HL7中国FHIR Connectathon测试实施指南
2024.5.5 - release

本指南适用于HL7中国的FHIR Connectathon测试。

Resource Profile: 住院就诊服务结构定义

Defining URL:http://hl7.org.cn/fhir/StructureDefinition/core-inpatient-encounter
Version:2024.5.5
Name:CoreInpatientEncounter
Title:住院就诊服务结构定义
Status:Active as of 2024-05-05 21:11:47+0800
Definition:

住院就诊服务本地化定义。

Publisher:HL7中国. HL7中国,
Source Resource:XML / JSON / Turtle

本定义的正式URL为: 

http://hl7.org.cn/fhir/StructureDefinition/core-inpatient-encounter

定义内容的视图

关于定义、差异、快照以及如何解读这些表示法。

这种结构源自 Encounter

Summary

Mandatory: 16 elements (1 nested mandatory element)
Must-Support: 1 element

Slices

This structure defines the following Slices:

  • The element Encounter.identifier is sliced based on the value of value:system
  • The element Encounter.participant is sliced based on the value of value:type

这种结构源自 Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*Encounter住院就诊服务本地化定义
... Slices for identifier 1..*IdentifierIdentifier(s) by which this encounter is known
Slice: Unordered, Open by value:system
.... identifier:BID 1..1Identifier住院记录业务表单编号
..... system 1..1uriThe namespace for the identifier value
Required Pattern: urn:uuid:2.16.156.10011.1.10
... status 1..1code住院服务的状态
... class 1..1CodeableConcept就诊活动的类型，固定为IMP（住院）
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: IMP
... subject 1..1Reference(Patient | Group)指向住院就诊活动中的患者
... serviceProvider 1..1Reference(Organization)住院活动的责任机构，指向患者的就诊机构
... Slices for participant 1..*BackboneElementList of participants involved in the encounter
Slice: Unordered, Open by value:type
.... participant:AUT 1..1BackboneElement住院医师
..... type 1..*CodeableConcept住院记录的作者，指代住院医师
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/CodeSystem/encounter-participant-type
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: AUT
..... actor 0..1Reference(Practitioner)指向住院医师的引用
... actualPeriod 1..1Period住院活动的起止时间
... reason S0..*BackboneElement住院就诊的原因，一般可以罗列一些症状或问题
.... value 1..1CodeableReference(Condition | DiagnosticReport | Observation | ImmunizationRecommendation | Procedure)住院就诊的原因，一般可以罗列一些症状或问题。可以指向一个记录了症状或问题的Condition资源，也可以直接以编码方式记录症状。
... diagnosis 1..*BackboneElement住院诊断。最少应填写一个入院诊断。
.... condition 1..1CodeableReference(Condition)住院诊断，可以指向一个记录了诊断的Condition资源，也可以直接以编码方式表示诊断。
.... use 1..1CodeableConcept住院诊断类型。例如：入院诊断、出院诊断、手术诊断等
Binding: DiagnosisRole (preferred)
... admission 1..1BackboneElementDetails about the admission to a healthcare service
.... admitSource 1..1CodeableConcept入院来源
... location 0..*BackboneElement记录患者入院后所处的位置，一般记录到病床级。

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*Encounter住院就诊服务本地化定义
... 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: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguagesStarter Set
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... Slices for identifier Σ1..*IdentifierIdentifier(s) by which this encounter is known
Slice: Unordered, Open by value:system
.... identifier:BID Σ1..1Identifier住院记录业务表单编号
..... id 0..1idUnique 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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system Σ1..1uriThe namespace for the identifier value
Required Pattern: urn:uuid:2.16.156.10011.1.10
..... value ΣC0..1stringThe value that is unique
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 ?!Σ1..1code住院服务的状态
Binding: EncounterStatus (required): Current state of the encounter.

... class Σ1..1CodeableConcept就诊活动的类型，固定为IMP（住院）
Binding: Encounter class (preferred): Classification of the encounter.



Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: IMP
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... priority 0..1CodeableConceptIndicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... type Σ0..*CodeableConceptSpecific type of encounter (e.g. e-mail consultation, surgical day-care, ...)
Binding: EncounterType (example): A specific code indicating type of service provided


... serviceType Σ1..1CodeableReference(HealthcareService)住院科室类型
Binding: ServiceType (example)
... subject Σ1..1Reference(Patient | Group)指向住院就诊活动中的患者
... subjectStatus 0..1CodeableConceptThe current status of the subject in relation to the Encounter
Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter.

... episodeOfCare Σ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... basedOn 0..*Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest)The request that initiated this encounter
... careTeam 0..*Reference(CareTeam)The group(s) that are allocated to participate in this encounter
... partOf 0..1Reference(Encounter)Another Encounter this encounter is part of
... serviceProvider 1..1Reference(Organization)住院活动的责任机构，指向患者的就诊机构
... Slices for participant ΣC1..*BackboneElementList of participants involved in the encounter
Slice: Unordered, Open by value:type
enc-1: A type must be provided when no explicit actor is specified
enc-2: A type cannot be provided for a patient or group participant
.... participant:All Slices Content/Rules for all slices
..... 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 ΣC0..*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
..... actor ΣC0..1Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService)The individual, device, or service participating in the encounter
.... participant:AUT ΣC1..1BackboneElement住院医师
enc-1: A type must be provided when no explicit actor is specified
enc-2: A type cannot be provided for a patient or group participant
..... 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 ΣC1..*CodeableConcept住院记录的作者，指代住院医师
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/CodeSystem/encounter-participant-type
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: AUT
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... period 0..1PeriodPeriod of time during the encounter that the participant participated
..... actor ΣC0..1Reference(Practitioner)指向住院医师的引用
... appointment Σ0..*Reference(Appointment)The appointment that scheduled this encounter
... virtualService 0..*VirtualServiceDetailConnection details of a virtual service (e.g. conference call)
... actualPeriod 1..1Period住院活动的起止时间
... 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)
... reason SΣ0..*BackboneElement住院就诊的原因，一般可以罗列一些症状或问题
.... 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
.... use Σ0..*CodeableConceptWhat the reason value should be used for/as
Binding: EncounterReasonUse (example)
.... value Σ1..1CodeableReference(Condition | DiagnosticReport | Observation | ImmunizationRecommendation | Procedure)住院就诊的原因，一般可以罗列一些症状或问题。可以指向一个记录了症状或问题的Condition资源，也可以直接以编码方式记录症状。
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... diagnosis Σ1..*BackboneElement住院诊断。最少应填写一个入院诊断。
.... 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..1CodeableReference(Condition)住院诊断，可以指向一个记录了诊断的Condition资源，也可以直接以编码方式表示诊断。
Binding: ConditionProblemDiagnosisCodes (example)
.... use 1..1CodeableConcept住院诊断类型。例如：入院诊断、出院诊断、手术诊断等
Binding: DiagnosisRole (preferred)
... account 0..*Reference(Account)The set of accounts that may be used for billing for this Encounter
... dietPreference 0..*CodeableConceptDiet preferences reported by the patient
Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements.


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


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


... admission 1..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 1..1CodeableConcept入院来源
Binding: AdmitSource (preferred): From where the patient was admitted.

.... reAdmission 0..1CodeableConceptIndicates that the patient is being re-admitted
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this admission encounter.

.... 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..*BackboneElement记录患者入院后所处的位置，一般记录到病床级。
.... 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.

.... form 0..1CodeableConceptThe physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.)
Binding: LocationForm (example): Physical form of the location.

.... period 0..1PeriodTime period during which the patient was present at the location

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*Encounter住院就诊服务本地化定义
... reason Σ0..*BackboneElement住院就诊的原因，一般可以罗列一些症状或问题

doco Documentation for this format

这种结构源自 Encounter

Summary

Mandatory: 16 elements (1 nested mandatory element)
Must-Support: 1 element

Slices

This structure defines the following Slices:

  • The element Encounter.identifier is sliced based on the value of value:system
  • The element Encounter.participant is sliced based on the value of value:type

差异视图

这种结构源自 Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*Encounter住院就诊服务本地化定义
... Slices for identifier 1..*IdentifierIdentifier(s) by which this encounter is known
Slice: Unordered, Open by value:system
.... identifier:BID 1..1Identifier住院记录业务表单编号
..... system 1..1uriThe namespace for the identifier value
Required Pattern: urn:uuid:2.16.156.10011.1.10
... status 1..1code住院服务的状态
... class 1..1CodeableConcept就诊活动的类型，固定为IMP（住院）
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: IMP
... subject 1..1Reference(Patient | Group)指向住院就诊活动中的患者
... serviceProvider 1..1Reference(Organization)住院活动的责任机构，指向患者的就诊机构
... Slices for participant 1..*BackboneElementList of participants involved in the encounter
Slice: Unordered, Open by value:type
.... participant:AUT 1..1BackboneElement住院医师
..... type 1..*CodeableConcept住院记录的作者，指代住院医师
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/CodeSystem/encounter-participant-type
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: AUT
..... actor 0..1Reference(Practitioner)指向住院医师的引用
... actualPeriod 1..1Period住院活动的起止时间
... reason S0..*BackboneElement住院就诊的原因，一般可以罗列一些症状或问题
.... value 1..1CodeableReference(Condition | DiagnosticReport | Observation | ImmunizationRecommendation | Procedure)住院就诊的原因，一般可以罗列一些症状或问题。可以指向一个记录了症状或问题的Condition资源，也可以直接以编码方式记录症状。
... diagnosis 1..*BackboneElement住院诊断。最少应填写一个入院诊断。
.... condition 1..1CodeableReference(Condition)住院诊断，可以指向一个记录了诊断的Condition资源，也可以直接以编码方式表示诊断。
.... use 1..1CodeableConcept住院诊断类型。例如：入院诊断、出院诊断、手术诊断等
Binding: DiagnosisRole (preferred)
... admission 1..1BackboneElementDetails about the admission to a healthcare service
.... admitSource 1..1CodeableConcept入院来源
... location 0..*BackboneElement记录患者入院后所处的位置，一般记录到病床级。

doco Documentation for this format

快照视图

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..*Encounter住院就诊服务本地化定义
... 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: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguagesStarter Set
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... Slices for identifier Σ1..*IdentifierIdentifier(s) by which this encounter is known
Slice: Unordered, Open by value:system
.... identifier:BID Σ1..1Identifier住院记录业务表单编号
..... id 0..1idUnique 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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system Σ1..1uriThe namespace for the identifier value
Required Pattern: urn:uuid:2.16.156.10011.1.10
..... value ΣC0..1stringThe value that is unique
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 ?!Σ1..1code住院服务的状态
Binding: EncounterStatus (required): Current state of the encounter.

... class Σ1..1CodeableConcept就诊活动的类型，固定为IMP（住院）
Binding: Encounter class (preferred): Classification of the encounter.



Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: IMP
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... priority 0..1CodeableConceptIndicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... type Σ0..*CodeableConceptSpecific type of encounter (e.g. e-mail consultation, surgical day-care, ...)
Binding: EncounterType (example): A specific code indicating type of service provided


... serviceType Σ1..1CodeableReference(HealthcareService)住院科室类型
Binding: ServiceType (example)
... subject Σ1..1Reference(Patient | Group)指向住院就诊活动中的患者
... subjectStatus 0..1CodeableConceptThe current status of the subject in relation to the Encounter
Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter.

... episodeOfCare Σ0..*Reference(EpisodeOfCare)Episode(s) of care that this encounter should be recorded against
... basedOn 0..*Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest)The request that initiated this encounter
... careTeam 0..*Reference(CareTeam)The group(s) that are allocated to participate in this encounter
... partOf 0..1Reference(Encounter)Another Encounter this encounter is part of
... serviceProvider 1..1Reference(Organization)住院活动的责任机构，指向患者的就诊机构
... Slices for participant ΣC1..*BackboneElementList of participants involved in the encounter
Slice: Unordered, Open by value:type
enc-1: A type must be provided when no explicit actor is specified
enc-2: A type cannot be provided for a patient or group participant
.... participant:All Slices Content/Rules for all slices
..... 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 ΣC0..*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
..... actor ΣC0..1Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService)The individual, device, or service participating in the encounter
.... participant:AUT ΣC1..1BackboneElement住院医师
enc-1: A type must be provided when no explicit actor is specified
enc-2: A type cannot be provided for a patient or group participant
..... 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 ΣC1..*CodeableConcept住院记录的作者，指代住院医师
Binding: ParticipantType (extensible): Role of participant in encounter.



Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/CodeSystem/encounter-participant-type
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: AUT
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... period 0..1PeriodPeriod of time during the encounter that the participant participated
..... actor ΣC0..1Reference(Practitioner)指向住院医师的引用
... appointment Σ0..*Reference(Appointment)The appointment that scheduled this encounter
... virtualService 0..*VirtualServiceDetailConnection details of a virtual service (e.g. conference call)
... actualPeriod 1..1Period住院活动的起止时间
... 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)
... reason SΣ0..*BackboneElement住院就诊的原因，一般可以罗列一些症状或问题
.... 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
.... use Σ0..*CodeableConceptWhat the reason value should be used for/as
Binding: EncounterReasonUse (example)
.... value Σ1..1CodeableReference(Condition | DiagnosticReport | Observation | ImmunizationRecommendation | Procedure)住院就诊的原因，一般可以罗列一些症状或问题。可以指向一个记录了症状或问题的Condition资源，也可以直接以编码方式记录症状。
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... diagnosis Σ1..*BackboneElement住院诊断。最少应填写一个入院诊断。
.... 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..1CodeableReference(Condition)住院诊断，可以指向一个记录了诊断的Condition资源，也可以直接以编码方式表示诊断。
Binding: ConditionProblemDiagnosisCodes (example)
.... use 1..1CodeableConcept住院诊断类型。例如：入院诊断、出院诊断、手术诊断等
Binding: DiagnosisRole (preferred)
... account 0..*Reference(Account)The set of accounts that may be used for billing for this Encounter
... dietPreference 0..*CodeableConceptDiet preferences reported by the patient
Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements.


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


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


... admission 1..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 1..1CodeableConcept入院来源
Binding: AdmitSource (preferred): From where the patient was admitted.

.... reAdmission 0..1CodeableConceptIndicates that the patient is being re-admitted
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this admission encounter.

.... 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..*BackboneElement记录患者入院后所处的位置，一般记录到病床级。
.... 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.

.... form 0..1CodeableConceptThe physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.)
Binding: LocationForm (example): Physical form of the location.

.... period 0..1PeriodTime period during which the patient was present at the location

doco Documentation for this format

 

本定义的其它表示法: Schematron

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Encounter.identifier:BID.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
from the FHIR Standard
Encounter.identifier:BID.typeextensibleIdentifierTypeCodes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|5.0.0
from the FHIR Standard
Encounter.classpreferredPattern: IMP
http://terminology.hl7.org/ValueSet/encounter-class
Encounter.priorityexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.typeexampleEncounterType
http://hl7.org/fhir/ValueSet/encounter-type
from the FHIR Standard
Encounter.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Encounter.subjectStatusexampleEncounterSubjectStatus
http://hl7.org/fhir/ValueSet/encounter-subject-status
from the FHIR Standard
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.participant:AUT.typeextensiblePattern: AUT
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reason.useexampleEncounterReasonUse
http://hl7.org/fhir/ValueSet/encounter-reason-use
from the FHIR Standard
Encounter.reason.valuepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Encounter.diagnosis.conditionexampleConditionProblemDiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Encounter.diagnosis.usepreferredDiagnosisRole
http://terminology.hl7.org/ValueSet/diagnosis-role
Encounter.dietPreferenceexampleEncounterDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.admission.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
from the FHIR Standard
Encounter.admission.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.admission.dischargeDispositionexampleDischargeDisposition
http://hl7.org/fhir/ValueSet/encounter-discharge-disposition
from the FHIR Standard
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|5.0.0
from the FHIR Standard
Encounter.location.formexampleLocationForm
http://hl7.org/fhir/ValueSet/location-form
from the FHIR Standard

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().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()
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())
enc-1errorEncounter.participant, Encounter.participant:AUTA type must be provided when no explicit actor is specified
: actor.exists() or type.exists()
enc-2errorEncounter.participant, Encounter.participant:AUTA type cannot be provided for a patient or group participant
: actor.exists(resolve() is Patient or resolve() is Group) implies type.exists().not()
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()