HL7中国FHIR Connectathon测试实施指南
2025.3.12 - release

HL7中国FHIR Connectathon测试实施指南 - Local Development build (v2025.3.12) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: 核酸检测诊疗活动结构定义

官方URL: http://hl7.org.cn/fhir/connectathon/StructureDefinition/profile-covid19-encounter 版本: 2025.3.12
Draft as of 2025-03-11 机读名称: Covid19Encounter

核酸检测诊疗活动资源本地化定义。

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... class Σ 0..* CodeableConcept 诊疗活动活动的分类,固定为FLD
Binding: Encounter class (preferred): Classification of the encounter.


ele-1: All FHIR elements must have a @value or children

Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FLD
... type Σ 1..* CodeableConcept 诊疗活动活动的类型。核酸检测活动为TEST
Binding: http://terminology.hl7.org/CodeSystem/encounter-type (required)
ele-1: All FHIR elements must have a @value or children
.... coding Σ 0..* Coding Code defined by a terminology system
ele-1: All FHIR elements must have a @value or children

Required Pattern: At least the following
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/encounter-type
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: TEST
... subject Σ 1..1 Reference(Patient) 核酸检测的居民
ele-1: All FHIR elements must have a @value or children
... serviceProvider 1..1 Reference(Organization) 提供核酸检测的服务机构
ele-1: All FHIR elements must have a @value or children
... actualPeriod 1..1 Period 核酸检测活动的起止时间
ele-1: All FHIR elements must have a @value or children
... location 0..* BackboneElement 核酸检测的地点
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... location 1..1 Reference(Location) Location the encounter takes place
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|5.0.0
from the FHIR Standard
Encounter.classpreferredPattern: FLD
http://terminology.hl7.org/ValueSet/encounter-class
Encounter.typerequiredhttp://terminology.hl7.org/CodeSystem/encounter-type
http://terminology.hl7.org/CodeSystem/encounter-type

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())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

该结构继承自 Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... status 1..1 code 诊疗活动的状态,默认值可以设为final
... class 0..* CodeableConcept 诊疗活动活动的分类,固定为FLD
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FLD
... type 1..* CodeableConcept 诊疗活动活动的类型。核酸检测活动为TEST
Binding: http://terminology.hl7.org/CodeSystem/encounter-type (required)
.... coding 0..* Coding Code defined by a terminology system
Required Pattern: At least the following
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/encounter-type
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: TEST
... serviceProvider 1..1 Reference(Organization) 提供核酸检测的服务机构
... actualPeriod 1..1 Period 核酸检测活动的起止时间
... location 0..* BackboneElement 核酸检测的地点

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.typerequiredhttp://terminology.hl7.org/CodeSystem/encounter-type
http://terminology.hl7.org/CodeSystem/encounter-type
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguages Starter Set
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) by which this encounter is known
... status ?!Σ 1..1 code 诊疗活动的状态,默认值可以设为final
Binding: EncounterStatus (required): Current state of the encounter.

... class Σ 0..* CodeableConcept 诊疗活动活动的分类,固定为FLD
Binding: Encounter class (preferred): Classification of the encounter.



Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FLD
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... type Σ 1..* CodeableConcept 诊疗活动活动的类型。核酸检测活动为TEST
Binding: http://terminology.hl7.org/CodeSystem/encounter-type (required)
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/encounter-type
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: TEST
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... serviceType Σ 0..* CodeableReference(HealthcareService) Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.


... subject Σ 1..1 Reference(Patient) 核酸检测的居民
... subjectStatus 0..1 CodeableConcept The current status of the subject in relation to the Encounter
Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter.

... episodeOfCare Σ 0..* 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..1 Reference(Encounter) Another Encounter this encounter is part of
... serviceProvider 1..1 Reference(Organization) 提供核酸检测的服务机构
... participant ΣC 0..* BackboneElement List of participants involved in the encounter
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..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type ΣC 0..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.


.... period 0..1 Period Period of time during the encounter that the participant participated
.... actor ΣC 0..1 Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) The individual, device, or service participating in the encounter
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... virtualService 0..* VirtualServiceDetail Connection details of a virtual service (e.g. conference call)
... actualPeriod 1..1 Period 核酸检测活动的起止时间
... plannedStartDate 0..1 dateTime The planned start date/time (or admission date) of the encounter
... plannedEndDate 0..1 dateTime The planned end date/time (or discharge date) of the encounter
... length 0..1 Duration Actual quantity of time the encounter lasted (less time absent)
... reason Σ 0..* BackboneElement The list of medical reasons that are expected to be addressed during the episode of care
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... use Σ 0..* CodeableConcept What the reason value should be used for/as
Binding: EncounterReasonUse (example)
.... value Σ 0..* CodeableReference(Condition | DiagnosticReport | Observation | ImmunizationRecommendation | Procedure) Reason the encounter takes place (core or reference)
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 0..* CodeableReference(Condition) The diagnosis relevant to the encounter
Binding: ConditionProblemDiagnosisCodes (example)
.... use 0..* CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.


... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements.


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


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


... admission 0..1 BackboneElement Details about the admission to a healthcare service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.

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

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

... location 0..* BackboneElement 核酸检测的地点
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location 1..1 Reference(Location) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... form 0..1 CodeableConcept The 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..1 Period Time period during which the patient was present at the location

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|5.0.0
from the FHIR Standard
Encounter.classpreferredPattern: FLD
http://terminology.hl7.org/ValueSet/encounter-class
Encounter.priorityexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.typerequiredhttp://terminology.hl7.org/CodeSystem/encounter-type
http://terminology.hl7.org/CodeSystem/encounter-type
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.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.usepreferredEncounterDiagnosisUse
http://hl7.org/fhir/ValueSet/encounter-diagnosis-use
from the FHIR Standard
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.participantA type must be provided when no explicit actor is specified
: actor.exists() or type.exists()
enc-2errorEncounter.participantA 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()

该结构继承自 Encounter

Summary

Mandatory: 4 elements

关键元素视图

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... class Σ 0..* CodeableConcept 诊疗活动活动的分类,固定为FLD
Binding: Encounter class (preferred): Classification of the encounter.


ele-1: All FHIR elements must have a @value or children

Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FLD
... type Σ 1..* CodeableConcept 诊疗活动活动的类型。核酸检测活动为TEST
Binding: http://terminology.hl7.org/CodeSystem/encounter-type (required)
ele-1: All FHIR elements must have a @value or children
.... coding Σ 0..* Coding Code defined by a terminology system
ele-1: All FHIR elements must have a @value or children

Required Pattern: At least the following
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/encounter-type
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: TEST
... subject Σ 1..1 Reference(Patient) 核酸检测的居民
ele-1: All FHIR elements must have a @value or children
... serviceProvider 1..1 Reference(Organization) 提供核酸检测的服务机构
ele-1: All FHIR elements must have a @value or children
... actualPeriod 1..1 Period 核酸检测活动的起止时间
ele-1: All FHIR elements must have a @value or children
... location 0..* BackboneElement 核酸检测的地点
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... location 1..1 Reference(Location) Location the encounter takes place
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|5.0.0
from the FHIR Standard
Encounter.classpreferredPattern: FLD
http://terminology.hl7.org/ValueSet/encounter-class
Encounter.typerequiredhttp://terminology.hl7.org/CodeSystem/encounter-type
http://terminology.hl7.org/CodeSystem/encounter-type

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())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

差异视图

该结构继承自 Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... status 1..1 code 诊疗活动的状态,默认值可以设为final
... class 0..* CodeableConcept 诊疗活动活动的分类,固定为FLD
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FLD
... type 1..* CodeableConcept 诊疗活动活动的类型。核酸检测活动为TEST
Binding: http://terminology.hl7.org/CodeSystem/encounter-type (required)
.... coding 0..* Coding Code defined by a terminology system
Required Pattern: At least the following
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/encounter-type
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: TEST
... serviceProvider 1..1 Reference(Organization) 提供核酸检测的服务机构
... actualPeriod 1..1 Period 核酸检测活动的起止时间
... location 0..* BackboneElement 核酸检测的地点

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.typerequiredhttp://terminology.hl7.org/CodeSystem/encounter-type
http://terminology.hl7.org/CodeSystem/encounter-type

快照视图

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguages Starter Set
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) by which this encounter is known
... status ?!Σ 1..1 code 诊疗活动的状态,默认值可以设为final
Binding: EncounterStatus (required): Current state of the encounter.

... class Σ 0..* CodeableConcept 诊疗活动活动的分类,固定为FLD
Binding: Encounter class (preferred): Classification of the encounter.



Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FLD
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... type Σ 1..* CodeableConcept 诊疗活动活动的类型。核酸检测活动为TEST
Binding: http://terminology.hl7.org/CodeSystem/encounter-type (required)
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/encounter-type
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: TEST
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... serviceType Σ 0..* CodeableReference(HealthcareService) Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.


... subject Σ 1..1 Reference(Patient) 核酸检测的居民
... subjectStatus 0..1 CodeableConcept The current status of the subject in relation to the Encounter
Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter.

... episodeOfCare Σ 0..* 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..1 Reference(Encounter) Another Encounter this encounter is part of
... serviceProvider 1..1 Reference(Organization) 提供核酸检测的服务机构
... participant ΣC 0..* BackboneElement List of participants involved in the encounter
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..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type ΣC 0..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.


.... period 0..1 Period Period of time during the encounter that the participant participated
.... actor ΣC 0..1 Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) The individual, device, or service participating in the encounter
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... virtualService 0..* VirtualServiceDetail Connection details of a virtual service (e.g. conference call)
... actualPeriod 1..1 Period 核酸检测活动的起止时间
... plannedStartDate 0..1 dateTime The planned start date/time (or admission date) of the encounter
... plannedEndDate 0..1 dateTime The planned end date/time (or discharge date) of the encounter
... length 0..1 Duration Actual quantity of time the encounter lasted (less time absent)
... reason Σ 0..* BackboneElement The list of medical reasons that are expected to be addressed during the episode of care
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... use Σ 0..* CodeableConcept What the reason value should be used for/as
Binding: EncounterReasonUse (example)
.... value Σ 0..* CodeableReference(Condition | DiagnosticReport | Observation | ImmunizationRecommendation | Procedure) Reason the encounter takes place (core or reference)
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... diagnosis Σ 0..* BackboneElement The list of diagnosis relevant to this encounter
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 0..* CodeableReference(Condition) The diagnosis relevant to the encounter
Binding: ConditionProblemDiagnosisCodes (example)
.... use 0..* CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.


... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements.


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


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


... admission 0..1 BackboneElement Details about the admission to a healthcare service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.

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

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

... location 0..* BackboneElement 核酸检测的地点
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location 1..1 Reference(Location) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... form 0..1 CodeableConcept The 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..1 Period Time period during which the patient was present at the location

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|5.0.0
from the FHIR Standard
Encounter.classpreferredPattern: FLD
http://terminology.hl7.org/ValueSet/encounter-class
Encounter.priorityexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.typerequiredhttp://terminology.hl7.org/CodeSystem/encounter-type
http://terminology.hl7.org/CodeSystem/encounter-type
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.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.usepreferredEncounterDiagnosisUse
http://hl7.org/fhir/ValueSet/encounter-diagnosis-use
from the FHIR Standard
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.participantA type must be provided when no explicit actor is specified
: actor.exists() or type.exists()
enc-2errorEncounter.participantA 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()

该结构继承自 Encounter

Summary

Mandatory: 4 elements

 

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