2026 US Quality Core Implementation Guide
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2026 US Quality Core Implementation Guide - Downloaded Version 0.5.0 See the Directory of published versions

Resource Profile: US Quality Core Encounter

Official URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter Version: 0.5.0
Active as of 2026-06-05 Computable Name: USQualityCoreEncounter

Profile of Encounter for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

USCDI+ Quality Element Support Expectations

Systems are expected to support this profile as part of implementing USCDI+ Quality V1 in FHIR and meeting the conformance requirements of this guide.

The following elements are specifically relevant to USCDI+ Quality V1 data classes and elements. Systems are expected to support these elements as applicable to their role in US Quality Core data exchange. See the Must Support section of this guide for more information. These elements are tagged as (USCDI+ Quality) in the formal profile views.

USCDI+ Quality Elements:

  • identifier: (USCDI+ Quality) (USCDI) Identifier(s) by which this encounter is known
  • identifier.system: (USCDI+ Quality) (USCDI) The namespace for the identifier value
  • identifier.value: (USCDI+ Quality) (USCDI) The value that is unique
  • status: (USCDI+ Quality) (USCDI) planned | arrived | triaged | in-progress | onleave | finished | cancelled +
  • type: (USCDI+ Quality) (USCDI) Specific type of encounter
  • priority: (USCDI+ Quality) Indicates the urgency of the encounter
  • period: (USCDI+ Quality) (USCDI) The start and end time of the encounter
  • diagnosis: (USCDI+ Quality) The list of diagnosis relevant to this encounter
  • diagnosis.extension:diagnosisPresentOnAdmission: (USCDI+ Quality) onAdmission
  • hospitalization: (USCDI+ Quality) (USCDI) Details about the admission to a healthcare service
  • hospitalization.dischargeDisposition: (USCDI+ Quality) (USCDI) Category or kind of location after discharge
  • location: (USCDI+ Quality) (USCDI) List of locations where the patient has been
  • location.location: (USCDI+ Quality) (USCDI) Location the encounter takes place

Because this profile is derived from US Core, systems are also expected to support Must Support requirements and (USCDI) tagged elements inherited from US Core. The Formal Views section also provides the formal summary, definitions, terminology requirements, and mandatory element requirements.

Profile Specific Implementation Guidance

Additional informational guidance for authoring CQL using this profile is provided in the CQL Authoring Usage (Informational) section of this page.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* USCoreEncounterProfile(6.1.0) An interaction during which services are provided to the patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier (USCDI+ Quality) (USCDI) Identifier(s) by which this encounter is known
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system SΣ 1..1 uri (USCDI+ Quality) (USCDI) The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string (USCDI+ Quality) (USCDI) The value that is unique
Example General: 123456
... class SΣ 1..1 Coding (USCDI) Classification of patient encounter
Binding: V3 Value SetActEncounterCode (extensible): Classification of the encounter.
... type SΣ 1..* CodeableConcept (USCDI+ Quality) (USCDI) Specific type of encounter
Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type
... priority 0..1 CodeableConcept (USCDI+ Quality) Indicates the urgency of the encounter
Binding: v3 Code System ActPriority (example): Indicates the urgency of the encounter.
... subject SΣ 1..1 Reference(US Quality Core Patient) (USCDI) The patient or group present at the encounter
... participant SΣ 0..* BackboneElement (USCDI) List of participants involved in the encounter
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 0..* CodeableConcept (USCDI) Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.
.... period S 0..1 Period (USCDI) Period of time during the encounter that the participant participated
.... individual SΣ 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core RelatedPerson) (USCDI) Persons involved in the encounter other than the patient
... period S 0..1 Period (USCDI+ Quality) (USCDI) The start and end time of the encounter
... reasonCode SΣ 0..* CodeableConcept (USCDI) Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... reasonReference SΣ 0..* Reference(US Quality Core Condition Problems Health Concerns | US Quality Core Condition Encounter Diagnosis | US Quality Core Procedure | US Quality Core Simple Observation | US Quality Core ImmunizationRecommendation) (USCDI) Reason the encounter takes place (reference)
... diagnosis Σ 0..* BackboneElement (USCDI+ Quality) The list of diagnosis relevant to this encounter
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:diagnosisPresentOnAdmission S 0..1 CodeableConcept (USCDI+ Quality) onAdmission
URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter-diagnosisPresentOnAdmission
Binding: USQualityCore Present On Admission Codes (required): Indicator of whether the Encounter diagnosis was present at the time of admission
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(Condition | Procedure) The diagnosis or procedure relevant to the encounter
.... use 0..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... hospitalization S 0..1 BackboneElement (USCDI+ Quality) (USCDI) Details about the admission to a healthcare service
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... origin 0..1 Reference(US Quality Core Location) The location/organization from which the patient came before admission
.... destination 0..1 Reference(US Quality Core Location) Location/organization to which the patient is discharged
.... dischargeDisposition S 0..1 CodeableConcept (USCDI+ Quality) (USCDI) Category or kind of location after discharge
Binding: Clinical Discharge Disposition (extensible)
... location S 0..* BackboneElement (USCDI+ Quality) (USCDI) List of locations where the patient has been
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location S 1..1 Reference(US Quality Core Location) (USCDI+ Quality) (USCDI) Location the encounter takes place
.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider S 0..1 Reference(US Quality Core Organization) (USCDI) The organization (facility) responsible for this encounter
... partOf 0..1 Reference(US Quality Core Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base extensible V3 Value SetActEncounterCode 📦2014-03-26 FHIR Std.
Encounter.type Base extensible US Core Encounter Type 📦7.0.0 US Core v7.0
Encounter.priority Base example v3 Code System ActPriority 📦2018-08-12 FHIR Std.
Encounter.participant.​type Base extensible Participant type 📦4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📦4.0.1 FHIR Std.
Encounter.diagnosis.​use Base preferred DiagnosisRole 📦4.0.1 FHIR Std.
Encounter.hospitalization.​dischargeDisposition Base extensible Clinical Discharge Disposition 📦2.0.0 THO v7.1

Constraints

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* USCoreEncounterProfile(6.1.0) An interaction during which services are provided to the patient
... identifier 0..* Identifier (USCDI+ Quality) (USCDI) Identifier(s) by which this encounter is known
.... system 1..1 uri (USCDI+ Quality) (USCDI) The namespace for the identifier value
.... value 1..1 string (USCDI+ Quality) (USCDI) The value that is unique
... status 1..1 code (USCDI+ Quality) (USCDI) planned | arrived | triaged | in-progress | onleave | finished | cancelled +
... class 1..1 Coding (USCDI) Classification of patient encounter
... priority 0..1 CodeableConcept (USCDI+ Quality) Indicates the urgency of the encounter
... subject 1..1 Reference(US Quality Core Patient) (USCDI) The patient or group present at the encounter
... participant 0..* BackboneElement (USCDI) List of participants involved in the encounter
.... individual 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core RelatedPerson) (USCDI) Persons involved in the encounter other than the patient
... period 0..1 Period (USCDI+ Quality) (USCDI) The start and end time of the encounter
... reasonCode 0..* CodeableConcept (USCDI) Coded reason the encounter takes place
... reasonReference Σ 0..* Reference(US Quality Core Condition Problems Health Concerns | US Quality Core Condition Encounter Diagnosis | US Quality Core Procedure | US Quality Core Simple Observation | US Quality Core ImmunizationRecommendation) (USCDI) Reason the encounter takes place (reference)
... diagnosis 0..* BackboneElement (USCDI+ Quality) The list of diagnosis relevant to this encounter
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ele-1, ext-1
..... extension:diagnosisPresentOnAdmission S 0..1 CodeableConcept (USCDI+ Quality) onAdmission
URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter-diagnosisPresentOnAdmission
Binding: USQualityCore Present On Admission Codes (required): Indicator of whether the Encounter diagnosis was present at the time of admission
Constraints: ele-1, ext-1
.... use 0..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... hospitalization 0..1 BackboneElement (USCDI+ Quality) (USCDI) Details about the admission to a healthcare service
.... origin 0..1 Reference(US Quality Core Location) The location/organization from which the patient came before admission
.... destination 0..1 Reference(US Quality Core Location) Location/organization to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept (USCDI+ Quality) (USCDI) Category or kind of location after discharge
Binding: Clinical Discharge Disposition (extensible)
... location 0..* BackboneElement (USCDI+ Quality) (USCDI) List of locations where the patient has been
.... location 1..1 Reference(US Quality Core Location) (USCDI+ Quality) (USCDI) Location the encounter takes place
.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider 0..1 Reference(US Quality Core Organization) (USCDI) The organization (facility) responsible for this encounter
... partOf 0..1 Reference(US Quality Core Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.hospitalization.​dischargeDisposition Base extensible Clinical Discharge Disposition 📦2.0.0 THO v7.1

Constraints

Id Grade Path(s) Description Expression
ele-1 error Encounter.diagnosis.extension, Encounter.diagnosis.extension:diagnosisPresentOnAdmission All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Encounter.diagnosis.extension, Encounter.diagnosis.extension:diagnosisPresentOnAdmission Must have either extensions or value[x], not both extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* USCoreEncounterProfile(6.1.0) An interaction during which services are provided to the patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier (USCDI+ Quality) (USCDI) Identifier(s) by which this encounter is known
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri (USCDI+ Quality) (USCDI) The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string (USCDI+ Quality) (USCDI) The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!SΣ 1..1 code (USCDI+ Quality) (USCDI) planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
.... period 1..1 Period The time that the episode was in the specified status
... class SΣ 1..1 Coding (USCDI) Classification of patient encounter
Binding: V3 Value SetActEncounterCode (extensible): Classification of the encounter.
... classHistory 0..* BackboneElement List of past encounter classes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: V3 Value SetActEncounterCode (extensible): Classification of the encounter.
.... period 1..1 Period The time that the episode was in the specified class
... type SΣ 1..* CodeableConcept (USCDI+ Quality) (USCDI) Specific type of encounter
Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type
... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
... priority 0..1 CodeableConcept (USCDI+ Quality) Indicates the urgency of the encounter
Binding: v3 Code System ActPriority (example): Indicates the urgency of the encounter.
... subject SΣ 1..1 Reference(US Quality Core Patient) (USCDI) The patient or group present at the encounter
... episodeOfCare Σ 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
... participant SΣ 0..* BackboneElement (USCDI) List of participants involved in the encounter
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 0..* CodeableConcept (USCDI) Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.
.... period S 0..1 Period (USCDI) Period of time during the encounter that the participant participated
.... individual SΣ 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core RelatedPerson) (USCDI) Persons involved in the encounter other than the patient
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... period S 0..1 Period (USCDI+ Quality) (USCDI) The start and end time of the encounter
... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
... reasonCode SΣ 0..* CodeableConcept (USCDI) Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... reasonReference SΣ 0..* Reference(US Quality Core Condition Problems Health Concerns | US Quality Core Condition Encounter Diagnosis | US Quality Core Procedure | US Quality Core Simple Observation | US Quality Core ImmunizationRecommendation) (USCDI) Reason the encounter takes place (reference)
... diagnosis Σ 0..* BackboneElement (USCDI+ Quality) The list of diagnosis relevant to this encounter
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:diagnosisPresentOnAdmission S 0..1 CodeableConcept (USCDI+ Quality) onAdmission
URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter-diagnosisPresentOnAdmission
Binding: USQualityCore Present On Admission Codes (required): Indicator of whether the Encounter diagnosis was present at the time of admission
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(Condition | Procedure) The diagnosis or procedure relevant to the encounter
.... use 0..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization S 0..1 BackboneElement (USCDI+ Quality) (USCDI) Details about the admission to a healthcare service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(US Quality Core Location) The location/organization from which the patient came before admission
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.
.... reAdmission 0..1 CodeableConcept The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: v2 RE-ADMISSION INDICATOR (example): The reason for re-admission of this hospitalization encounter.
.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.
.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.
.... destination 0..1 Reference(US Quality Core Location) Location/organization to which the patient is discharged
.... dischargeDisposition S 0..1 CodeableConcept (USCDI+ Quality) (USCDI) Category or kind of location after discharge
Binding: Clinical Discharge Disposition (extensible)
... location S 0..* BackboneElement (USCDI+ Quality) (USCDI) List of locations where the patient has been
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location S 1..1 Reference(US Quality Core Location) (USCDI+ Quality) (USCDI) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
.... physicalType 0..1 CodeableConcept The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.
.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider S 0..1 Reference(US Quality Core Organization) (USCDI) The organization (facility) responsible for this encounter
... partOf 0..1 Reference(US Quality Core Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Encounter.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.identifier.​type Base extensible IdentifierType 📦4.0.1 FHIR Std.
Encounter.status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base extensible V3 Value SetActEncounterCode 📦2014-03-26 FHIR Std.
Encounter.classHistory.​class Base extensible V3 Value SetActEncounterCode 📦2014-03-26 FHIR Std.
Encounter.type Base extensible US Core Encounter Type 📦7.0.0 US Core v7.0
Encounter.serviceType Base example Service type 📦4.0.1 FHIR Std.
Encounter.priority Base example v3 Code System ActPriority 📦2018-08-12 FHIR Std.
Encounter.participant.​type Base extensible Participant type 📦4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📦4.0.1 FHIR Std.
Encounter.diagnosis.​use Base preferred DiagnosisRole 📦4.0.1 FHIR Std.
Encounter.hospitalization.​admitSource Base preferred Admit source 📦4.0.1 FHIR Std.
Encounter.hospitalization.​reAdmission Base example v2 RE-ADMISSION INDICATOR 📦2.9 FHIR Std.
Encounter.hospitalization.​dietPreference Base example Diet 📦4.0.1 FHIR Std.
Encounter.hospitalization.​specialCourtesy Base preferred Special courtesy 📦4.0.1 FHIR Std.
Encounter.hospitalization.​specialArrangement Base preferred Special arrangements 📦4.0.1 FHIR Std.
Encounter.hospitalization.​dischargeDisposition Base extensible Clinical Discharge Disposition 📦2.0.0 THO v7.1
Encounter.location.status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location.physicalType Base example Location type 📦4.0.1 FHIR Std.

Constraints

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

Summary

Must-Support: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* USCoreEncounterProfile(6.1.0) An interaction during which services are provided to the patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier (USCDI+ Quality) (USCDI) Identifier(s) by which this encounter is known
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system SΣ 1..1 uri (USCDI+ Quality) (USCDI) The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string (USCDI+ Quality) (USCDI) The value that is unique
Example General: 123456
... class SΣ 1..1 Coding (USCDI) Classification of patient encounter
Binding: V3 Value SetActEncounterCode (extensible): Classification of the encounter.
... type SΣ 1..* CodeableConcept (USCDI+ Quality) (USCDI) Specific type of encounter
Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type
... priority 0..1 CodeableConcept (USCDI+ Quality) Indicates the urgency of the encounter
Binding: v3 Code System ActPriority (example): Indicates the urgency of the encounter.
... subject SΣ 1..1 Reference(US Quality Core Patient) (USCDI) The patient or group present at the encounter
... participant SΣ 0..* BackboneElement (USCDI) List of participants involved in the encounter
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 0..* CodeableConcept (USCDI) Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.
.... period S 0..1 Period (USCDI) Period of time during the encounter that the participant participated
.... individual SΣ 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core RelatedPerson) (USCDI) Persons involved in the encounter other than the patient
... period S 0..1 Period (USCDI+ Quality) (USCDI) The start and end time of the encounter
... reasonCode SΣ 0..* CodeableConcept (USCDI) Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... reasonReference SΣ 0..* Reference(US Quality Core Condition Problems Health Concerns | US Quality Core Condition Encounter Diagnosis | US Quality Core Procedure | US Quality Core Simple Observation | US Quality Core ImmunizationRecommendation) (USCDI) Reason the encounter takes place (reference)
... diagnosis Σ 0..* BackboneElement (USCDI+ Quality) The list of diagnosis relevant to this encounter
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:diagnosisPresentOnAdmission S 0..1 CodeableConcept (USCDI+ Quality) onAdmission
URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter-diagnosisPresentOnAdmission
Binding: USQualityCore Present On Admission Codes (required): Indicator of whether the Encounter diagnosis was present at the time of admission
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(Condition | Procedure) The diagnosis or procedure relevant to the encounter
.... use 0..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... hospitalization S 0..1 BackboneElement (USCDI+ Quality) (USCDI) Details about the admission to a healthcare service
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... origin 0..1 Reference(US Quality Core Location) The location/organization from which the patient came before admission
.... destination 0..1 Reference(US Quality Core Location) Location/organization to which the patient is discharged
.... dischargeDisposition S 0..1 CodeableConcept (USCDI+ Quality) (USCDI) Category or kind of location after discharge
Binding: Clinical Discharge Disposition (extensible)
... location S 0..* BackboneElement (USCDI+ Quality) (USCDI) List of locations where the patient has been
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location S 1..1 Reference(US Quality Core Location) (USCDI+ Quality) (USCDI) Location the encounter takes place
.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider S 0..1 Reference(US Quality Core Organization) (USCDI) The organization (facility) responsible for this encounter
... partOf 0..1 Reference(US Quality Core Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base extensible V3 Value SetActEncounterCode 📦2014-03-26 FHIR Std.
Encounter.type Base extensible US Core Encounter Type 📦7.0.0 US Core v7.0
Encounter.priority Base example v3 Code System ActPriority 📦2018-08-12 FHIR Std.
Encounter.participant.​type Base extensible Participant type 📦4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📦4.0.1 FHIR Std.
Encounter.diagnosis.​use Base preferred DiagnosisRole 📦4.0.1 FHIR Std.
Encounter.hospitalization.​dischargeDisposition Base extensible Clinical Discharge Disposition 📦2.0.0 THO v7.1

Constraints

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

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* USCoreEncounterProfile(6.1.0) An interaction during which services are provided to the patient
... identifier 0..* Identifier (USCDI+ Quality) (USCDI) Identifier(s) by which this encounter is known
.... system 1..1 uri (USCDI+ Quality) (USCDI) The namespace for the identifier value
.... value 1..1 string (USCDI+ Quality) (USCDI) The value that is unique
... status 1..1 code (USCDI+ Quality) (USCDI) planned | arrived | triaged | in-progress | onleave | finished | cancelled +
... class 1..1 Coding (USCDI) Classification of patient encounter
... priority 0..1 CodeableConcept (USCDI+ Quality) Indicates the urgency of the encounter
... subject 1..1 Reference(US Quality Core Patient) (USCDI) The patient or group present at the encounter
... participant 0..* BackboneElement (USCDI) List of participants involved in the encounter
.... individual 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core RelatedPerson) (USCDI) Persons involved in the encounter other than the patient
... period 0..1 Period (USCDI+ Quality) (USCDI) The start and end time of the encounter
... reasonCode 0..* CodeableConcept (USCDI) Coded reason the encounter takes place
... reasonReference Σ 0..* Reference(US Quality Core Condition Problems Health Concerns | US Quality Core Condition Encounter Diagnosis | US Quality Core Procedure | US Quality Core Simple Observation | US Quality Core ImmunizationRecommendation) (USCDI) Reason the encounter takes place (reference)
... diagnosis 0..* BackboneElement (USCDI+ Quality) The list of diagnosis relevant to this encounter
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ele-1, ext-1
..... extension:diagnosisPresentOnAdmission S 0..1 CodeableConcept (USCDI+ Quality) onAdmission
URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter-diagnosisPresentOnAdmission
Binding: USQualityCore Present On Admission Codes (required): Indicator of whether the Encounter diagnosis was present at the time of admission
Constraints: ele-1, ext-1
.... use 0..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... hospitalization 0..1 BackboneElement (USCDI+ Quality) (USCDI) Details about the admission to a healthcare service
.... origin 0..1 Reference(US Quality Core Location) The location/organization from which the patient came before admission
.... destination 0..1 Reference(US Quality Core Location) Location/organization to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept (USCDI+ Quality) (USCDI) Category or kind of location after discharge
Binding: Clinical Discharge Disposition (extensible)
... location 0..* BackboneElement (USCDI+ Quality) (USCDI) List of locations where the patient has been
.... location 1..1 Reference(US Quality Core Location) (USCDI+ Quality) (USCDI) Location the encounter takes place
.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider 0..1 Reference(US Quality Core Organization) (USCDI) The organization (facility) responsible for this encounter
... partOf 0..1 Reference(US Quality Core Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.hospitalization.​dischargeDisposition Base extensible Clinical Discharge Disposition 📦2.0.0 THO v7.1

Constraints

Id Grade Path(s) Description Expression
ele-1 error Encounter.diagnosis.extension, Encounter.diagnosis.extension:diagnosisPresentOnAdmission All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Encounter.diagnosis.extension, Encounter.diagnosis.extension:diagnosisPresentOnAdmission Must have either extensions or value[x], not both extension.exists() != value.exists()

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* USCoreEncounterProfile(6.1.0) An interaction during which services are provided to the patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier (USCDI+ Quality) (USCDI) Identifier(s) by which this encounter is known
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri (USCDI+ Quality) (USCDI) The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string (USCDI+ Quality) (USCDI) The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!SΣ 1..1 code (USCDI+ Quality) (USCDI) planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
.... period 1..1 Period The time that the episode was in the specified status
... class SΣ 1..1 Coding (USCDI) Classification of patient encounter
Binding: V3 Value SetActEncounterCode (extensible): Classification of the encounter.
... classHistory 0..* BackboneElement List of past encounter classes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: V3 Value SetActEncounterCode (extensible): Classification of the encounter.
.... period 1..1 Period The time that the episode was in the specified class
... type SΣ 1..* CodeableConcept (USCDI+ Quality) (USCDI) Specific type of encounter
Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type
... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
... priority 0..1 CodeableConcept (USCDI+ Quality) Indicates the urgency of the encounter
Binding: v3 Code System ActPriority (example): Indicates the urgency of the encounter.
... subject SΣ 1..1 Reference(US Quality Core Patient) (USCDI) The patient or group present at the encounter
... episodeOfCare Σ 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
... participant SΣ 0..* BackboneElement (USCDI) List of participants involved in the encounter
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 0..* CodeableConcept (USCDI) Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.
.... period S 0..1 Period (USCDI) Period of time during the encounter that the participant participated
.... individual SΣ 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core RelatedPerson) (USCDI) Persons involved in the encounter other than the patient
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... period S 0..1 Period (USCDI+ Quality) (USCDI) The start and end time of the encounter
... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
... reasonCode SΣ 0..* CodeableConcept (USCDI) Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... reasonReference SΣ 0..* Reference(US Quality Core Condition Problems Health Concerns | US Quality Core Condition Encounter Diagnosis | US Quality Core Procedure | US Quality Core Simple Observation | US Quality Core ImmunizationRecommendation) (USCDI) Reason the encounter takes place (reference)
... diagnosis Σ 0..* BackboneElement (USCDI+ Quality) The list of diagnosis relevant to this encounter
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:diagnosisPresentOnAdmission S 0..1 CodeableConcept (USCDI+ Quality) onAdmission
URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter-diagnosisPresentOnAdmission
Binding: USQualityCore Present On Admission Codes (required): Indicator of whether the Encounter diagnosis was present at the time of admission
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(Condition | Procedure) The diagnosis or procedure relevant to the encounter
.... use 0..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization S 0..1 BackboneElement (USCDI+ Quality) (USCDI) Details about the admission to a healthcare service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(US Quality Core Location) The location/organization from which the patient came before admission
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.
.... reAdmission 0..1 CodeableConcept The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: v2 RE-ADMISSION INDICATOR (example): The reason for re-admission of this hospitalization encounter.
.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.
.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.
.... destination 0..1 Reference(US Quality Core Location) Location/organization to which the patient is discharged
.... dischargeDisposition S 0..1 CodeableConcept (USCDI+ Quality) (USCDI) Category or kind of location after discharge
Binding: Clinical Discharge Disposition (extensible)
... location S 0..* BackboneElement (USCDI+ Quality) (USCDI) List of locations where the patient has been
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location S 1..1 Reference(US Quality Core Location) (USCDI+ Quality) (USCDI) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
.... physicalType 0..1 CodeableConcept The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.
.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider S 0..1 Reference(US Quality Core Organization) (USCDI) The organization (facility) responsible for this encounter
... partOf 0..1 Reference(US Quality Core Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Encounter.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.identifier.​type Base extensible IdentifierType 📦4.0.1 FHIR Std.
Encounter.status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base extensible V3 Value SetActEncounterCode 📦2014-03-26 FHIR Std.
Encounter.classHistory.​class Base extensible V3 Value SetActEncounterCode 📦2014-03-26 FHIR Std.
Encounter.type Base extensible US Core Encounter Type 📦7.0.0 US Core v7.0
Encounter.serviceType Base example Service type 📦4.0.1 FHIR Std.
Encounter.priority Base example v3 Code System ActPriority 📦2018-08-12 FHIR Std.
Encounter.participant.​type Base extensible Participant type 📦4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📦4.0.1 FHIR Std.
Encounter.diagnosis.​use Base preferred DiagnosisRole 📦4.0.1 FHIR Std.
Encounter.hospitalization.​admitSource Base preferred Admit source 📦4.0.1 FHIR Std.
Encounter.hospitalization.​reAdmission Base example v2 RE-ADMISSION INDICATOR 📦2.9 FHIR Std.
Encounter.hospitalization.​dietPreference Base example Diet 📦4.0.1 FHIR Std.
Encounter.hospitalization.​specialCourtesy Base preferred Special courtesy 📦4.0.1 FHIR Std.
Encounter.hospitalization.​specialArrangement Base preferred Special arrangements 📦4.0.1 FHIR Std.
Encounter.hospitalization.​dischargeDisposition Base extensible Clinical Discharge Disposition 📦2.0.0 THO v7.1
Encounter.location.status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location.physicalType Base example Location type 📦4.0.1 FHIR Std.

Constraints

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

Summary

Must-Support: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron

Notes:

CQL Authoring Usage (Informational)

The following example illustrates accessing an inpatient encounter:

define "Ophthalmology Encounter Codes":
  [Encounter: class in "Inpatient Encounter Classes"] InpatientEncounter
    where InpatientEncounter.type in "Ophthalmology Encounter Codes"