共同資料模式實作指引(Common Data Model IG)
1.0.0-Trial Use - draft

共同資料模式實作指引(Common Data Model IG) - Local Development build (v1.0.0-Trial Use). See the Directory of published versions

Resource Profile: Encounter LABM-報告類別

Official URL: https://standard-interoperability-lab.com/fhir/StructureDefinition/EncounterLABM Version: 1.0.0-Trial Use
Draft as of 2023-07-26 Computable Name: EncounterLABM

此Profile用於描述檢驗檢查資料檔每月格式(LABM)的報告類別

Usage:

Formal Views of Profile Content

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

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*EncounterAn interaction during which services are provided to the patient
... identifier S0..*IdentifierIdentifier(s) by which this encounter is known
.... value S0..1string流水編號。[LABM.h8]
... status S1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Fixed Value: finished
... class S1..1CodingClassification of patient encounter
.... system S1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
.... code S1..1codeSymbol in syntax defined by the system
Fixed Value: OBSENC
.... display S1..1stringRepresentation defined by the system
Fixed Value: observation encounter
.... coding S0..*CodingCode defined by a terminology system
..... system S1..1uri健保資料網址
..... code 1..1code[LABM.h1,LABM.h7]
..... display S1..1string[報告類別,案件分類]
.... text 0..1string[報告類別,案件分類]
... serviceType S1..1CodeableConceptSpecific type of service
.... coding S0..*CodingCode defined by a terminology system
..... system S1..1uri健保資料網址
..... code S1..1code[LABM.h3]
..... display S1..1string[醫事類別]
.... text 0..1string[醫事類別]
... subject S1..1Reference(Patient LABD、LABM-病患基本資料)The patient or group present at the encounter
.... reference S1..1string患者Resource Link
... period S0..1PeriodThe start and end time of the encounter
.... start S0..1dateTime[LABM.h11/LABM.h13]
.... end S0..1dateTime[LABM.h12/LABM.h14]

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*EncounterAn interaction during which services are provided to the patient
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*IdentifierIdentifier(s) by which this encounter is known
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... value SΣ0..1string流水編號。[LABM.h8]
Example General: 123456
... class SΣ1..1CodingClassification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... system SΣ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
.... code SΣ1..1codeSymbol in syntax defined by the system
Fixed Value: OBSENC
.... display SΣ1..1stringRepresentation defined by the system
Fixed Value: observation encounter
... type SΣ2..*CodeableConceptSpecific type of encounter
Binding: EncounterType (example): The type of encounter.


.... coding SΣ0..*CodingCode defined by a terminology system
..... system SΣ1..1uri健保資料網址
..... code Σ1..1code[LABM.h1,LABM.h7]
..... display SΣ1..1string[報告類別,案件分類]
.... text Σ0..1string[報告類別,案件分類]
... serviceType SΣ1..1CodeableConceptSpecific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

.... coding SΣ0..*CodingCode defined by a terminology system
..... system SΣ1..1uri健保資料網址
..... code SΣ1..1code[LABM.h3]
..... display SΣ1..1string[醫事類別]
.... text Σ0..1string[醫事類別]
... subject SΣ1..1Reference(Patient LABD、LABM-病患基本資料)The patient or group present at the encounter
.... reference SΣC1..1string患者Resource Link
... period S0..1PeriodThe start and end time of the encounter
.... start SΣC0..1dateTime[LABM.h11/LABM.h13]
.... end SΣC0..1dateTime[LABM.h12/LABM.h14]

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Encounter.identifier.userequiredIdentifierUse
Encounter.statusrequiredFixed Value: finished
Encounter.classextensibleFixed Value: OBSENC
Encounter.typeexampleEncounterType
Encounter.serviceTypeexampleServiceType

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*EncounterAn interaction during which services are provided to the patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*IdentifierIdentifier(s) by which this encounter is known
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription 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 Σ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ0..1string流水編號。[LABM.h8]
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!SΣ1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.


Fixed Value: finished
... statusHistory 0..*BackboneElementList of past encounter statuses
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... status 1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified status
... class SΣ1..1CodingClassification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... system SΣ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
.... version Σ0..1stringVersion of the system - if relevant
.... code SΣ1..1codeSymbol in syntax defined by the system
Fixed Value: OBSENC
.... display SΣ1..1stringRepresentation defined by the system
Fixed Value: observation encounter
.... userSelected Σ0..1booleanIf this coding was chosen directly by the user
... classHistory 0..*BackboneElementList of past encounter classes
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... class 1..1Codinginpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified class
... type SΣ2..*CodeableConceptSpecific type of encounter
Binding: EncounterType (example): The type of encounter.


.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ1..1uri健保資料網址
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ1..1code[LABM.h1,LABM.h7]
..... display SΣ1..1string[報告類別,案件分類]
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1string[報告類別,案件分類]
... serviceType SΣ1..1CodeableConceptSpecific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ1..1uri健保資料網址
..... version Σ0..1stringVersion of the system - if relevant
..... code SΣ1..1code[LABM.h3]
..... display SΣ1..1string[醫事類別]
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1string[醫事類別]
... priority 0..1CodeableConceptIndicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... subject SΣ1..1Reference(Patient LABD、LABM-病患基本資料)The patient or group present at the encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC1..1string患者Resource Link
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... episodeOfCare Σ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... basedOn 0..*Reference(ServiceRequest)The ServiceRequest that initiated this encounter
... participant Σ0..*BackboneElementList of participants involved in the encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type Σ0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.


.... period 0..1PeriodPeriod of time during the encounter that the participant participated
.... individual Σ0..1Reference(Practitioner | PractitionerRole | RelatedPerson)Persons involved in the encounter other than the patient
... appointment Σ0..*Reference(Appointment)The appointment that scheduled this encounter
... period S0..1PeriodThe start and end time of the encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC0..1dateTime[LABM.h11/LABM.h13]
.... end SΣC0..1dateTime[LABM.h12/LABM.h14]
... length 0..1DurationQuantity of time the encounter lasted (less time absent)
... reasonCode Σ0..*CodeableConceptCoded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference Σ0..*Reference(Condition | Procedure | Observation | ImmunizationRecommendation)Reason the encounter takes place (reference)
... diagnosis Σ0..*BackboneElementThe list of diagnosis relevant to this encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... condition Σ1..1Reference(Condition | Procedure)The diagnosis or procedure relevant to the encounter
.... use 0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank 0..1positiveIntRanking 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 0..1BackboneElementDetails about the admission to a healthcare service
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin 0..1Reference(Location | Organization)The location/organization from which the patient came before admission
.... admitSource 0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.

.... reAdmission 0..1CodeableConceptThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.

.... dietPreference 0..*CodeableConceptDiet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.


.... specialCourtesy 0..*CodeableConceptSpecial courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.


.... specialArrangement 0..*CodeableConceptWheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.


.... destination 0..1Reference(Location | Organization)Location/organization to which the patient is discharged
.... dischargeDisposition 0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

... location 0..*BackboneElementList of locations where the patient has been
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... location 1..1Reference(Location)Location the encounter takes place
.... status 0..1codeplanned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... physicalType 0..1CodeableConceptThe 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..1PeriodTime period during which the patient was present at the location
... serviceProvider 0..1Reference(Organization)The organization (facility) responsible for this encounter
... partOf 0..1Reference(Encounter)Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Encounter.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Encounter.identifier.userequiredIdentifierUse
Encounter.identifier.typeextensibleIdentifier Type Codes
Encounter.statusrequiredFixed Value: finished
Encounter.statusHistory.statusrequiredEncounterStatus
Encounter.classextensibleFixed Value: OBSENC
Encounter.classHistory.classextensibleActEncounterCode
Encounter.typeexampleEncounterType
Encounter.serviceTypeexampleServiceType
Encounter.priorityexampleActPriority
Encounter.subject.typeextensibleResourceType
Encounter.participant.typeextensibleParticipantType
Encounter.reasonCodepreferredEncounterReasonCodes
Encounter.diagnosis.usepreferredDiagnosisRole
Encounter.hospitalization.admitSourcepreferredAdmitSource
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
Encounter.hospitalization.dietPreferenceexampleDiet
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
Encounter.location.statusrequiredEncounterLocationStatus
Encounter.location.physicalTypeexampleLocationType

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Encounter

Summary

Mandatory: 6 elements (6 nested mandatory elements)
Must-Support: 21 elements
Fixed Value: 4 elements

Structures

This structure refers to these other structures:

Differential View

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*EncounterAn interaction during which services are provided to the patient
... identifier S0..*IdentifierIdentifier(s) by which this encounter is known
.... value S0..1string流水編號。[LABM.h8]
... status S1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Fixed Value: finished
... class S1..1CodingClassification of patient encounter
.... system S1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
.... code S1..1codeSymbol in syntax defined by the system
Fixed Value: OBSENC
.... display S1..1stringRepresentation defined by the system
Fixed Value: observation encounter
.... coding S0..*CodingCode defined by a terminology system
..... system S1..1uri健保資料網址
..... code 1..1code[LABM.h1,LABM.h7]
..... display S1..1string[報告類別,案件分類]
.... text 0..1string[報告類別,案件分類]
... serviceType S1..1CodeableConceptSpecific type of service
.... coding S0..*CodingCode defined by a terminology system
..... system S1..1uri健保資料網址
..... code S1..1code[LABM.h3]
..... display S1..1string[醫事類別]
.... text 0..1string[醫事類別]
... subject S1..1Reference(Patient LABD、LABM-病患基本資料)The patient or group present at the encounter
.... reference S1..1string患者Resource Link
... period S0..1PeriodThe start and end time of the encounter
.... start S0..1dateTime[LABM.h11/LABM.h13]
.... end S0..1dateTime[LABM.h12/LABM.h14]

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*EncounterAn interaction during which services are provided to the patient
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*IdentifierIdentifier(s) by which this encounter is known
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... value SΣ0..1string流水編號。[LABM.h8]
Example General: 123456
... class SΣ1..1CodingClassification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... system SΣ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
.... code SΣ1..1codeSymbol in syntax defined by the system
Fixed Value: OBSENC
.... display SΣ1..1stringRepresentation defined by the system
Fixed Value: observation encounter
... type SΣ2..*CodeableConceptSpecific type of encounter
Binding: EncounterType (example): The type of encounter.


.... coding SΣ0..*CodingCode defined by a terminology system
..... system SΣ1..1uri健保資料網址
..... code Σ1..1code[LABM.h1,LABM.h7]
..... display SΣ1..1string[報告類別,案件分類]
.... text Σ0..1string[報告類別,案件分類]
... serviceType SΣ1..1CodeableConceptSpecific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

.... coding SΣ0..*CodingCode defined by a terminology system
..... system SΣ1..1uri健保資料網址
..... code SΣ1..1code[LABM.h3]
..... display SΣ1..1string[醫事類別]
.... text Σ0..1string[醫事類別]
... subject SΣ1..1Reference(Patient LABD、LABM-病患基本資料)The patient or group present at the encounter
.... reference SΣC1..1string患者Resource Link
... period S0..1PeriodThe start and end time of the encounter
.... start SΣC0..1dateTime[LABM.h11/LABM.h13]
.... end SΣC0..1dateTime[LABM.h12/LABM.h14]

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Encounter.identifier.userequiredIdentifierUse
Encounter.statusrequiredFixed Value: finished
Encounter.classextensibleFixed Value: OBSENC
Encounter.typeexampleEncounterType
Encounter.serviceTypeexampleServiceType

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*EncounterAn interaction during which services are provided to the patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*IdentifierIdentifier(s) by which this encounter is known
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription 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 Σ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ0..1string流水編號。[LABM.h8]
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!SΣ1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.


Fixed Value: finished
... statusHistory 0..*BackboneElementList of past encounter statuses
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... status 1..1codeplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified status
... class SΣ1..1CodingClassification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... system SΣ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
.... version Σ0..1stringVersion of the system - if relevant
.... code SΣ1..1codeSymbol in syntax defined by the system
Fixed Value: OBSENC
.... display SΣ1..1stringRepresentation defined by the system
Fixed Value: observation encounter
.... userSelected Σ0..1booleanIf this coding was chosen directly by the user
... classHistory 0..*BackboneElementList of past encounter classes
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... class 1..1Codinginpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... period 1..1PeriodThe time that the episode was in the specified class
... type SΣ2..*CodeableConceptSpecific type of encounter
Binding: EncounterType (example): The type of encounter.


.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ1..1uri健保資料網址
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ1..1code[LABM.h1,LABM.h7]
..... display SΣ1..1string[報告類別,案件分類]
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1string[報告類別,案件分類]
... serviceType SΣ1..1CodeableConceptSpecific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ1..1uri健保資料網址
..... version Σ0..1stringVersion of the system - if relevant
..... code SΣ1..1code[LABM.h3]
..... display SΣ1..1string[醫事類別]
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1string[醫事類別]
... priority 0..1CodeableConceptIndicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... subject SΣ1..1Reference(Patient LABD、LABM-病患基本資料)The patient or group present at the encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC1..1string患者Resource Link
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... episodeOfCare Σ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... basedOn 0..*Reference(ServiceRequest)The ServiceRequest that initiated this encounter
... participant Σ0..*BackboneElementList of participants involved in the encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type Σ0..*CodeableConceptRole of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.


.... period 0..1PeriodPeriod of time during the encounter that the participant participated
.... individual Σ0..1Reference(Practitioner | PractitionerRole | RelatedPerson)Persons involved in the encounter other than the patient
... appointment Σ0..*Reference(Appointment)The appointment that scheduled this encounter
... period S0..1PeriodThe start and end time of the encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC0..1dateTime[LABM.h11/LABM.h13]
.... end SΣC0..1dateTime[LABM.h12/LABM.h14]
... length 0..1DurationQuantity of time the encounter lasted (less time absent)
... reasonCode Σ0..*CodeableConceptCoded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference Σ0..*Reference(Condition | Procedure | Observation | ImmunizationRecommendation)Reason the encounter takes place (reference)
... diagnosis Σ0..*BackboneElementThe list of diagnosis relevant to this encounter
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... condition Σ1..1Reference(Condition | Procedure)The diagnosis or procedure relevant to the encounter
.... use 0..1CodeableConceptRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank 0..1positiveIntRanking 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 0..1BackboneElementDetails about the admission to a healthcare service
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1IdentifierPre-admission identifier
.... origin 0..1Reference(Location | Organization)The location/organization from which the patient came before admission
.... admitSource 0..1CodeableConceptFrom where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.

.... reAdmission 0..1CodeableConceptThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.

.... dietPreference 0..*CodeableConceptDiet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.


.... specialCourtesy 0..*CodeableConceptSpecial courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.


.... specialArrangement 0..*CodeableConceptWheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.


.... destination 0..1Reference(Location | Organization)Location/organization to which the patient is discharged
.... dischargeDisposition 0..1CodeableConceptCategory or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

... location 0..*BackboneElementList of locations where the patient has been
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... location 1..1Reference(Location)Location the encounter takes place
.... status 0..1codeplanned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... physicalType 0..1CodeableConceptThe 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..1PeriodTime period during which the patient was present at the location
... serviceProvider 0..1Reference(Organization)The organization (facility) responsible for this encounter
... partOf 0..1Reference(Encounter)Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Encounter.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Encounter.identifier.userequiredIdentifierUse
Encounter.identifier.typeextensibleIdentifier Type Codes
Encounter.statusrequiredFixed Value: finished
Encounter.statusHistory.statusrequiredEncounterStatus
Encounter.classextensibleFixed Value: OBSENC
Encounter.classHistory.classextensibleActEncounterCode
Encounter.typeexampleEncounterType
Encounter.serviceTypeexampleServiceType
Encounter.priorityexampleActPriority
Encounter.subject.typeextensibleResourceType
Encounter.participant.typeextensibleParticipantType
Encounter.reasonCodepreferredEncounterReasonCodes
Encounter.diagnosis.usepreferredDiagnosisRole
Encounter.hospitalization.admitSourcepreferredAdmitSource
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
Encounter.hospitalization.dietPreferenceexampleDiet
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
Encounter.location.statusrequiredEncounterLocationStatus
Encounter.location.physicalTypeexampleLocationType

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Encounter

Summary

Mandatory: 6 elements (6 nested mandatory elements)
Must-Support: 21 elements
Fixed Value: 4 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron