Encounter
This topic describes information for the Encounter resource.
To interact with the REST endpoints in the Encounter resource, see Encounter.
Overview
The Encounter resource provides admissions or visits during which healthcare services were provided to a patient. An encounter has a class to distinguish between different healthcare settings such as inpatient, outpatient, emergency, and so on. A patient may have one medical record number with multiple encounter numbers per facility or organization. Substantial variance exists between organizations in the definition of an encounter and what events are aggregated together to constitute an encounter.
This resource supports the following HL7 FHIR US Core Implementation Guide STU 4.0.0 profile:
Note:
The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site. Themeta.security
field is present only when a problem or diagnosis is marked as confidential.
Fields
- Encounter ID
- Encounter identifier
- Status
- Class
- Type
- Service Type
- Priority
- Appointment
- Start/end time of the Encounter
- Reason for visit
- Incident
- Admitting diagnoses
- Administrative problem
- Service provider
- Extensions (for more information, see the Extensions section of this topic)
Contained Location bindings
-
Description: Indicates the type of function performed at the location.
Details: v3 Code System RoleCode
System:
http://terminology.hl7.org/CodeSystem/v3-RoleCode
Terminology Bindings
-
Description: The type used to determine which identifier to use for a specific purpose.
-
Details: Identifier Type Codes
System:
http://hl7.org/fhir/identifier-type
-
Details: v2 Identifier Type
System:
http://terminology.hl7.org/CodeSystem/v2-0203
-
Details: For more information, see Code Set 319 Encounter Alias Type under the List of Code Sets section in Proprietary Codes and Systems.
System:
https://fhir.cerner.com/<EHR source id>/codeSet/319
-
-
Description: The type of encounter.
-
Details: For more information, see Code Set 71 Visit Type under the List of Code Sets section in Proprietary Codes and Systems.
System:
https://fhir.cerner.com/<EHR source id>/codeSet/71
-
Details: v2 Patient Class
System:
http://terminology.hl7.org/CodeSystem/v2-0004
-
Details: SNOMED CT
System:
http://snomed.info/sct
-
-
Description: Broad categorization of the service that is to be provided.
-
Details: SNOMED CT
System:
http://snomed.info/sct
-
Details: For more information, see Code Set 34 Hospital Service under the List of Code Sets section in Proprietary Codes and Systems.
System:
https://fhir.cerner.com/<EHR source id>/codeSet/34
-
-
Description: Indicates the urgency of the encounter.
-
Details: Encounter Priority
System:
http://hl7.org/fhir/encounter-priority
-
Details: For more information, see Code Set 3 Encounter Admission Type under the List of Code Sets section in Proprietary Codes and Systems.
System:
https://fhir.cerner.com/<EHR source id>/codeSet/3
-
-
Description: Role of participant in encounter.
-
Details: ParticipantType
System:
http://hl7.org/fhir/participant-type
-
Details: For more information, see Code Set 333 Encounter/Personnel Relationship under the List of Code Sets section in Proprietary Codes and Systems.
System:
https://fhir.cerner.com/<EHR source id>/codeSet/333
-
-
Encounter.hospitalization.admitSource
Description: From where patient was admitted.
-
Details: AdmitSource
System:
http://hl7.org/fhir/admit-source
-
Details: For more information, see Code Set 2 Admission Source under the List of Code Sets section in Proprietary Codes and Systems.
System:
https://fhir.cerner.com/<EHR source id>/codeSet/2
-
-
Encounter.hospitalization.dietPreference
Description: Medical, cultural or ethical food preferences to help with catering requirements.
-
Details: Diet
System:
http://terminology.hl7.org/CodeSystem/diet
-
Details: For more information, see Code Set 18 Diet under the List of Code Sets section in Proprietary Codes and Systems.
System:
https://fhir.cerner.com/<EHR source id>/codeSet/18
-
-
Encounter.hospitalization.specialCourtesy
Description: Special courtesies.
-
Details: v3 Code System EncounterSpecialCourtesy
System:
http://terminology.hl7.org/CodeSystem/v3-EncounterSpecialCourtesy
-
Details: For more information, see Code Set 67 VIP under the List of Code Sets section in Proprietary Codes and Systems.
System:
https://fhir.cerner.com/<EHR source id>/codeSet/67
-
Details: For more information, see Code Set 16 Courtesy under the List of Code Sets section in Proprietary Codes and Systems.
System:
https://fhir.cerner.com/<EHR source id>/codeSet/16
-
-
Encounter.hospitalization.specialArrangement
Description: Special arrangements.
Details: SpecialArrangements
System:
http://hl7.org/fhir/encounter-special-arrangements
-
Encounter.hospitalization.dischargeDisposition
Description: Discharge Disposition.
-
Details: DischargeDisposition
System:
http://hl7.org/fhir/discharge-disposition
-
Details: For more information, see Code Set 19 Discharge Disposition under the List of Code Sets section in Proprietary Codes and Systems.
System:
https://fhir.cerner.com/<EHR source id>/codeSet/19
-
-
Description: Security labels applied to this resource.
Note:
Encounters created with meta.security set with code 'UNCERTREL' will be returned with an external encounter type.Details: Observation Values
System:
http://terminology.hl7.org/CodeSystem/v3-ObservationValue
-
Encounter.extension[x].extension[x].valueCodeableConcept
Description: The value of the client defined custom attribute. This binding is used for the
custom-attribute-value
extension nested undercustom-attribute
extensions.Note:
- The terminology binding only applies when the
custom-attribute-value
extension is of typeCodeableConcept
. - The value of the custom attribute is not limited to a single Code Set or nomenclature.
-
Details: For more information, see the Proprietary Codes section in Proprietary Codes and Systems.
System:
https://fhir.cerner.com/<EHR source id>/codeSet/<code set>
-
Details: For more information, see Code Set ##### XXXXX under the List of Code Sets section in Proprietary Codes and Systems.
System:
https://fhir.cerner.com/<EHR source id>/nomenclature
- The terminology binding only applies when the
-
Encounter.extension[x].valueMoney.currency (for more information, see the Extensions section of this topic)
Description: Currency codes from ISO 4217. This binding is used in
estimated-financial-responsibility-amount
extensions.Details: Currencies
System:
urn:iso:std:iso:4217
-
Encounter.extension[x].valueCodeableConcept (for more information, see the Extensions section of this topic)
Description: The reason no estimated amount is collected for the encounter. This binding is used in
estimated-financial-responsibility-not-collected-reason
extensions.Details: For more information, see the List of Code Sets section in Proprietary Codes and Systems.
System:
https://fhir.cerner.com/<EHR source id>/codeSet/4660008
-
Encounter.extension[x].valueCodeableConcept (for more information, see the Extensions section of this topic)
Description: Identifies whether an encounter is connected to military service. This binding is used in
military-service-connected-indicator
extensions.Details: For more information, see the List of Code Sets section in Proprietary Codes and Systems.
System:
https://fhir.cerner.com/<EHR source id>/codeSet/4003348
-
Encounter.extension[x].valueCodeableConcept (for more information, see the Extensions section of this topic)
Description: The payment collection status. This binding is used in
payment-collection-status
extensions.Details: For more information, see the List of Code Sets section in Proprietary Codes and Systems.
System:
https://fhir.cerner.com/<EHR source id>/codeSet/4003489
Extensions
All URLs for custom extensions are defined as
https://fhir-ehr.cerner.com/r4/StructureDefinition/{id}
Table - Extensions
ID | Value[x} Type | Description |
---|---|---|
client-organization |
Reference |
The financially responsible organization. |
custom-attribute |
None (contains nested extensions) | A client defined custom attribute for the
resource. Attribute values can be of type integer , string , CodeableConcept , or dateTime .
|
estimated-financial-responsibility-amount |
Money |
The estimated amount to be collected for the encounter. |
estimated-financial-responsibility-not-collected-reason |
CodeableConcept |
The reason no estimated amount is collected for the encounter. |
military-service-connected-indicator |
CodeableConcept |
Identifies whether an encounter is connected to military service. |
payment-collection-status |
CodeableConcept |
The status of the payment collection for the encounter. |