | Persons involved in the encounter other than the patient |
period | S | 0..1 | Period | The start and end time of the encounter |
Slices for reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Slice: Unordered, Open by pattern:$this Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. |
reasonCode:moh-reason-code | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Patient Visit Reason MoH (preferred) |
reasonReference | Σ | 0..* | Reference(ILCore Condition Profile | ILCore Procedure Profile | ILCore Observation Profile | ImmunizationRecommendation) | Reason the encounter takes place (reference) |
serviceProvider | S | 0..1 | Reference(ILCore Organization Profile) | The organization (facility) responsible for this encounter |
partOf | 0..1 | Reference(ILCore Encounter Profile) | Another Encounter this encounter is part of | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Encounter.extension:modeOfArrival.value[x] | example | PatientModeOfArrivalMoH (a valid code from Patient Mode of Arrival MoH)http://fhir.health.gov.il/ValueSet/patient-mode-of-arrival-moh from this IG | |
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | |
Encounter.class | extensible | ILCoreEncounterClasshttp://fhir.health.gov.il/ValueSet/il-core-encounter-class from this IG | |
Encounter.type | example | EncounterTypehttp://hl7.org/fhir/ValueSet/encounter-type from the FHIR Standard | |
Encounter.type:virtual-encounters | required | ILCoreVirtualTypehttp://fhir.health.gov.il/ValueSet/il-core-virtual-type from this IG | |
Encounter.type:doctor-to-doctor-consultation | required | ILCoreDoctorToDoctorhttp://fhir.health.gov.il/ValueSet/il-core-doctor-to-doctor from this IG | |
Encounter.serviceType | extensible | ILCoreServiceTypehttp://fhir.health.gov.il/ValueSet/il-core-service-type from this IG | |
Encounter.participant:primary-performer.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | |
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard | |
Encounter.reasonCode:moh-reason-code | preferred | PatientVisitReasonMoH (a valid code from Patient Visit Reason MoH)http://fhir.health.gov.il/ValueSet/patient-visit-reason-moh from this IG |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Encounter | 0..* | Encounter | ILCore Encounter Profile | |||||
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.
| |||||
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 | |||||
modeOfArrival | 0..1 | (Complex) | The method of arrival of the patient into the facility URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival | |||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival" | |||||
value[x] | 1..1 | Coding | Value of extension Binding: Patient Mode of Arrival MoH (example) | |||||
paying-entity | 0..* | CodeableConcept | Extension: Encounter Paying Entity URL: http://fhir.health.gov.il/StructureDefinition/ext-encounter-paying-entity Binding: Encounter Paying Entity MoH (example) | |||||
movement-number | 0..1 | string | Ext: Movement Sequence-Number URL: http://fhir.health.gov.il/StructureDefinition/ext-movement-number | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | SΣ | 0..* | Identifier | Identifier(s) by which this encounter is known | ||||
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 | Classification of patient encounter Binding: IL Core Encounter Class Codes (extensible) | ||||
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: IL Core Encounter Class Codes (extensible) | |||||
period | 1..1 | Period | The time that the episode was in the specified class | |||||
Slices for type | Σ | 0..* | CodeableConcept | Specific type of encounter Slice: Unordered, Open by pattern:$this Binding: EncounterType (example): The type of encounter. | ||||
type:virtual-encounters | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: IL Core Virtual encounter Type Codes (required) | ||||
type:doctor-to-doctor-consultation | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: IL Core Doctor To Doctor Codes (required) | ||||
serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: IL Core Service type (extensible) | ||||
priority | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter. | |||||
subject | SΣ | 1..1 | Reference(ILCore Patient Profile | ILCore Group Profile) | The patient or group present at the encounter | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
visitor-type | 0..1 | CodeableConcept | Extension: Israeli CORE Encounter Visitor Type URL: http://fhir.health.gov.il/StructureDefinition/ext-encounter-visitor-type Binding: Patient Visitor Type MoH (example) | |||||
reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against | ||||
basedOn | 0..* | Reference(ILCore ServiceRequest Profile) | The ServiceRequest that initiated this encounter | |||||
Slices for participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by value:type | ||||
participant:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
type | Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | ||||
period | 0..1 | Period | Period of time during the encounter that the participant participated | |||||
individual | Σ | 0..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile) | Persons involved in the encounter other than the patient | ||||
participant:primary-performer | SΣ | 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 | SΣ | 1..1 | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: PPRF | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
period | S | 0..1 | Period | Period of time during the encounter that the participant participated | ||||
individual | SΣ | 1..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile) | Persons involved in the encounter other than the patient | ||||
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | ||||
period | S | 0..1 | Period | The start and end time of the encounter | ||||
length | 0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |||||
Slices for reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Slice: Unordered, Open by pattern:$this Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place. | ||||
reasonCode:moh-reason-code | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: Patient Visit Reason MoH (preferred) | ||||
reasonReference | Σ | 0..* | Reference(ILCore Condition Profile | ILCore Procedure Profile | ILCore Observation Profile | 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(ILCore Condition Profile | ILCore Procedure Profile) | 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 | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
preAdmissionIdentifier | 0..1 | Identifier | Pre-admission identifier | |||||
origin | 0..1 | Reference(ILCore Location Profile | ILCore Organization Profile) | The location/organization from which the patient came before admission | |||||
admitSource | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: Patient Admit Source MoH (preferred) | |||||
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(ILCore Location Profile | ILCore Organization Profile) | Location/organization to which the patient is discharged | |||||
dischargeDisposition | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: Patient Realease Type MoH (example) | |||||
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(ILCore Location Profile) | 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 | S | 0..1 | Reference(ILCore Organization Profile) | The organization (facility) responsible for this encounter | ||||
partOf | 0..1 | Reference(ILCore Encounter Profile) | Another Encounter this encounter is part of | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Encounter.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Encounter.extension:modeOfArrival.value[x] | example | PatientModeOfArrivalMoH (a valid code from Patient Mode of Arrival MoH)http://fhir.health.gov.il/ValueSet/patient-mode-of-arrival-moh from this IG | ||||
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.class | extensible | ILCoreEncounterClasshttp://fhir.health.gov.il/ValueSet/il-core-encounter-class from this IG | ||||
Encounter.classHistory.class | extensible | ILCoreEncounterClasshttp://fhir.health.gov.il/ValueSet/il-core-encounter-class from this IG | ||||
Encounter.type | example | EncounterTypehttp://hl7.org/fhir/ValueSet/encounter-type from the FHIR Standard | ||||
Encounter.type:virtual-encounters | required | ILCoreVirtualTypehttp://fhir.health.gov.il/ValueSet/il-core-virtual-type from this IG | ||||
Encounter.type:doctor-to-doctor-consultation | required | ILCoreDoctorToDoctorhttp://fhir.health.gov.il/ValueSet/il-core-doctor-to-doctor from this IG | ||||
Encounter.serviceType | extensible | ILCoreServiceTypehttp://fhir.health.gov.il/ValueSet/il-core-service-type from this IG | ||||
Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | ||||
Encounter.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | ||||
Encounter.participant:primary-performer.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | ||||
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard | ||||
Encounter.reasonCode:moh-reason-code | preferred | PatientVisitReasonMoH (a valid code from Patient Visit Reason MoH)http://fhir.health.gov.il/ValueSet/patient-visit-reason-moh from this IG | ||||
Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard | ||||
Encounter.hospitalization.admitSource | preferred | PatientAdmitSourceMoH (a valid code from Patient Admit Source MoH)http://fhir.health.gov.il/ValueSet/patient-admit-source-moh from this IG | ||||
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard | ||||
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard | ||||
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard | ||||
Encounter.hospitalization.dischargeDisposition | example | PatientRealeaseTypeMoH (a valid code from Patient Realease Type MoH)http://fhir.health.gov.il/ValueSet/patient-release-type-moh from this IG | ||||
Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard | ||||
Encounter.location.physicalType | example | LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard |
This structure is derived from Encounter
Other representations of profile: CSV, Excel, Schematron