This page is part of the HSPC FHIR Implementation Guide (v0.1.0: Daft For Comment Draft) based on FHIR v1.9.0. This is the current published version. For a full list of available versions, see the Directory of published versions

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Profile hspc-genencounter

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="hspc-genencounter"/>
  <url value="http://fhir.org/guides/hspc/StructureDefinition/hspc-genencounter"/>
  <name value="Profile hspc-genencounter"/>
  <status value="draft"/>
  <publisher value="HSPC"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://healthcaresoa.org"/>
    </telecom>
  </contact>
  <date value="2015-11-17"/>
  <mapping>
    <identity value="qdm"/>
    <uri value="http://www.healthit.gov/quality-data-model"/>
    <name value="Quality Data Model"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <mapping>
    <identity value="v2"/>
    <uri value="http://hl7.org/v2"/>
    <name value="HL7 v2 Mapping"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="Encounter"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="Encounter:hspcgeneralencounter">
      <path value="Encounter"/>
      <name value="HSPC General Encounter"/>
      <short
             value="An interaction during which services are provided to the patient"/>
      <definition
                  value="An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient."/>
      <alias value="Visit"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Encounter"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Encounter[moodCode=EVN]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="workflow.encounter"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="Patient Characteristic"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.id">
      <path value="Encounter.id"/>
      <short value="Logical id of this artifact"/>
      <definition
                  value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
      <comments
                value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="Encounter:hspcgeneralencounter.meta">
      <path value="Encounter.meta"/>
      <short value="Metadata about the resource"/>
      <definition
                  value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="Encounter:hspcgeneralencounter.implicitRules">
      <path value="Encounter.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition
                  value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
      <comments
                value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="Encounter:hspcgeneralencounter.language">
      <path value="Encounter.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comments
                value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource  Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Encounter:hspcgeneralencounter.text">
      <path value="Encounter.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition
                  value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
      <comments
                value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.contained">
      <path value="Encounter.contained"/>
      <short value="Contained, inline Resources"/>
      <definition
                  value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
      <comments
                value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.extension">
      <path value="Encounter.extension"/>
      <slicing id="25">
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.extension:confidentiality$Extension">
      <path value="Encounter.extension"/>
      <name value="Confidentiality"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="The set of values that describe the level of confidentiality for the patient encounter."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v2-0907"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.extension:hospitalservice$Extension">
      <path value="Encounter.extension"/>
      <name value="HospitalService"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="The particular healthcare specialty or care group responsible for the care of the patient during the encounter"/>
        <valueSetReference>
          <reference
                     value="http://fhir.org/guides/hspc/ValueSet/practitioner-providerPractitionerSpecialty"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Encounter:hspcgeneralencounter.extension:viplevel$Extension">
      <path value="Encounter.extension"/>
      <name value="VipLevel"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="A set of codes that describe the sensitivity level of a patient's information"/>
        <valueSetReference>
          <reference value="ValueSet/hspc-viplevel"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.extension:ambulatorystatus$Extension">
      <path value="Encounter.extension"/>
      <name value="AmbulatoryStatus"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="The codes that describe a patient's current level of ability to ambulate."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v2-0009"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.extension:departedbytransportation$Extension">
      <path value="Encounter.extension"/>
      <name value="DepartedByTransportation"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <alias value="Departed By Transportation"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="A set of codes that describe various means of transportation used to leave a location"/>
        <valueSetReference>
          <reference value="ValueSet/departureTransportMode"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.extension:arrivedbytransportation$Extension">
      <path value="Encounter.extension"/>
      <name value="ArrivedByTransportation"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <alias value="Arrived By Transportation"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="A set of codes that describe various means of transportation used to arrive at a location"/>
        <valueSetReference>
          <reference value="ValueSet/arrivalTransportMode"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.extension:chiefcomplaintid$Extension">
      <path value="Encounter.extension"/>
      <name value="ChiefComplaintId"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.extension:admitmedicationid$Extension">
      <path value="Encounter.extension"/>
      <name value="AdmitMedicationId"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.extension:dischargemedicationid$Extension">
      <path value="Encounter.extension"/>
      <name value="DischargeMedicationId"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.extension:communicationmode$Extension">
      <path value="Encounter.extension"/>
      <name value="CommunicationMode"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="The set of codes that describe the means by which a patient communicates with others."/>
        <valueSetReference>
          <reference value="ValueSet/communicationMode"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.extension:administrativeencounterid$Extension">
      <path value="Encounter.extension"/>
      <name value="AdministrativeEncounterId"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Encounter:hspcgeneralencounter.modifierExtension">
      <path value="Encounter.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.identifier">
      <path value="Encounter.identifier"/>
      <short value="Identifier(s) by which this encounter is known"/>
      <definition value="Identifier(s) by which this encounter is known."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Encounter.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-19"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.status">
      <path value="Encounter.status"/>
      <short
             value="planned | arrived | in-progress | onleave | finished | cancelled | entered-in-error"/>
      <definition
                  value="planned | arrived | in-progress | onleave | finished | cancelled | entered-in-error."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Encounter.status"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Current state of the encounter"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/encounter-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map
             value="No clear equivalent in HL7 v2; active/finished could be inferred from PV1-44, PV1-45, PV2-24; inactive could be inferred from PV2-16"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".statusCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.statusHistory">
      <path value="Encounter.statusHistory"/>
      <short value="List of past encounter statuses"/>
      <definition
                  value="The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them."/>
      <comments
                value="The current status is always found in the current version of the resource, not the status history."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Encounter.statusHistory"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="Encounter:hspcgeneralencounter.statusHistory.id">
      <path value="Encounter.statusHistory.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.statusHistory.extension">
      <path value="Encounter.statusHistory.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.statusHistory.modifierExtension">
      <path value="Encounter.statusHistory.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.statusHistory.status">
      <path value="Encounter.statusHistory.status"/>
      <short
             value="planned | arrived | in-progress | onleave | finished | cancelled | entered-in-error"/>
      <definition
                  value="planned | arrived | in-progress | onleave | finished | cancelled | entered-in-error."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Encounter.statusHistory.status"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="Current state of the encounter"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/encounter-status"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Encounter:hspcgeneralencounter.statusHistory.period">
      <path value="Encounter.statusHistory.period"/>
      <short value="The time that the episode was in the specified status"/>
      <definition value="The time that the episode was in the specified status."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Encounter.statusHistory.period"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
    </element>
    <element id="Encounter:hspcgeneralencounter.class">
      <path value="Encounter.class"/>
      <short value="inpatient | outpatient | ambulatory | emergency +"/>
      <definition value="inpatient | outpatient | ambulatory | emergency +."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.class"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="extensible"/>
        <description value="Classification of the encounter"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v3-ActEncounterCode"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship[typeCode=SUBJ].source[classCode=LIST].code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.type">
      <path value="Encounter.type"/>
      <short value="Specific type of encounter"/>
      <definition
                  value="Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation)."/>
      <comments
                value="Since there are many ways to further classify encounters, this element is 0..*."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Encounter.type"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The type of encounter"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/encounter-type"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-4 / PV1-18"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.priority">
      <path value="Encounter.priority"/>
      <short value="Indicates the urgency of the encounter"/>
      <definition value="Indicates the urgency of the encounter."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.priority"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description value="The priority level of the encounter"/>
        <valueSetReference>
          <reference value="ValueSet/encounterPriority"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PV2-25"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".priorityCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="grade"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.patient">
      <path value="Encounter.patient"/>
      <short value="The patient present at the encounter"/>
      <definition value="The patient present at the encounter."/>
      <comments
                value="While the encounter is always about the patient, the patient may not actually be known in all contexts of use."/>
      <alias value="patient"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.patient"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=SBJ]/role[classCode=PAT]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.episodeOfCare">
      <path value="Encounter.episodeOfCare"/>
      <short
             value="Episode(s) of care that this encounter should be recorded against"/>
      <definition
                  value="Where a specific encounter should be classified as a part of a specific episode(s) of care this field should be used. This association can facilitate grouping of related encounters together for a specific purpose, such as government reporting, issue tracking, association via a common problem.  The association is recorded on the encounter as these are typically created after the episode of care, and grouped on entry rather than editing the episode of care to append another encounter to it (the episode of care could span years)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Encounter.episodeOfCare"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-54, PV1-53"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.incomingReferral">
      <path value="Encounter.incomingReferral"/>
      <short value="The ReferralRequest that initiated this encounter"/>
      <definition
                  value="The referral request this encounter satisfies (incoming referral)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Encounter.incomingReferral"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ReferralRequest"/>
      </type>
    </element>
    <element id="Encounter:hspcgeneralencounter.participant">
      <path value="Encounter.participant"/>
      <short value="List of participants involved in the encounter"/>
      <definition
                  value="The list of people responsible for providing the service."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Encounter.participant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="ROL"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=PFM]"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.participant.id">
      <path value="Encounter.participant.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.participant.extension:providerservice$Extension">
      <path value="Encounter.participant.extension"/>
      <name value="ProviderService"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="The codes that represent the particular specialty or practice group that a provider is affiliated with for the given encounter"/>
        <valueSetReference>
          <reference
                     value="http://fhir.org/guides/hspc/ValueSet/practitioner-providerPractitionerSpecialty"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Encounter:hspcgeneralencounter.participant.modifierExtension">
      <path value="Encounter.participant.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.participant.type">
      <path value="Encounter.participant.type"/>
      <short value="Role of participant in encounter"/>
      <definition value="Role of participant in encounter."/>
      <comments
                value="The participant type indicates how an individual partitipates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Encounter.participant.type"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="A set of codes that are used to describe how an entity participates in an encounter"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v3-ParticipationType"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="ROL-3 (or maybe PRT-4)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".functionCode"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.participant.period">
      <path value="Encounter.participant.period"/>
      <short value="Period of time during the encounter participant was present"/>
      <definition
                  value="The period of time that the specified participant was present during the encounter. These can overlap or be sub-sets of the overall encounters period."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.participant.period"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="ROL-5, ROL-6 (or maybe PRT-5)"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.participant.individual">
      <path value="Encounter.participant.individual"/>
      <short value="Persons involved in the encounter other than the patient"/>
      <definition
                  value="Persons involved in the encounter other than the patient."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.participant.individual"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="ROL-4"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.appointment">
      <path value="Encounter.appointment"/>
      <short value="The appointment that scheduled this encounter"/>
      <definition value="The appointment that scheduled this encounter."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.appointment"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Appointment"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="SCH-1 / SCH-2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=FLFS].target[classCode=ENC, moodCode=APT]"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.period">
      <path value="Encounter.period"/>
      <short value="The start and end time of the encounter"/>
      <definition value="The start and end time of the encounter."/>
      <comments
                value="If not (yet) known, the end of the Period may be omitted."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.period"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-44, PV1-45"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime (low & high)"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.done"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.length">
      <path value="Encounter.length"/>
      <slicing>
        <discriminator value="Encounter.length|true|openAtEnd"/>
        <rules value="open"/>
      </slicing>
      <short value="Quantity of time the encounter lasted (less time absent)"/>
      <definition
                  value="Quantity of time the encounter lasted. This excludes the time during leaves of absence."/>
      <comments
                value="May differ from the time the Encounter.period lasted because of leave of absence."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.length"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Duration"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map
             value="(PV1-45 less PV1-44) iff ( (PV1-44 not empty) and (PV1-45 not empty) ); units in minutes"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".lengthOfStayQuantity"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.length:lengthofstay">
      <path value="Encounter.length"/>
      <name value="LengthOfStay"/>
      <short value="Quantity of time the encounter lasted (less time absent)"/>
      <definition
                  value="Quantity of time the encounter lasted. This excludes the time during leaves of absence."/>
      <comments
                value="May differ from the time the Encounter.period lasted because of leave of absence."/>
      <alias value="Length of stay"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.length"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Duration"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map
             value="(PV1-45 less PV1-44) iff ( (PV1-44 not empty) and (PV1-45 not empty) ); units in minutes"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".lengthOfStayQuantity"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.length:lengthofstay.id">
      <path value="Encounter.length.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.length:lengthofstay.extension">
      <path value="Encounter.length.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.length:lengthofstay.value">
      <path value="Encounter.length.value"/>
      <short value="Numerical value (with implicit precision)"/>
      <definition
                  value="The value of the measured amount. The value includes an implicit precision in the presentation of the value."/>
      <comments
                value="The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books)."/>
      <requirements
                    value="Precision is handled implicitly in almost all cases of measurement."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Quantity.value"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="SN.2  / CQ - N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.length:lengthofstay.comparator">
      <path value="Encounter.length.comparator"/>
      <short value="< | <= | >= | > - how to understand the value"/>
      <definition
                  value="How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value."/>
      <comments
                value="This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value."/>
      <requirements
                    value="Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Quantity.comparator"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <meaningWhenMissing
                          value="If there is no comparator, then there is no modification of the value"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description
                     value="How the Quantity should be understood and represented."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/quantity-comparator"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="SN.1  / CQ.1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="IVL properties"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.length:lengthofstay.unit">
      <path value="Encounter.length.unit"/>
      <short value="Unit representation"/>
      <definition value="A human-readable form of the unit."/>
      <requirements
                    value="There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Quantity.unit"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="(see OBX.6 etc.) / CQ.2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="PQ.unit"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.length:lengthofstay.system">
      <path value="Encounter.length.system"/>
      <short value="Primitive Type uri"/>
      <definition
                  value="String of characters used to identify a name or a resource"/>
      <comments
                value="see http://en.wikipedia.org/wiki/Uniform_resource_identifier"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Quantity.system"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="uri"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/uri"/>
      </type>
      <fixedUri value="http://unitsofmeasure.org"/>
      <mustSupport value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Encounter:hspcgeneralencounter.length:lengthofstay.code">
      <path value="Encounter.length.code"/>
      <short value="Primitive Type code"/>
      <definition
                  value="A string which has at least one character and no leading or trailing whitespace and where there is no whitespace other than single spaces in the contents"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Quantity.code"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/code"/>
      </type>
      <fixedCode value="d"/>
      <mustSupport value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Encounter:hspcgeneralencounter.length:encounterlength">
      <path value="Encounter.length"/>
      <name value="EncounterLength"/>
      <short value="Quantity of time the encounter lasted (less time absent)"/>
      <definition
                  value="Quantity of time the encounter lasted. This excludes the time during leaves of absence."/>
      <comments
                value="May differ from the time the Encounter.period lasted because of leave of absence."/>
      <alias value="EncounterLength"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.length"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Duration"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map
             value="(PV1-45 less PV1-44) iff ( (PV1-44 not empty) and (PV1-45 not empty) ); units in minutes"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".lengthOfStayQuantity"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.length:encounterlength.id">
      <path value="Encounter.length.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.length:encounterlength.extension">
      <path value="Encounter.length.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.length:encounterlength.value">
      <path value="Encounter.length.value"/>
      <short value="Numerical value (with implicit precision)"/>
      <definition
                  value="The value of the measured amount. The value includes an implicit precision in the presentation of the value."/>
      <comments
                value="The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books)."/>
      <requirements
                    value="Precision is handled implicitly in almost all cases of measurement."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Quantity.value"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="SN.2  / CQ - N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"/>
      </mapping>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.length:encounterlength.comparator">
      <path value="Encounter.length.comparator"/>
      <short value="< | <= | >= | > - how to understand the value"/>
      <definition
                  value="How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value."/>
      <comments
                value="This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value."/>
      <requirements
                    value="Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Quantity.comparator"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <meaningWhenMissing
                          value="If there is no comparator, then there is no modification of the value"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description
                     value="How the Quantity should be understood and represented."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/quantity-comparator"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="SN.1  / CQ.1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="IVL properties"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.length:encounterlength.unit">
      <path value="Encounter.length.unit"/>
      <short value="Unit representation"/>
      <definition value="A human-readable form of the unit."/>
      <requirements
                    value="There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Quantity.unit"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="(see OBX.6 etc.) / CQ.2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="PQ.unit"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.length:encounterlength.system">
      <path value="Encounter.length.system"/>
      <short value="Primitive Type uri"/>
      <definition
                  value="String of characters used to identify a name or a resource"/>
      <comments
                value="see http://en.wikipedia.org/wiki/Uniform_resource_identifier"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Quantity.system"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="uri"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/uri"/>
      </type>
      <fixedUri value="http://unitsofmeasure.org"/>
      <mustSupport value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Encounter:hspcgeneralencounter.length:encounterlength.code">
      <path value="Encounter.length.code"/>
      <short value="Primitive Type code"/>
      <definition
                  value="A string which has at least one character and no leading or trailing whitespace and where there is no whitespace other than single spaces in the contents"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Quantity.code"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/code"/>
      </type>
      <fixedCode value="min"/>
      <mustSupport value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Encounter:hspcgeneralencounter.reason">
      <path value="Encounter.reason"/>
      <short value="Reason the encounter takes place (code)"/>
      <definition
                  value="Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis."/>
      <comments
                value="For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis)."/>
      <alias value="Indication"/>
      <alias value="Admission diagnosis"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.reason"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="example"/>
        <description
                     value="A set of codes that describe why an act was performed"/>
        <valueSetReference>
          <reference value="ValueSet/encounterReason"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map
             value="EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".reasonCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="why"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.indication">
      <path value="Encounter.indication"/>
      <short value="Reason the encounter takes place (resource)"/>
      <definition
                  value="Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure."/>
      <comments
                value="For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis)."/>
      <alias value="Admission diagnosis"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Encounter.indication"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map
             value="Resources that would commonly referenced at Encounter.indication would be Condition and/or Procedure. These most closely align with DG1/PRB and PR1 respectively."/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=RSON].target"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="why"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.account">
      <path value="Encounter.account"/>
      <short
             value="The set of accounts that may be used for billing for this Encounter"/>
      <definition
                  value="The set of accounts that may be used for billing for this Encounter."/>
      <comments
                value="The billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Encounter.account"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Account"/>
      </type>
    </element>
    <element id="Encounter:hspcgeneralencounter.hospitalization">
      <path value="Encounter.hospitalization"/>
      <short value="Details about the admission to a healthcare service"/>
      <definition value="Details about the admission to a healthcare service."/>
      <comments
                value="An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included.  The duration recorded in the period of this encounter covers the entire scope of this hospitalization record."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.hospitalization"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP].target[classCode=ENC, moodCode=EVN]"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.hospitalization.id">
      <path value="Encounter.hospitalization.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.hospitalization.extension">
      <path value="Encounter.hospitalization.extension"/>
      <slicing id="26">
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.hospitalization.extension:preadmittestindicator$Extension">
      <path value="Encounter.hospitalization.extension"/>
      <name value="PreAdmitTestIndicator"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="The set of values to indicate affirmative or negative"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v2-0136"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.hospitalization.extension:readmitindicator$Extension">
      <path value="Encounter.hospitalization.extension"/>
      <name value="ReAdmitIndicator"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="The set of values to indicate affirmative or negative"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v2-0136"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.hospitalization.modifierExtension">
      <path value="Encounter.hospitalization.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.hospitalization.preAdmissionIdentifier">
      <path value="Encounter.hospitalization.preAdmissionIdentifier"/>
      <short value="Pre-admission identifier"/>
      <definition value="Pre-admission identifier."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.hospitalization.preAdmissionIdentifier"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-5"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.hospitalization.origin">
      <path value="Encounter.hospitalization.origin"/>
      <short value="The location from which the patient came before admission"/>
      <definition
                  value="The location from which the patient came before admission."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.hospitalization.origin"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Location"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=ORG].role"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.hospitalization.admitSource">
      <path value="Encounter.hospitalization.admitSource"/>
      <short
             value="From where patient was admitted (physician referral, transfer)"/>
      <definition
                  value="From where patient was admitted (physician referral, transfer)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.hospitalization.admitSource"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="example"/>
        <description
                     value="The set of codes that describe where a patient came from for the current admission."/>
        <valueSetReference>
          <reference value="ValueSet/admissionSource"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-14"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".admissionReferralSourceCode"/>
      </mapping>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.hospitalization.admittingDiagnosis">
      <path value="Encounter.hospitalization.admittingDiagnosis"/>
      <short
             value="The admitting diagnosis as reported by admitting practitioner"/>
      <definition
                  value="The admitting diagnosis field is used to record the diagnosis codes as reported by admitting practitioner. This could be different or in addition to the conditions reported as reason-condition(s) for the encounter."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Encounter.hospitalization.admittingDiagnosis"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
      </type>
    </element>
    <element id="Encounter:hspcgeneralencounter.hospitalization.reAdmission">
      <path value="Encounter.hospitalization.reAdmission"/>
      <short
             value="The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission"/>
      <definition
                  value="Whether this hospitalization is a readmission and why if known."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.hospitalization.reAdmission"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description
                     value="The reason for re-admission of this hospitalization encounter."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v2-0092"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-13"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Propose at harmonization"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.hospitalization.dietPreference">
      <path value="Encounter.hospitalization.dietPreference"/>
      <short value="Diet preferences reported by the patient"/>
      <definition value="Diet preferences reported by the patient."/>
      <comments
                value="For example a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive)."/>
      <requirements
                    value="Used to track patient's diet restrictions and/or preference. For a complete description of the nutrition needs of a patient during their stay, one should use the nutritionOrder resource which links to Encounter."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Encounter.hospitalization.dietPreference"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="A set of codes that describe the kind of nutrition to be supplied to the patient."/>
        <valueSetReference>
          <reference value="ValueSet/dietType"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-38"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=EVN, code="diet"]"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.hospitalization.specialCourtesy">
      <path value="Encounter.hospitalization.specialCourtesy"/>
      <short value="Special courtesies (VIP, board member)"/>
      <definition value="Special courtesies (VIP, board member)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Encounter.hospitalization.specialCourtesy"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <description value="Special courtesies"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ValueSet/encounter-special-courtesy"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-16"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".specialCourtesiesCode"/>
      </mapping>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.hospitalization.specialArrangement">
      <path value="Encounter.hospitalization.specialArrangement"/>
      <short value="Wheelchair, translator, stretcher, etc."/>
      <definition value="Wheelchair, translator, stretcher, etc."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Encounter.hospitalization.specialArrangement"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <description value="Special arrangements"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ValueSet/encounter-special-arrangements"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-15 / OBR-30 / OBR-43"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".specialArrangementCode"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.hospitalization.destination">
      <path value="Encounter.hospitalization.destination"/>
      <short value="Location to which the patient is discharged"/>
      <definition value="Location to which the patient is discharged."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.hospitalization.destination"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Location"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-37"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=DST]"/>
      </mapping>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.hospitalization.dischargeDisposition">
      <path value="Encounter.hospitalization.dischargeDisposition"/>
      <short value="Category or kind of location after discharge"/>
      <definition value="Category or kind of location after discharge."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.hospitalization.dischargeDisposition"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="Discharge Disposition"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ValueSet/encounter-discharge-disposition"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-36"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".dischargeDispositionCode"/>
      </mapping>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.hospitalization.dischargeDiagnosis">
      <path value="Encounter.hospitalization.dischargeDiagnosis"/>
      <short
             value="The final diagnosis given a patient before release from the hospital after all testing, surgery, and workup are complete"/>
      <definition
                  value="The final diagnosis given a patient before release from the hospital after all testing, surgery, and workup are complete."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Encounter.hospitalization.dischargeDiagnosis"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=OUT].target[classCode=OBS, moodCode=EVN, code=ASSERTION].value"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.location">
      <path value="Encounter.location"/>
      <slicing>
        <discriminator value="Encounter.location.location|flase|open"/>
        <rules value="open"/>
      </slicing>
      <short value="List of locations where the patient has been"/>
      <definition
                  value="List of locations where  the patient has been during this encounter."/>
      <comments
                value="Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual"."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Encounter.location"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=LOC]"/>
      </mapping>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.location:assignedparticipatinglocation">
      <path value="Encounter.location"/>
      <name value="AssignedParticipatingLocation"/>
      <short value="List of locations where the patient has been"/>
      <definition
                  value="List of locations where  the patient has been during this encounter."/>
      <comments
                value="Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual"."/>
      <alias value="AssignedParticipatingLocation"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.location"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=LOC]"/>
      </mapping>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.location:assignedparticipatinglocation.id">
      <path value="Encounter.location.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.location:assignedparticipatinglocation.extension:patientarrivalstatus$Extension">
      <path value="Encounter.location.extension"/>
      <name value="PatientArrivalStatus"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="The codes that describe whether or not the patient has arrived at the specified location for the encounter"/>
        <valueSetReference>
          <reference value="ValueSet/arrivalStatus"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.location:assignedparticipatinglocation.modifierExtension">
      <path value="Encounter.location.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.location:assignedparticipatinglocation.location">
      <path value="Encounter.location.location"/>
      <short value="A reference from one resource to another"/>
      <definition value="A reference from one resource to another."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Encounter.location.location"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Reference"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/>
      </mapping>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.location:assignedparticipatinglocation.status">
      <path value="Encounter.location.status"/>
      <short value="planned | active | reserved | completed"/>
      <definition
                  value="The status of the participants' presence at the specified location during the period specified. If the participant is is no longer at the location, then the period will have an end date/time."/>
      <comments
                value="When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.location.status"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="The status of the location."/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ValueSet/encounter-location-status"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.location:assignedparticipatinglocation.period">
      <path value="Encounter.location.period"/>
      <short
             value="Time period during which the patient was present at the location"/>
      <definition
                  value="Time period during which the patient was present at the location."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.location.period"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".time"/>
      </mapping>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.location:servicedeliverylocation">
      <path value="Encounter.location"/>
      <name value="ServiceDeliveryLocation"/>
      <short value="List of locations where the patient has been"/>
      <definition
                  value="List of locations where  the patient has been during this encounter."/>
      <comments
                value="Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual"."/>
      <alias value="ServiceDeliveryLocationCondition"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.location"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=LOC]"/>
      </mapping>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.location:servicedeliverylocation.id">
      <path value="Encounter.location.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.location:servicedeliverylocation.extension:servicedeliverylocationcondition$Extension">
      <path value="Encounter.location.extension"/>
      <name value="ServiceDeliveryLocationCondition"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="The codes that describe the state of readiness of the encounter location"/>
        <valueSetReference>
          <reference value="ValueSet/locationCondition"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.location:servicedeliverylocation.modifierExtension">
      <path value="Encounter.location.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.location:servicedeliverylocation.location">
      <path value="Encounter.location.location"/>
      <short value="A reference from one resource to another"/>
      <definition value="A reference from one resource to another."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Encounter.location.location"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Reference"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/>
      </mapping>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.location:servicedeliverylocation.status">
      <path value="Encounter.location.status"/>
      <short value="planned | active | reserved | completed"/>
      <definition
                  value="The status of the participants' presence at the specified location during the period specified. If the participant is is no longer at the location, then the period will have an end date/time."/>
      <comments
                value="When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.location.status"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="The status of the location."/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ValueSet/encounter-location-status"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.location:servicedeliverylocation.period">
      <path value="Encounter.location.period"/>
      <short
             value="Time period during which the patient was present at the location"/>
      <definition
                  value="Time period during which the patient was present at the location."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.location.period"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".time"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.serviceProvider">
      <path value="Encounter.serviceProvider"/>
      <short value="The custodian organization of this Encounter record"/>
      <definition
                  value="An organization that is in charge of maintaining the information of this Encounter (e.g. who maintains the report or the master service catalog item, etc.). This MAY be the same as the organization on the Patient record, however it could be different. This MAY not be not the Service Delivery Location's Organization."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.serviceProvider"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map
             value="PV1-10 / PL.6  & PL.1  (note: HL7 v2 definition is "the treatment or type of surgery that the patient is scheduled to receive"; seems slightly out of alignment with the concept name 'hospital service'. Would not trust that implementations apply this semantic by default)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".particiaption[typeCode=PFM].role"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.partOf">
      <path value="Encounter.partOf"/>
      <short value="Another Encounter this encounter is part of"/>
      <definition
                  value="Another Encounter of which this encounter is a part of (administratively or in time)."/>
      <comments
                value="This is also used for associating a child's encounter back to the mother's encounter.  Refer to the Notes section in the Patient resource for further details."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Encounter.partOf"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship[typeCode=COMP].source[classCode=COMP, moodCode=EVN]"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="Encounter:hspcgeneralencounter">
      <path value="Encounter"/>
      <name value="HSPC General Encounter"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map value="Patient Characteristic"/>
      </mapping>
    </element>
    <element id="Encounter:hspcgeneralencounter.encounter-reasonCancelled">
      <path value="Encounter.encounter-reasonCancelled"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="A set of codes that describe why an individual's encounter has been done away with."/>
        <valueSetReference>
          <reference value="ValueSet/reasonCancelled"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.extension:confidentiality$Extension">
      <path value="Encounter.extension"/>
      <name value="Confidentiality"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="The set of values that describe the level of confidentiality for the patient encounter."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v2-0907"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.extension:hospitalservice$Extension">
      <path value="Encounter.extension"/>
      <name value="HospitalService"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="The particular healthcare specialty or care group responsible for the care of the patient during the encounter"/>
        <valueSetReference>
          <reference
                     value="http://fhir.org/guides/hspc/ValueSet/practitioner-providerPractitionerSpecialty"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Encounter:hspcgeneralencounter.extension:viplevel$Extension">
      <path value="Encounter.extension"/>
      <name value="VipLevel"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="A set of codes that describe the sensitivity level of a patient's information"/>
        <valueSetReference>
          <reference value="ValueSet/hspc-viplevel"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.extension:ambulatorystatus$Extension">
      <path value="Encounter.extension"/>
      <name value="AmbulatoryStatus"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="The codes that describe a patient's current level of ability to ambulate."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v2-0009"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.extension:departedbytransportation$Extension">
      <path value="Encounter.extension"/>
      <name value="DepartedByTransportation"/>
      <alias value="Departed By Transportation"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="A set of codes that describe various means of transportation used to leave a location"/>
        <valueSetReference>
          <reference value="ValueSet/departureTransportMode"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.extension:arrivedbytransportation$Extension">
      <path value="Encounter.extension"/>
      <name value="ArrivedByTransportation"/>
      <alias value="Arrived By Transportation"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="A set of codes that describe various means of transportation used to arrive at a location"/>
        <valueSetReference>
          <reference value="ValueSet/arrivalTransportMode"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.extension:chiefcomplaintid$Extension">
      <path value="Encounter.extension"/>
      <name value="ChiefComplaintId"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.extension:admitmedicationid$Extension">
      <path value="Encounter.extension"/>
      <name value="AdmitMedicationId"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.extension:dischargemedicationid$Extension">
      <path value="Encounter.extension"/>
      <name value="DischargeMedicationId"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.extension:communicationmode$Extension">
      <path value="Encounter.extension"/>
      <name value="CommunicationMode"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="The set of codes that describe the means by which a patient communicates with others."/>
        <valueSetReference>
          <reference value="ValueSet/communicationMode"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.extension:administrativeencounterid$Extension">
      <path value="Encounter.extension"/>
      <name value="AdministrativeEncounterId"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Encounter:hspcgeneralencounter.priority">
      <path value="Encounter.priority"/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description value="The priority level of the encounter"/>
        <valueSetReference>
          <reference value="ValueSet/encounterPriority"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Encounter:hspcgeneralencounter.participant">
      <path value="Encounter.participant"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.participant.extension:providerservice$Extension">
      <path value="Encounter.participant.extension"/>
      <name value="ProviderService"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="The codes that represent the particular specialty or practice group that a provider is affiliated with for the given encounter"/>
        <valueSetReference>
          <reference
                     value="http://fhir.org/guides/hspc/ValueSet/practitioner-providerPractitionerSpecialty"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Encounter:hspcgeneralencounter.participant.type">
      <path value="Encounter.participant.type"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="A set of codes that are used to describe how an entity participates in an encounter"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v3-ParticipationType"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Encounter:hspcgeneralencounter.length:lengthofstay">
      <path value="Encounter.length"/>
      <name value="LengthOfStay"/>
      <slicing>
        <discriminator value="Encounter.length|true|openAtEnd"/>
        <rules value="open"/>
      </slicing>
      <alias value="Length of stay"/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Encounter:hspcgeneralencounter.length:lengthofstay.system">
      <path value="Encounter.length.system"/>
      <type>
        <code value="uri"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/uri"/>
      </type>
      <fixedUri value="http://unitsofmeasure.org"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Encounter:hspcgeneralencounter.length:lengthofstay.code">
      <path value="Encounter.length.code"/>
      <type>
        <code value="code"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/code"/>
      </type>
      <fixedCode value="d"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Encounter:hspcgeneralencounter.length:encounterlength">
      <path value="Encounter.length"/>
      <name value="EncounterLength"/>
      <alias value="EncounterLength"/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Encounter:hspcgeneralencounter.length:encounterlength.system">
      <path value="Encounter.length.system"/>
      <type>
        <code value="uri"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/uri"/>
      </type>
      <fixedUri value="http://unitsofmeasure.org"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Encounter:hspcgeneralencounter.length:encounterlength.code">
      <path value="Encounter.length.code"/>
      <type>
        <code value="code"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/code"/>
      </type>
      <fixedCode value="min"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Encounter:hspcgeneralencounter.reason">
      <path value="Encounter.reason"/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="example"/>
        <description
                     value="A set of codes that describe why an act was performed"/>
        <valueSetReference>
          <reference value="ValueSet/encounterReason"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Encounter:hspcgeneralencounter.hospitalization">
      <path value="Encounter.hospitalization"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.hospitalization.extension:preadmittestindicator$Extension">
      <path value="Encounter.hospitalization.extension"/>
      <name value="PreAdmitTestIndicator"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="The set of values to indicate affirmative or negative"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v2-0136"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.hospitalization.extension:readmitindicator$Extension">
      <path value="Encounter.hospitalization.extension"/>
      <name value="ReAdmitIndicator"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="The set of values to indicate affirmative or negative"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v2-0136"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Encounter:hspcgeneralencounter.hospitalization.admitSource">
      <path value="Encounter.hospitalization.admitSource"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="example"/>
        <description
                     value="The set of codes that describe where a patient came from for the current admission."/>
        <valueSetReference>
          <reference value="ValueSet/admissionSource"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Encounter:hspcgeneralencounter.hospitalization.specialCourtesy">
      <path value="Encounter.hospitalization.specialCourtesy"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="A set of codes that describe the kind of courtesies to be extended to the patient during the encounter"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ValueSet/v3-EncounterSpecialCourtesy"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.hospitalization.specialArrangement">
      <path value="Encounter.hospitalization.specialArrangement"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="A set of codes that describe any particular needs for a patient regarding this encounter."/>
        <valueSetReference>
          <reference value="ValueSet/specialArrangement"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Encounter:hspcgeneralencounter.hospitalization.dietPreference">
      <path value="Encounter.hospitalization.dietPreference"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="A set of codes that describe the kind of nutrition to be supplied to the patient."/>
        <valueSetReference>
          <reference value="ValueSet/dietType"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.location:assignedparticipatinglocation">
      <path value="Encounter.location"/>
      <name value="AssignedParticipatingLocation"/>
      <slicing>
        <discriminator value="Encounter.location.location|flase|open"/>
        <rules value="open"/>
      </slicing>
      <alias value="AssignedParticipatingLocation"/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.location:assignedparticipatinglocation.extension:patientarrivalstatus$Extension">
      <path value="Encounter.location.extension"/>
      <name value="PatientArrivalStatus"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="The codes that describe whether or not the patient has arrived at the specified location for the encounter"/>
        <valueSetReference>
          <reference value="ValueSet/arrivalStatus"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.location:assignedparticipatinglocation.location">
      <path value="Encounter.location.location"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Reference"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.location:servicedeliverylocation">
      <path value="Encounter.location"/>
      <name value="ServiceDeliveryLocation"/>
      <alias value="ServiceDeliveryLocationCondition"/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.location:servicedeliverylocation.extension:servicedeliverylocationcondition$Extension">
      <path value="Encounter.location.extension"/>
      <name value="ServiceDeliveryLocationCondition"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description
                     value="The codes that describe the state of readiness of the encounter location"/>
        <valueSetReference>
          <reference value="ValueSet/locationCondition"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Encounter:hspcgeneralencounter.location:servicedeliverylocation.location">
      <path value="Encounter.location.location"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Reference"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
  </differential>
</StructureDefinition>