Data Management with FHIR
0.1.0 - ci-build

Data Management with FHIR - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: Encounter

Official URL: https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMEncounter | Version: 0.1.0
Draft as of 2025-10-23 | Computable Name: DMEncounter

Encounter adapted to Data Management

Usages:

- Refer to this Profile: Condition, Encounter, Pression artérielle, Taille du patient... Show 2 more, Poids du patient and Procedure
- Examples for this Profile: Encounter/sejour-cas-9

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | FRCoreEncounterProfile | An interaction during which services are provided to the patient
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices pour extension |  |  |  | Content/Rules for all slices
extension:estimatedDischargeDate |  | 0..1 | date | Estimated discharge date | Date de sortie estimée URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-estimated-discharge-date
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | Identifier(s) by which this encounter is known | identifiant de la rencontre
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 | 1..1 | CodeableConcept | Description of identifier Binding: FR Core ValueSet Encounter identifier type (extensible)
system | Σ | 1..1 | uri | The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient Exemple OID de l'ANS de gestion des organisations (1.2.250.1.71.4.2.2) suivi du FINESS suivi de la branche z qui gère les id de venue/mouvements si l'établissement n'a pas d'OID (sinon utilisation de l'OID de l'établissement): 1.2.250.1.71.4.2.2.1330780321 Exemple autre solution, utilisation d'une URL: http://hopitalTest.fr/fhir/namingsystem/encounters
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
status | ?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
system | Σ | 1..1 | uri | Identity of the terminology system
code | Σ | 1..1 | code | Symbol in syntax defined by the system
type | Σ | 0..1 | CodeableConcept | Specific type of encounter Binding: FR Core ValueSet Encounter type (example)
subject | Σ | 0..1 | Reference(Patient) | The patient or group present at the encounter
episodeOfCare | Σ | 0..* | Reference(Episode of care) | Episode(s) of care that this encounter should be recorded against
period |  | 1..1 | Period | The start and end time of the encounter
account |  | 0..1 | Reference(Account) | The set of accounts that may be used for billing for this Encounter
serviceProvider |  | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter
partOf |  | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of
Documentation for this format

#### Terminology Bindings

Path | Statut | Usage | ValueSet | Version | Source
Encounter.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Encounter.identifier.​type | Base | extensible | FR Core ValueSet Encounter identifier type | 📦2.1.0 | Guide d'implémentation Fr Core v2.1
Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std.
Encounter.class | Base | extensible | ActEncounterCode | 📦3.0.0 | THO v6.5
Encounter.type | Base | example | FR Core ValueSet Encounter type | 📦2.1.0 | Guide d'implémentation Fr Core v2.1

#### Constraints

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

This structure is derived from FRCoreEncounterProfile

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | FRCoreEncounterProfile | An interaction during which services are provided to the patient
subject |  | 0..1 | Reference(Patient) | The patient or group present at the encounter
episodeOfCare |  | 0..* | Reference(Episode of care) | Episode(s) of care that this encounter should be recorded against
hospitalization |  |  |  |
preAdmissionIdentifier |  |  |  |
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
origin |  | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission
serviceProvider |  | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter
partOf |  | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of
Documentation for this format

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | FRCoreEncounterProfile | An interaction during which services are provided to the patient
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
Slices pour profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fr-canonical | Σ | 0..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices pour extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:estimatedDischargeDate |  | 0..1 | date | Estimated discharge date | Date de sortie estimée URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-estimated-discharge-date
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | Identifier(s) by which this encounter is known | identifiant de la rencontre
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 | 1..1 | CodeableConcept | Description of identifier Binding: FR Core ValueSet Encounter identifier type (extensible)
system | Σ | 1..1 | uri | The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient Exemple OID de l'ANS de gestion des organisations (1.2.250.1.71.4.2.2) suivi du FINESS suivi de la branche z qui gère les id de venue/mouvements si l'établissement n'a pas d'OID (sinon utilisation de l'OID de l'établissement): 1.2.250.1.71.4.2.2.1330780321 Exemple autre solution, utilisation d'une URL: http://hopitalTest.fr/fhir/namingsystem/encounters
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(FR Core Organization Profile) | Organization that issued id (may be just text)
status | ?!Σ | 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 | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the 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
system | Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
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..1 | CodeableConcept | Specific type of encounter Binding: FR Core ValueSet Encounter type (example)
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 | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject | Σ | 0..1 | Reference(Patient) | The patient or group present at the encounter
episodeOfCare | Σ | 0..* | Reference(Episode of care) | 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 | Liste des personnes impliquées dans la rencontre
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(RelatedPerson | FR Core Practitioner Profile | PractitionerRole) | Persons involved in the encounter other than the patient
appointment | Σ | 0..* | Reference(FR Core Appointment Profile) | The appointment that scheduled this encounter
period |  | 1..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..1 | 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 | Identifiant de pré-admission
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 | 1..1 | CodeableConcept | Description of identifier Binding: FR Core ValueSet Encounter identifier type (extensible)
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: 1.2.250.1.71.4.2.2+.n°FINESS
value | Σ | 1..1 | string | The value that is unique Exemple 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)
origin |  | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission
admitSource |  | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission |  | 0..1 | CodeableConcept | the resaon of re-admission of this hospitalization encounter | Raison de la ré-admission du patient. 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(FR Core Location Profile | FR Core Organization Profile) | Location/organization to which the patient is discharged
dischargeDisposition |  | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: FR Core ValueSet Encounter discharge disposition (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(FR Core 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: FR Core ValueSet Location physical type (example)
period |  | 0..1 | Period | Time period during which the patient was present at the location
serviceProvider |  | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter
partOf |  | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of
Documentation for this format

#### Terminology Bindings

Path | Statut | Usage | ValueSet | Version | Source
Encounter.meta.security | Base | extensible | SecurityLabels | 📦4.0.1 | FHIR Std.
Encounter.meta.tag | Base | example | Common Tags | 📦4.0.1 | FHIR Std.
Encounter.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
Encounter.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Encounter.identifier.​type | Base | extensible | FR Core ValueSet Encounter identifier type | 📦2.1.0 | Guide d'implémentation Fr Core v2.1
Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std.
Encounter.statusHistory.​status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std.
Encounter.class | Base | extensible | ActEncounterCode | 📦3.0.0 | THO v6.5
Encounter.classHistory.​class | Base | extensible | ActEncounterCode | 📦3.0.0 | THO v6.5
Encounter.type | Base | example | FR Core ValueSet Encounter type | 📦2.1.0 | Guide d'implémentation Fr Core v2.1
Encounter.serviceType | Base | example | Service type | 📦4.0.1 | FHIR Std.
Encounter.priority | Base | example | ActPriority | 📦3.0.0 | THO v6.5
Encounter.participant.​type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std.
Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std.
Encounter.diagnosis.​use | Base | preferred | DiagnosisRole | 📦4.0.1 | FHIR Std.
Encounter.hospitalization.​preAdmissionIdentifier.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Encounter.hospitalization.​preAdmissionIdentifier.​type | Base | extensible | FR Core ValueSet Encounter identifier type | 📦2.1.0 | Guide d'implémentation Fr Core v2.1
Encounter.hospitalization.​admitSource | Base | preferred | Admit source | 📦4.0.1 | FHIR Std.
Encounter.hospitalization.​reAdmission | Base | example | hl7VS-re-admissionIndicator | 📦2.0.0 | THO v6.5
Encounter.hospitalization.​dietPreference | Base | example | Diet | 📦4.0.1 | FHIR Std.
Encounter.hospitalization.​specialCourtesy | Base | preferred | Special courtesy | 📦4.0.1 | FHIR Std.
Encounter.hospitalization.​specialArrangement | Base | preferred | Special arrangements | 📦4.0.1 | FHIR Std.
Encounter.hospitalization.​dischargeDisposition | Base | example | FR Core ValueSet Encounter discharge disposition | 📦2.1.0 | Guide d'implémentation Fr Core v2.1
Encounter.location.status | Base | required | EncounterLocationStatus | 📍4.0.1 | FHIR Std.
Encounter.location.physicalType | Base | example | FR Core ValueSet Location physical type | 📦2.1.0 | Guide d'implémentation Fr Core v2.1

#### Constraints

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

This structure is derived from FRCoreEncounterProfile

Résumé

Structures

This structure refers to these other structures:

- Patient (https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMPatient)
- Episode of care (https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMEpisodeOfCare)
- Organization (https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMOrganization)
- Location (https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMLocation)
- Encounter (https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMEncounter)

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | FRCoreEncounterProfile | An interaction during which services are provided to the patient
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices pour extension |  |  |  | Content/Rules for all slices
extension:estimatedDischargeDate |  | 0..1 | date | Estimated discharge date | Date de sortie estimée URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-estimated-discharge-date
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | Identifier(s) by which this encounter is known | identifiant de la rencontre
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 | 1..1 | CodeableConcept | Description of identifier Binding: FR Core ValueSet Encounter identifier type (extensible)
system | Σ | 1..1 | uri | The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient Exemple OID de l'ANS de gestion des organisations (1.2.250.1.71.4.2.2) suivi du FINESS suivi de la branche z qui gère les id de venue/mouvements si l'établissement n'a pas d'OID (sinon utilisation de l'OID de l'établissement): 1.2.250.1.71.4.2.2.1330780321 Exemple autre solution, utilisation d'une URL: http://hopitalTest.fr/fhir/namingsystem/encounters
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
status | ?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
system | Σ | 1..1 | uri | Identity of the terminology system
code | Σ | 1..1 | code | Symbol in syntax defined by the system
type | Σ | 0..1 | CodeableConcept | Specific type of encounter Binding: FR Core ValueSet Encounter type (example)
subject | Σ | 0..1 | Reference(Patient) | The patient or group present at the encounter
episodeOfCare | Σ | 0..* | Reference(Episode of care) | Episode(s) of care that this encounter should be recorded against
period |  | 1..1 | Period | The start and end time of the encounter
account |  | 0..1 | Reference(Account) | The set of accounts that may be used for billing for this Encounter
serviceProvider |  | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter
partOf |  | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of
Documentation for this format

#### Terminology Bindings

Path | Statut | Usage | ValueSet | Version | Source
Encounter.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Encounter.identifier.​type | Base | extensible | FR Core ValueSet Encounter identifier type | 📦2.1.0 | Guide d'implémentation Fr Core v2.1
Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std.
Encounter.class | Base | extensible | ActEncounterCode | 📦3.0.0 | THO v6.5
Encounter.type | Base | example | FR Core ValueSet Encounter type | 📦2.1.0 | Guide d'implémentation Fr Core v2.1

#### Constraints

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

Differential View

This structure is derived from FRCoreEncounterProfile

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | FRCoreEncounterProfile | An interaction during which services are provided to the patient
subject |  | 0..1 | Reference(Patient) | The patient or group present at the encounter
episodeOfCare |  | 0..* | Reference(Episode of care) | Episode(s) of care that this encounter should be recorded against
hospitalization |  |  |  |
preAdmissionIdentifier |  |  |  |
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
origin |  | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission
serviceProvider |  | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter
partOf |  | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of
Documentation for this format

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | FRCoreEncounterProfile | An interaction during which services are provided to the patient
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
Slices pour profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fr-canonical | Σ | 0..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices pour extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:estimatedDischargeDate |  | 0..1 | date | Estimated discharge date | Date de sortie estimée URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-estimated-discharge-date
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | Identifier(s) by which this encounter is known | identifiant de la rencontre
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 | 1..1 | CodeableConcept | Description of identifier Binding: FR Core ValueSet Encounter identifier type (extensible)
system | Σ | 1..1 | uri | The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient Exemple OID de l'ANS de gestion des organisations (1.2.250.1.71.4.2.2) suivi du FINESS suivi de la branche z qui gère les id de venue/mouvements si l'établissement n'a pas d'OID (sinon utilisation de l'OID de l'établissement): 1.2.250.1.71.4.2.2.1330780321 Exemple autre solution, utilisation d'une URL: http://hopitalTest.fr/fhir/namingsystem/encounters
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(FR Core Organization Profile) | Organization that issued id (may be just text)
status | ?!Σ | 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 | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the 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
system | Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
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..1 | CodeableConcept | Specific type of encounter Binding: FR Core ValueSet Encounter type (example)
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 | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject | Σ | 0..1 | Reference(Patient) | The patient or group present at the encounter
episodeOfCare | Σ | 0..* | Reference(Episode of care) | 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 | Liste des personnes impliquées dans la rencontre
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(RelatedPerson | FR Core Practitioner Profile | PractitionerRole) | Persons involved in the encounter other than the patient
appointment | Σ | 0..* | Reference(FR Core Appointment Profile) | The appointment that scheduled this encounter
period |  | 1..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..1 | 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 | Identifiant de pré-admission
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 | 1..1 | CodeableConcept | Description of identifier Binding: FR Core ValueSet Encounter identifier type (extensible)
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: 1.2.250.1.71.4.2.2+.n°FINESS
value | Σ | 1..1 | string | The value that is unique Exemple 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)
origin |  | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission
admitSource |  | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission |  | 0..1 | CodeableConcept | the resaon of re-admission of this hospitalization encounter | Raison de la ré-admission du patient. 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(FR Core Location Profile | FR Core Organization Profile) | Location/organization to which the patient is discharged
dischargeDisposition |  | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: FR Core ValueSet Encounter discharge disposition (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(FR Core 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: FR Core ValueSet Location physical type (example)
period |  | 0..1 | Period | Time period during which the patient was present at the location
serviceProvider |  | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter
partOf |  | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of
Documentation for this format

#### Terminology Bindings

Path | Statut | Usage | ValueSet | Version | Source
Encounter.meta.security | Base | extensible | SecurityLabels | 📦4.0.1 | FHIR Std.
Encounter.meta.tag | Base | example | Common Tags | 📦4.0.1 | FHIR Std.
Encounter.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
Encounter.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Encounter.identifier.​type | Base | extensible | FR Core ValueSet Encounter identifier type | 📦2.1.0 | Guide d'implémentation Fr Core v2.1
Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std.
Encounter.statusHistory.​status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std.
Encounter.class | Base | extensible | ActEncounterCode | 📦3.0.0 | THO v6.5
Encounter.classHistory.​class | Base | extensible | ActEncounterCode | 📦3.0.0 | THO v6.5
Encounter.type | Base | example | FR Core ValueSet Encounter type | 📦2.1.0 | Guide d'implémentation Fr Core v2.1
Encounter.serviceType | Base | example | Service type | 📦4.0.1 | FHIR Std.
Encounter.priority | Base | example | ActPriority | 📦3.0.0 | THO v6.5
Encounter.participant.​type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std.
Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std.
Encounter.diagnosis.​use | Base | preferred | DiagnosisRole | 📦4.0.1 | FHIR Std.
Encounter.hospitalization.​preAdmissionIdentifier.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Encounter.hospitalization.​preAdmissionIdentifier.​type | Base | extensible | FR Core ValueSet Encounter identifier type | 📦2.1.0 | Guide d'implémentation Fr Core v2.1
Encounter.hospitalization.​admitSource | Base | preferred | Admit source | 📦4.0.1 | FHIR Std.
Encounter.hospitalization.​reAdmission | Base | example | hl7VS-re-admissionIndicator | 📦2.0.0 | THO v6.5
Encounter.hospitalization.​dietPreference | Base | example | Diet | 📦4.0.1 | FHIR Std.
Encounter.hospitalization.​specialCourtesy | Base | preferred | Special courtesy | 📦4.0.1 | FHIR Std.
Encounter.hospitalization.​specialArrangement | Base | preferred | Special arrangements | 📦4.0.1 | FHIR Std.
Encounter.hospitalization.​dischargeDisposition | Base | example | FR Core ValueSet Encounter discharge disposition | 📦2.1.0 | Guide d'implémentation Fr Core v2.1
Encounter.location.status | Base | required | EncounterLocationStatus | 📍4.0.1 | FHIR Std.
Encounter.location.physicalType | Base | example | FR Core ValueSet Location physical type | 📦2.1.0 | Guide d'implémentation Fr Core v2.1

#### Constraints

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

This structure is derived from FRCoreEncounterProfile

Résumé

Structures

This structure refers to these other structures:

- Patient (https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMPatient)
- Episode of care (https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMEpisodeOfCare)
- Organization (https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMOrganization)
- Location (https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMLocation)
- Encounter (https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMEncounter)

Other representations of profile: CSV, Excel, Schematron