{"abstract":false,"baseDefinition":"http://hl7.org/fhir/StructureDefinition/DomainResource","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]},{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/pafm/index.cfm"}]}],"date":"2023-03-26T15:21:02+11:00","derivation":"specialization","description":"A record of significant events/milestones key data throughout the history of an Encounter","differential":{"element":[{"definition":"A record of significant events/milestones key data throughout the history of an Encounter, often tracked for specific purposes such as billing.","id":"EncounterHistory","isModifier":false,"mapping":[{"identity":"w5","map":"workflow.encounter"}],"max":"*","min":0,"mustSupport":false,"path":"EncounterHistory","short":"A record of significant events/milestones key data throughout the history of an Encounter"},{"comment":"This is also used for associating a child's encounter back to the mother's encounter.\r\rRefer to the Notes section in the Patient resource for further details.","definition":"The Encounter associated with this set of historic values.","id":"EncounterHistory.encounter","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"EncounterHistory.encounter","short":"The Encounter associated with this set of historic values","type":[{"code":"Reference","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy","valueBoolean":true}],"targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}]},{"definition":"Identifier(s) by which this encounter is known.","id":"EncounterHistory.identifier","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PV1-19"}],"max":"*","min":0,"mustSupport":false,"path":"EncounterHistory.identifier","short":"Identifier(s) by which this encounter is known","type":[{"code":"Identifier"}]},{"binding":{"description":"Current state of the encounter.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"EncounterStatus"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/encounter-status|5.0.0"},"comment":"Note that internal business rules will determine the appropriate transitions that may occur between statuses (and also classes).","definition":"planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown.","id":"EncounterHistory.status","isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"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"}],"max":"1","min":1,"mustSupport":false,"path":"EncounterHistory.status","short":"planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown","type":[{"code":"code"}]},{"binding":{"description":"Classification of the encounter.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"EncounterClass"}],"strength":"extensible","valueSet":"http://terminology.hl7.org/ValueSet/v3-ActEncounterCode"},"definition":"Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.","id":"EncounterHistory.class","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"v2","map":"PV1-2"}],"max":"1","min":1,"mustSupport":false,"path":"EncounterHistory.class","short":"Classification of patient encounter","type":[{"code":"CodeableConcept"}]},{"binding":{"description":"A specific code indicating type of service provided","extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/binding-definition","valueString":"The type of encounter."},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"EncounterType"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/encounter-type"},"comment":"Since there are many ways to further classify encounters, this element is 0..*.","definition":"Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).","id":"EncounterHistory.type","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"PV1-4 / PV1-18"}],"max":"*","min":0,"mustSupport":false,"path":"EncounterHistory.type","short":"Specific type of encounter","type":[{"code":"CodeableConcept"}]},{"binding":{"description":"Broad categorization of the service that is to be provided.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"EncounterServiceType"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/service-type"},"definition":"Broad categorization of the service that is to be provided (e.g. cardiology).","id":"EncounterHistory.serviceType","isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"PV1-10"}],"max":"*","min":0,"mustSupport":false,"path":"EncounterHistory.serviceType","short":"Specific type of service","type":[{"code":"CodeableReference","targetProfile":["http://hl7.org/fhir/StructureDefinition/HealthcareService"]}]},{"alias":["patient"],"comment":"While the encounter is always about the patient, the patient might not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked).","definition":"The patient or group related to this encounter. In some use-cases the patient MAY not be present, such as a case meeting about a patient between several practitioners or a careteam.","id":"EncounterHistory.subject","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"}],"max":"1","min":0,"mustSupport":false,"path":"EncounterHistory.subject","short":"The patient or group related to this encounter","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Group"]}]},{"binding":{"description":"Current status of the subject within the encounter.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SubjectStatus"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/encounter-subject-status"},"definition":"The subjectStatus value can be used to track the patient's status within the encounter. It details whether the patient has arrived or departed, has been triaged or is currently in a waiting status.","id":"EncounterHistory.subjectStatus","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"EncounterHistory.subjectStatus","short":"The current status of the subject in relation to the Encounter","type":[{"code":"CodeableConcept"}]},{"definition":"The start and end time associated with this set of values associated with the encounter, may be different to the planned times for various reasons.","id":"EncounterHistory.actualPeriod","isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"PV1-44, PV1-45"}],"max":"1","min":0,"mustSupport":false,"path":"EncounterHistory.actualPeriod","short":"The actual start and end time associated with this set of values associated with the encounter","type":[{"code":"Period"}]},{"definition":"The planned start date/time (or admission date) of the encounter.","id":"EncounterHistory.plannedStartDate","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"PV2-8"}],"max":"1","min":0,"mustSupport":false,"path":"EncounterHistory.plannedStartDate","short":"The planned start date/time (or admission date) of the encounter","type":[{"code":"dateTime"}]},{"definition":"The planned end date/time (or discharge date) of the encounter.","id":"EncounterHistory.plannedEndDate","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"PV2-9"}],"max":"1","min":0,"mustSupport":false,"path":"EncounterHistory.plannedEndDate","short":"The planned end date/time (or discharge date) of the encounter","type":[{"code":"dateTime"}]},{"comment":"If the precision on these values is low (e.g. to the day only) then this may be considered was an all day (or multi-day) encounter, unless the duration is included, where that amount of time occurred sometime during the interval.\r\rMay differ from the time in `Encounter.period` due to leave of absence(s).","definition":"Actual quantity of time the encounter lasted. This excludes the time during leaves of absence.\r\rWhen missing it is the time in between the start and end values.","id":"EncounterHistory.length","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"(PV1-45 less PV1-44) iff ( (PV1-44 not empty) and (PV1-45 not empty) ); units in minutes or PV2-11 (which is actual length in days)"}],"max":"1","min":0,"mustSupport":false,"path":"EncounterHistory.length","short":"Actual quantity of time the encounter lasted (less time absent)","type":[{"code":"Duration"}]},{"comment":"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\".","definition":"The location of the patient at this point in the encounter, the multiple cardinality permits de-normalizing the levels of the location hierarchy, such as site/ward/room/bed.","id":"EncounterHistory.location","isModifier":false,"isSummary":false,"max":"*","min":0,"mustSupport":false,"path":"EncounterHistory.location","short":"Location of the patient at this point in the encounter","type":[{"code":"BackboneElement"}]},{"definition":"The location where the encounter takes place.","id":"EncounterHistory.location.location","isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.where[x]"},{"identity":"v2","map":"PV1-3 / PV1-6 / PV1-11 / PV1-42 / PV1-43"}],"max":"1","min":1,"mustSupport":false,"path":"EncounterHistory.location.location","short":"Location the encounter takes place","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location"]}]},{"binding":{"description":"Physical form of the location.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"LocationForm"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/location-form"},"comment":"This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query.\n\nThere may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario.","definition":"This will be used to specify the required levels (bed/ward/room/etc.) desired to be recorded to simplify either messaging or query.","id":"EncounterHistory.location.form","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"EncounterHistory.location.form","short":"The physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.)","type":[{"code":"CodeableConcept"}]}]},"experimental":true,"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-category","valueString":"Base.Management"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"trial-use"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":0},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category","valueCode":"patient"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"pa"}],"fhirVersion":"5.0.0","id":"EncounterHistory","jurisdiction":[{"coding":[{"code":"001","display":"World","system":"http://unstats.un.org/unsd/methods/m49/m49.htm"}]}],"kind":"resource","mapping":[{"identity":"w5","name":"FiveWs Pattern Mapping","uri":"http://hl7.org/fhir/fivews"},{"identity":"v2","name":"HL7 V2 Mapping","uri":"http://hl7.org/v2"},{"identity":"rim","name":"RIM Mapping","uri":"http://hl7.org/v3"}],"meta":{"lastUpdated":"2023-03-26T15:21:02.749+11:00"},"name":"EncounterHistory","publisher":"Health Level Seven International (Patient Administration)","resourceType":"StructureDefinition","snapshot":{"element":[{"base":{"max":"*","min":0,"path":"EncounterHistory"},"constraint":[{"expression":"contained.contained.empty()","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","key":"dom-2","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","human":"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","key":"dom-3","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","key":"dom-4","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"expression":"contained.meta.security.empty()","human":"If a resource is contained in another resource, it SHALL NOT have a security label","key":"dom-5","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"expression":"text.`div`.exists()","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"human":"A resource should have narrative for robust management","key":"dom-6","severity":"warning","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"definition":"A record of significant events/milestones key data throughout the history of an Encounter, often tracked for specific purposes such as billing.","id":"EncounterHistory","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity, Role, or Act"},{"identity":"w5","map":"workflow.encounter"}],"max":"*","min":0,"mustSupport":false,"path":"EncounterHistory","short":"A record of significant events/milestones key data throughout the history of an Encounter"},{"base":{"max":"1","min":0,"path":"Resource.id"},"comment":"Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","id":"EncounterHistory.id","isModifier":false,"isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"EncounterHistory.id","short":"Logical id of this artifact","type":[{"code":"http://hl7.org/fhirpath/System.String","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}]}]},{"base":{"max":"1","min":0,"path":"Resource.meta"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","id":"EncounterHistory.meta","isModifier":false,"isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"EncounterHistory.meta","short":"Metadata about the resource","type":[{"code":"Meta"}]},{"base":{"max":"1","min":0,"path":"Resource.implicitRules"},"comment":"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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","id":"EncounterHistory.implicitRules","isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation","isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"EncounterHistory.implicitRules","short":"A set of rules under which this content was created","type":[{"code":"uri"}]},{"base":{"max":"1","min":0,"path":"Resource.language"},"binding":{"additional":[{"purpose":"starter","valueSet":"http://hl7.org/fhir/ValueSet/languages"}],"description":"IETF language tag for a human language","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/all-languages|5.0.0"},"comment":"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).","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The base language in which the resource is written.","id":"EncounterHistory.language","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"EncounterHistory.language","short":"Language of the resource content","type":[{"code":"code"}]},{"alias":["narrative","html","xhtml","display"],"base":{"max":"1","min":0,"path":"DomainResource.text"},"comment":"Contained resources do not have a 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 information is added later.","condition":["dom-6"],"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"A human-readable narrative that contains a summary of the resource and can 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.","id":"EncounterHistory.text","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}],"max":"1","min":0,"mustSupport":false,"path":"EncounterHistory.text","short":"Text summary of the resource, for human interpretation","type":[{"code":"Narrative"}]},{"alias":["inline resources","anonymous resources","contained resources"],"base":{"max":"*","min":0,"path":"DomainResource.contained"},"comment":"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. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.","condition":["dom-2","dom-4","dom-3","dom-5"],"definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.","id":"EncounterHistory.contained","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"mustSupport":false,"path":"EncounterHistory.contained","short":"Contained, inline Resources","type":[{"code":"Resource"}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"DomainResource.extension"},"comment":"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","id":"EncounterHistory.extension","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"mustSupport":false,"path":"EncounterHistory.extension","short":"Additional content defined by implementations","type":[{"code":"Extension"}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"DomainResource.modifierExtension"},"comment":"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"definition":"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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"EncounterHistory.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"mustSupport":false,"path":"EncounterHistory.modifierExtension","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).","short":"Extensions that cannot be ignored","type":[{"code":"Extension"}]},{"base":{"max":"1","min":0,"path":"EncounterHistory.encounter"},"comment":"This is also used for associating a child's encounter back to the mother's encounter.\r\rRefer to the Notes section in the Patient resource for further details.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The Encounter associated with this set of historic values.","id":"EncounterHistory.encounter","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"EncounterHistory.encounter","short":"The Encounter associated with this set of historic values","type":[{"code":"Reference","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy","valueBoolean":true}],"targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}]},{"base":{"max":"*","min":0,"path":"EncounterHistory.identifier"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Identifier(s) by which this encounter is known.","id":"EncounterHistory.identifier","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PV1-19"}],"max":"*","min":0,"mustSupport":false,"path":"EncounterHistory.identifier","short":"Identifier(s) by which this encounter is known","type":[{"code":"Identifier"}]},{"base":{"max":"1","min":1,"path":"EncounterHistory.status"},"binding":{"description":"Current state of the encounter.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"EncounterStatus"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/encounter-status|5.0.0"},"comment":"Note that internal business rules will determine the appropriate transitions that may occur between statuses (and also classes).","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown.","id":"EncounterHistory.status","isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"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"}],"max":"1","min":1,"mustSupport":false,"path":"EncounterHistory.status","short":"planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown","type":[{"code":"code"}]},{"base":{"max":"1","min":1,"path":"EncounterHistory.class"},"binding":{"description":"Classification of the encounter.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"EncounterClass"}],"strength":"extensible","valueSet":"http://terminology.hl7.org/ValueSet/v3-ActEncounterCode"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.","id":"EncounterHistory.class","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"v2","map":"PV1-2"}],"max":"1","min":1,"mustSupport":false,"path":"EncounterHistory.class","short":"Classification of patient encounter","type":[{"code":"CodeableConcept"}]},{"base":{"max":"*","min":0,"path":"EncounterHistory.type"},"binding":{"description":"A specific code indicating type of service provided","extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/binding-definition","valueString":"The type of encounter."},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"EncounterType"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/encounter-type"},"comment":"Since there are many ways to further classify encounters, this element is 0..*.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).","id":"EncounterHistory.type","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"PV1-4 / PV1-18"}],"max":"*","min":0,"mustSupport":false,"path":"EncounterHistory.type","short":"Specific type of encounter","type":[{"code":"CodeableConcept"}]},{"base":{"max":"*","min":0,"path":"EncounterHistory.serviceType"},"binding":{"description":"Broad categorization of the service that is to be provided.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"EncounterServiceType"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/service-type"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Broad categorization of the service that is to be provided (e.g. cardiology).","id":"EncounterHistory.serviceType","isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"PV1-10"}],"max":"*","min":0,"mustSupport":false,"path":"EncounterHistory.serviceType","short":"Specific type of service","type":[{"code":"CodeableReference","targetProfile":["http://hl7.org/fhir/StructureDefinition/HealthcareService"]}]},{"alias":["patient"],"base":{"max":"1","min":0,"path":"EncounterHistory.subject"},"comment":"While the encounter is always about the patient, the patient might not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked).","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The patient or group related to this encounter. In some use-cases the patient MAY not be present, such as a case meeting about a patient between several practitioners or a careteam.","id":"EncounterHistory.subject","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"}],"max":"1","min":0,"mustSupport":false,"path":"EncounterHistory.subject","short":"The patient or group related to this encounter","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Group"]}]},{"base":{"max":"1","min":0,"path":"EncounterHistory.subjectStatus"},"binding":{"description":"Current status of the subject within the encounter.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SubjectStatus"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/encounter-subject-status"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The subjectStatus value can be used to track the patient's status within the encounter. It details whether the patient has arrived or departed, has been triaged or is currently in a waiting status.","id":"EncounterHistory.subjectStatus","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"EncounterHistory.subjectStatus","short":"The current status of the subject in relation to the Encounter","type":[{"code":"CodeableConcept"}]},{"base":{"max":"1","min":0,"path":"EncounterHistory.actualPeriod"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The start and end time associated with this set of values associated with the encounter, may be different to the planned times for various reasons.","id":"EncounterHistory.actualPeriod","isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"PV1-44, PV1-45"}],"max":"1","min":0,"mustSupport":false,"path":"EncounterHistory.actualPeriod","short":"The actual start and end time associated with this set of values associated with the encounter","type":[{"code":"Period"}]},{"base":{"max":"1","min":0,"path":"EncounterHistory.plannedStartDate"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The planned start date/time (or admission date) of the encounter.","id":"EncounterHistory.plannedStartDate","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"PV2-8"}],"max":"1","min":0,"mustSupport":false,"path":"EncounterHistory.plannedStartDate","short":"The planned start date/time (or admission date) of the encounter","type":[{"code":"dateTime"}]},{"base":{"max":"1","min":0,"path":"EncounterHistory.plannedEndDate"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The planned end date/time (or discharge date) of the encounter.","id":"EncounterHistory.plannedEndDate","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"PV2-9"}],"max":"1","min":0,"mustSupport":false,"path":"EncounterHistory.plannedEndDate","short":"The planned end date/time (or discharge date) of the encounter","type":[{"code":"dateTime"}]},{"base":{"max":"1","min":0,"path":"EncounterHistory.length"},"comment":"If the precision on these values is low (e.g. to the day only) then this may be considered was an all day (or multi-day) encounter, unless the duration is included, where that amount of time occurred sometime during the interval.\r\rMay differ from the time in `Encounter.period` due to leave of absence(s).","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Actual quantity of time the encounter lasted. This excludes the time during leaves of absence.\r\rWhen missing it is the time in between the start and end values.","id":"EncounterHistory.length","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"(PV1-45 less PV1-44) iff ( (PV1-44 not empty) and (PV1-45 not empty) ); units in minutes or PV2-11 (which is actual length in days)"}],"max":"1","min":0,"mustSupport":false,"path":"EncounterHistory.length","short":"Actual quantity of time the encounter lasted (less time absent)","type":[{"code":"Duration"}]},{"base":{"max":"*","min":0,"path":"EncounterHistory.location"},"comment":"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\".","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The location of the patient at this point in the encounter, the multiple cardinality permits de-normalizing the levels of the location hierarchy, such as site/ward/room/bed.","id":"EncounterHistory.location","isModifier":false,"isSummary":false,"max":"*","min":0,"mustSupport":false,"path":"EncounterHistory.location","short":"Location of the patient at this point in the encounter","type":[{"code":"BackboneElement"}]},{"base":{"max":"1","min":0,"path":"Element.id"},"condition":["ele-1"],"definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","id":"EncounterHistory.location.id","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"1","min":0,"path":"EncounterHistory.location.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","type":[{"code":"http://hl7.org/fhirpath/System.String","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}]}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"Element.extension"},"comment":"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","id":"EncounterHistory.location.extension","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"*","min":0,"path":"EncounterHistory.location.extension","short":"Additional content defined by implementations","type":[{"code":"Extension"}]},{"alias":["extensions","user content","modifiers"],"base":{"max":"*","min":0,"path":"BackboneElement.modifierExtension"},"comment":"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"definition":"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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"EncounterHistory.location.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"path":"EncounterHistory.location.modifierExtension","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).","short":"Extensions that cannot be ignored even if unrecognized","type":[{"code":"Extension"}]},{"base":{"max":"1","min":1,"path":"EncounterHistory.location.location"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The location where the encounter takes place.","id":"EncounterHistory.location.location","isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.where[x]"},{"identity":"v2","map":"PV1-3 / PV1-6 / PV1-11 / PV1-42 / PV1-43"}],"max":"1","min":1,"mustSupport":false,"path":"EncounterHistory.location.location","short":"Location the encounter takes place","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location"]}]},{"base":{"max":"1","min":0,"path":"EncounterHistory.location.form"},"binding":{"description":"Physical form of the location.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"LocationForm"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/location-form"},"comment":"This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query.\n\nThere may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"This will be used to specify the required levels (bed/ward/room/etc.) desired to be recorded to simplify either messaging or query.","id":"EncounterHistory.location.form","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"EncounterHistory.location.form","short":"The physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.)","type":[{"code":"CodeableConcept"}]}]},"status":"draft","text":{"div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" EncounterHistory TUDomainResourceA record of significant events/milestones key data throughout the history of an Encounter

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
\".\"\".\"\".\" encounter 0..1Reference(Encounter)The Encounter associated with this set of historic values
\".\"\".\"\".\" identifier Σ0..*IdentifierIdentifier(s) by which this encounter is known

\".\"\".\"\".\" status ?!Σ1..1codeplanned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown
Binding: Encounter Status (Required)
\".\"\".\"\".\" class Σ1..1CodeableConceptClassification of patient encounter
Binding: ActEncounterCode (Extensible)
\".\"\".\"\".\" type Σ0..*CodeableConceptSpecific type of encounter
Binding: Encounter Type (Example)

\".\"\".\"\".\" serviceType Σ0..*CodeableReference(HealthcareService)Specific type of service
Binding: Service Type (Example)

\".\"\".\"\".\" subject Σ0..1Reference(Patient | Group)The patient or group related to this encounter
\".\"\".\"\".\" subjectStatus 0..1CodeableConceptThe current status of the subject in relation to the Encounter
Binding: Encounter Subject Status (Example)
\".\"\".\"\".\" actualPeriod 0..1PeriodThe actual start and end time associated with this set of values associated with the encounter
\".\"\".\"\".\" plannedStartDate 0..1dateTimeThe planned start date/time (or admission date) of the encounter
\".\"\".\"\".\" plannedEndDate 0..1dateTimeThe planned end date/time (or discharge date) of the encounter
\".\"\".\"\".\" length 0..1DurationActual quantity of time the encounter lasted (less time absent)
\".\"\".\"\".\" location 0..*BackboneElementLocation of the patient at this point in the encounter

\".\"\".\"\".\"\".\" location 1..1Reference(Location)Location the encounter takes place
\".\"\".\"\".\"\".\" form 0..1CodeableConceptThe physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.)
Binding: Location Form (Example)

\"doco\" Documentation for this format
","status":"generated"},"type":"EncounterHistory","url":"http://hl7.org/fhir/StructureDefinition/EncounterHistory","version":"5.0.0"}