## Profile Comparison between http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-encounter vs http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-encounter

Left: | De-Identified UDS Plus Encounter (http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-encounter)
Right: | De-Identified UDS Plus Encounter (http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-encounter)

### Messages

Error | StructureDefinition.version | Values for version differ: '1.1.0' vs '2.0.0'
Information | StructureDefinition.date | Values for date differ: '2024-09-20T09:28:19-04:00' vs '2025-03-28T22:44:56+11:00'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Encounter |
copyright |  |
date | 2024-09-20T09:28:19-04:00 | 2025-03-28T22:44:56+11:00 | Values Differ
description | The UDS+ profile is based on the Encounter resource and establishes the core elements, extensions, vocabularies and value sets for representing encounters,visit information for UDS+ program. |
experimental | false |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 |
kind | resource |
name | UDSPlusEncounter |
publisher | HRSA BPHC |
purpose |  |
status | active |
title | De-Identified UDS Plus Encounter |
type | Encounter |
url | http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-encounter |
version | 1.1.0 | 2.0.0 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | De-Identified UDS Plus Encounter |  | 0..* | Encounter | De-Identified UDS Plus Encounter |
id | S Σ | 0..1 | id | The de-identified Encounter identifier created by the health center to send data to UDS+ Data Receiver | S Σ | 0..1 | id | The de-identified Encounter identifier created by the health center to send data to UDS+ Data Receiver |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
text |  | 0..0 |  |  |  | 0..0 |  |  |
contained |  | 0..0 |  |  |  | 0..0 |  |  |
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known |
status | ?!S Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: ?? (required): Current state of the encounter. | ?!S Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: ?? (required): Current state of the encounter. |
statusHistory |  | 0..* | BackboneElement | List of past encounter statuses |  | 0..* | BackboneElement | List of past encounter statuses |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
status |  | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: ?? (required): Current state of the encounter. |  | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: ?? (required): Current state of the encounter. |
period |  | 1..1 | Period | The time that the episode was in the specified status |  | 1..1 | Period | The time that the episode was in the specified status |
class | S Σ | 1..1 | Coding | Classification of patient encounter Binding: ?? (extensible): Classification of the encounter. | S Σ | 1..1 | Coding | Classification of patient encounter Binding: ?? (extensible): Classification of the encounter. |
classHistory |  | 0..* | BackboneElement | List of past encounter classes |  | 0..* | BackboneElement | List of past encounter classes |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
class |  | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ?? (extensible): Classification of the encounter. |  | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ?? (extensible): Classification of the encounter. |
period |  | 1..1 | Period | The time that the episode was in the specified class |  | 1..1 | Period | The time that the episode was in the specified class |
type | S Σ | 1..* | CodeableConcept | Specific type of encounter Binding: ?? (extensible): The set of codes indicating the type of encounter | S Σ | 1..* | CodeableConcept | Specific type of encounter Binding: ?? (extensible): The set of codes indicating the type of encounter |
serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: ?? (example): Broad categorization of the service that is to be provided. | Σ | 0..1 | CodeableConcept | Specific type of service Binding: ?? (example): Broad categorization of the service that is to be provided. |
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ?? (example): Indicates the urgency of the encounter. |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ?? (example): Indicates the urgency of the encounter. |
subject | S Σ | 1..1 | Reference(De-Identified UDS Plus Patient) | The patient or group present at the encounter | S Σ | 1..1 | Reference(De-Identified UDS Plus Patient) | The patient or group present at the encounter |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL |
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). |
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
display | Σ | 0..0 |  |  | Σ | 0..0 |  |  |
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against |
basedOn |  | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter |  | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter |
participant | S Σ | 0..* | BackboneElement | List of participants involved in the encounter | S Σ | 0..* | BackboneElement | List of participants involved in the encounter |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
type | S Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ?? (extensible): Role of participant in encounter. | S Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ?? (extensible): Role of participant in encounter. |
period | S C | 0..1 | Period | Period of time during the encounter that the participant participated uds-plus-enc-1: All Period.start data elements should be truncated to a year only for de-identified resources. uds-plus-enc-2: All Period.emd data elements should be truncated to a year only for de-identified resources. | S C | 0..1 | Period | Period of time during the encounter that the participant participated uds-plus-enc-1: All Period.start data elements should be truncated to a year only for de-identified resources. uds-plus-enc-1a: All Period.start data elements should have valid year > 1900 uds-plus-enc-1b: All Period.start data elements should have valid year < 2030 uds-plus-enc-2: All Period.emd data elements should be truncated to a year only for de-identified resources. uds-plus-enc-2a: All Period.end data elements should have valid year > 1900 uds-plus-enc-2b: All Period.end data elements should have valid year < 2030 |
individual | S Σ | 0..1 | Reference(US Core Practitioner Profile) | Persons involved in the encounter other than the patient | S Σ | 0..1 | Reference(US Core Practitioner Profile) | Persons involved in the encounter other than the patient |
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter |
period | S C | 0..1 | Period | The start and end time of the encounter uds-plus-enc-3: All Period.start data elements should be truncated to a year only for de-identified resources. uds-plus-enc-4: All Period.emd data elements should be truncated to a year only for de-identified resources. | S C | 0..1 | Period | The start and end time of the encounter uds-plus-enc-3: All Period.start data elements should be truncated to a year only for de-identified resources. uds-plus-enc-3a: All Period.start data elements should have valid year > 1900 uds-plus-enc-3b: All Period.start data elements should have valid year < 2030 uds-plus-enc-4: All Period.emd data elements should be truncated to a year only for de-identified resources. uds-plus-enc-4a: All Period.end data elements should have valid year > 1900 uds-plus-enc-4b: All Period.end data elements should have valid year < 2030 |
length |  | 0..1 | Duration | Quantity of time the encounter lasted (less time absent) |  | 0..1 | Duration | Quantity of time the encounter lasted (less time absent) |
reasonCode | S Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: ?? (preferred): Reason why the encounter takes place. | S Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: ?? (preferred): Reason why the encounter takes place. |
reasonReference | S Σ | 0..* | Reference(De-Identified UDS Plus Diagnosis) | Reason the encounter takes place (reference) | S Σ | 0..* | Reference(De-Identified UDS Plus Diagnosis) | Reason the encounter takes place (reference) |
diagnosis | S Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter | S Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
condition | S Σ | 1..1 | Reference(De-Identified UDS Plus Diagnosis) | The diagnosis or procedure relevant to the encounter | S Σ | 1..1 | Reference(De-Identified UDS Plus Diagnosis) | The diagnosis or procedure relevant to the encounter |
use | S | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: ?? (preferred): The type of diagnosis this condition represents. | S | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: ?? (preferred): The type of diagnosis this condition represents. |
rank | S | 0..1 | positiveInt | Ranking of the diagnosis (for each role type) | S | 0..1 | positiveInt | Ranking of the diagnosis (for each role type) |
account |  | 0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter |  | 0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter |
hospitalization | S | 0..1 | BackboneElement | Details about the admission to a healthcare service | S | 0..1 | BackboneElement | Details about the admission to a healthcare service |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
preAdmissionIdentifier |  | 0..1 | Identifier | Pre-admission identifier |  | 0..1 | Identifier | Pre-admission identifier |
origin |  | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission |  | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission |
admitSource |  | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: ?? (preferred): From where the patient was admitted. |  | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: ?? (preferred): From where the patient was admitted. |
reAdmission |  | 0..1 | CodeableConcept | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: ?? (example): The reason for re-admission of this hospitalization encounter. |  | 0..1 | CodeableConcept | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: ?? (example): The reason for re-admission of this hospitalization encounter. |
dietPreference |  | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: ?? (example): Medical, cultural or ethical food preferences to help with catering requirements. |  | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: ?? (example): Medical, cultural or ethical food preferences to help with catering requirements. |
specialCourtesy |  | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: ?? (preferred): Special courtesies. |  | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: ?? (preferred): Special courtesies. |
specialArrangement |  | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: ?? (preferred): Special arrangements. |  | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: ?? (preferred): Special arrangements. |
destination |  | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged |  | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged |
dischargeDisposition | S | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: ?? (preferred): The set of codes indicating the discharge disposition | S | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: ?? (preferred): The set of codes indicating the discharge disposition |
location | S | 0..* | BackboneElement | List of locations where the patient has been | S | 0..* | BackboneElement | List of locations where the patient has been |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
location | S | 1..1 | Reference(UDS Plus Location) | Location the encounter takes place | S | 1..1 | Reference(UDS Plus Location) | Location the encounter takes place |
status |  | 0..1 | code | planned | active | reserved | completed Binding: ?? (required): The status of the location. |  | 0..1 | code | planned | active | reserved | completed Binding: ?? (required): The status of the location. |
physicalType |  | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: ?? (example): Physical form of the location. |  | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: ?? (example): Physical form of the location. |
period |  | 0..1 | Period | Time period during which the patient was present at the location |  | 0..1 | Period | Time period during which the patient was present at the location |
serviceProvider | S | 0..1 | Reference(US Core Organization Profile) | The organization (facility) responsible for this encounter | S | 0..1 | Reference(US Core Organization Profile) | The organization (facility) responsible for this encounter |
partOf |  | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of |  | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of |
Documentation for this format