Finnish Base Profiles
2.0.0 - release

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## Resource Profile: FI Base Encounter

Official URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-encounter | Version: 2.0.0
Active as of 2025-10-05 | Computable Name: FiBaseEncounter

This is the Finnish base profile for the Encounter resource.

### Scope and Usage

The Finnish Core Encounter profile is intended to encapsulate the most common and basic data model of encounters in Finnish healthcare systems. The profile also defines encounter's relation to the Kanta registry. As such the profile should be usable in most Finnish contexts.

#### Relation to Finnish palvelutapahtuma

Kanta is the Finnish national central registry of health and social welfare information. It has a specification for Palvelutapahtuma, this is typically translated as service-event or encompassing encounter.

The scope of palvelutapahtuma is described in Kanta documentation (in Finnish). It's scope is not always the same as the encounter's. Encounter and palvelutapahtuma will overlap as concepts (depending on implementation). Some encounters clearly align with palvelutapahtuma while others don't. Palvelutapahtuma may contain multiple encounters. For example a series of treatments is considered to be a singular palvelutapahtuma, but systems most likely want to express each visit as a separate encounter (see kanta doc for the description of hoitosarja, there are other examples too).

For deeper techical details, see (in Finnish):

- Kanta CDA R2 Header version 4.66 or later.
  - Descriptions of palvelutapahtuma
- Kanta HL7 V3 Medical Records specification.
  - Shows the role of palvelutapahtuma when making requests to Kanta

##### Why does an encounter need this information?

Kanta HL7 V3 Medical Records specification requires that both queries and archivals transmit palvelutapahtuma's OID identifier on each request. A client application that is integrated to a patient administration system (one that masters the data of encounters) often needs to create and query Kanta Medical records. Encounter is the best "vessel" we have to transmit this information.

For example a laboratory information system may have it's own Kanta Medical Records capabilities and will archive lab results directly to Kanta. It receives encounter id in SMART App Launch context. Laboratory system can resolve palvelutapahtuma's OID identifier by fetching the encounter resource.

##### How to communicate the palvelutapahtuma via the Encounter resource

This method is applicable for resources that have a direct link to Encounter.

An Encounter that is a palvelutapahtuma SHALL have an identifier with `use=official` and the value of that identifier SHALL be the OID of a palvelutapahtuma.

Other levels of encounter that are not a palvelutapahtuma, MUST NOT contain an identifier with `use=official`.

The resource referring to the Encounter, may link to the palvelutapahtuma Encounter directly, or to a lower level Encounter (some systems call these prosessitapahtuma). In this case, the lower level Encounters SHALL have a chain of `.partOf` links eventually leading to the palvelutapahtuma Encounter.

##### How to communicate the palvelutapahtuma without an Encounter resource

When the resource does not have a direct link to Encounter or if the chaining of Encounter resources is considered too complex, the ServiceEvent extension can be used instead.

#### Organizational responsibility

The unit responsible for the encounter SHOULD be communicated using the `serviceProvider` property.

For instance, there's a detailed example with explanations for how to fetch patients in a ward.

Usages:

- Refer to this Profile: FI Base Encounter, Fi Base Immunization, FI Base MedicationAdministration, FI Base MedicationRequest... Show 11 more, FI Base MedicationStatement, FI Base Observation, Fi Base Procedure, FI Base Encounter, Fi Base Immunization, FI Base MedicationAdministration, FI Base MedicationRequest, FI Base MedicationStatement, FI Base Observation, FI Base Patient MedicationRequest and Fi Base Procedure
- Examples for this Profile: Encounter/id-for-child-encounter-2, Encounter/id-for-child-encounter, Encounter/id-for-palvelutapahtuma, Encounter/id-for-visit and Encounter/id-for-ward-encounter

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
modifierExtension | ?! | 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
status | ?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. ele-1: All FHIR elements must have a @value or children
class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter. ele-1: All FHIR elements must have a @value or children
subject | Σ | 0..1 | Reference(FI Base Patient(2.0.0) | Group) | The patient or group present at the encounter ele-1: All FHIR elements must have a @value or children
episodeOfCare | Σ | 0..* | Reference(FI Base EpisodeOfCare(2.0.0)) | Episode(s) of care that this encounter should be recorded against ele-1: All FHIR elements must have a @value or children
appointment | Σ | 0..* | Reference(FI Base Appointment(2.0.0)) | The appointment that scheduled this encounter ele-1: All FHIR elements must have a @value or children
reasonReference | Σ | 0..* | Reference(FI Base Condition(2.0.0) | Fi Base Procedure(2.0.0) | FI Base Observation(2.0.0) | ImmunizationRecommendation) | Reason the encounter takes place (reference) ele-1: All FHIR elements must have a @value or children
serviceProvider |  | 0..1 | Reference(FI Base Organization(2.0.0)) | The organization (facility) responsible for this encounter ele-1: All FHIR elements must have a @value or children
partOf |  | 0..1 | Reference(FI Base Encounter(2.0.0)) | Another Encounter this encounter is part of ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Encounter.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` From the FHIR Standard
Encounter.class | extensible | ActEncounterCode `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Encounter | 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 : 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-4 | error | Encounter | If 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-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from Encounter

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  |  | Encounter |
subject |  | 0..1 | Reference(FI Base Patient(2.0.0) | Group) | The patient or group present at the encounter
episodeOfCare |  | 0..* | Reference(FI Base EpisodeOfCare(2.0.0)) | Episode(s) of care that this encounter should be recorded against
participant |  |  |  |
individual |  | 0..1 | Reference(FI Base Practitioner(2.0.0) | FI Base PractitionerRole(2.0.0) | RelatedPerson) | Persons involved in the encounter other than the patient
appointment |  | 0..* | Reference(FI Base Appointment(2.0.0)) | The appointment that scheduled this encounter
reasonReference |  | 0..* | Reference(FI Base Condition(2.0.0) | Fi Base Procedure(2.0.0) | FI Base Observation(2.0.0) | ImmunizationRecommendation) | Reason the encounter takes place (reference)
diagnosis |  |  |  |
condition |  | 1..1 | Reference(FI Base Condition(2.0.0) | Fi Base Procedure(2.0.0)) | The diagnosis or procedure relevant to the encounter
hospitalization |  |  |  |
origin |  | 0..1 | Reference(FI Base Location(2.0.0) | FI Base Organization(2.0.0)) | The location/organization from which the patient came before admission
destination |  | 0..1 | Reference(FI Base Location(2.0.0) | FI Base Organization(2.0.0)) | Location/organization to which the patient is discharged
location |  |  |  |
location |  | 1..1 | Reference(FI Base Location(2.0.0)) | Location the encounter takes place
serviceProvider |  | 0..1 | Reference(FI Base Organization(2.0.0)) | The organization (facility) responsible for this encounter
partOf |  | 0..1 | Reference(FI Base Encounter(2.0.0)) | Another Encounter this encounter is part of
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known
status | ?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory |  | 0..* | BackboneElement | List of past encounter statuses
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
status |  | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period |  | 1..1 | Period | The time that the episode was in the specified status
class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
classHistory |  | 0..* | BackboneElement | List of past encounter classes
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
class |  | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period |  | 1..1 | Period | The time that the episode was in the specified class
type | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: EncounterType (example): The type of encounter.
serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject | Σ | 0..1 | Reference(FI Base Patient(2.0.0) | Group) | The patient or group present at the encounter
episodeOfCare | Σ | 0..* | Reference(FI Base EpisodeOfCare(2.0.0)) | Episode(s) of care that this encounter should be recorded against
basedOn |  | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter
participant | Σ | 0..* | BackboneElement | List of participants involved in the 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
type | Σ | 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
individual | Σ | 0..1 | Reference(FI Base Practitioner(2.0.0) | FI Base PractitionerRole(2.0.0) | RelatedPerson) | Persons involved in the encounter other than the patient
appointment | Σ | 0..* | Reference(FI Base Appointment(2.0.0)) | The appointment that scheduled this encounter
period |  | 0..1 | Period | The start and end time of the encounter
length |  | 0..1 | Duration | Quantity of time the encounter lasted (less time absent)
reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference | Σ | 0..* | Reference(FI Base Condition(2.0.0) | Fi Base Procedure(2.0.0) | FI Base Observation(2.0.0) | ImmunizationRecommendation) | Reason the encounter takes place (reference)
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 | 1..1 | Reference(FI Base Condition(2.0.0) | Fi Base Procedure(2.0.0)) | The diagnosis or procedure relevant to the encounter
use |  | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank |  | 0..1 | positiveInt | Ranking 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..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(FI Base Location(2.0.0) | FI Base Organization(2.0.0)) | 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 | The 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..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy |  | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement |  | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination |  | 0..1 | Reference(FI Base Location(2.0.0) | FI Base Organization(2.0.0)) | 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 | List of locations where the patient has been
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(FI Base Location(2.0.0)) | Location the encounter takes place
status |  | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType |  | 0..1 | CodeableConcept | The 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..1 | Period | Time period during which the patient was present at the location
serviceProvider |  | 0..1 | Reference(FI Base Organization(2.0.0)) | The organization (facility) responsible for this encounter
partOf |  | 0..1 | Reference(FI Base Encounter(2.0.0)) | Another Encounter this encounter is part of
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Encounter.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Encounter.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` From the FHIR Standard
Encounter.statusHistory.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` From the FHIR Standard
Encounter.class | extensible | ActEncounterCode `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode`
Encounter.classHistory.class | extensible | ActEncounterCode `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode`
Encounter.type | example | EncounterType `http://hl7.org/fhir/ValueSet/encounter-type` From the FHIR Standard
Encounter.serviceType | example | ServiceType `http://hl7.org/fhir/ValueSet/service-type` From the FHIR Standard
Encounter.priority | example | ActPriority `http://terminology.hl7.org/ValueSet/v3-ActPriority`
Encounter.participant.type | extensible | ParticipantType `http://hl7.org/fhir/ValueSet/encounter-participant-type` From the FHIR Standard
Encounter.reasonCode | preferred | EncounterReasonCodes `http://hl7.org/fhir/ValueSet/encounter-reason` From the FHIR Standard
Encounter.diagnosis.use | preferred | DiagnosisRole `http://hl7.org/fhir/ValueSet/diagnosis-role` From the FHIR Standard
Encounter.hospitalization.admitSource | preferred | AdmitSource `http://hl7.org/fhir/ValueSet/encounter-admit-source` From the FHIR Standard
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicator `http://terminology.hl7.org/ValueSet/v2-0092`
Encounter.hospitalization.dietPreference | example | Diet `http://hl7.org/fhir/ValueSet/encounter-diet` From the FHIR Standard
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesy `http://hl7.org/fhir/ValueSet/encounter-special-courtesy` From the FHIR Standard
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangements `http://hl7.org/fhir/ValueSet/encounter-special-arrangements` From the FHIR Standard
Encounter.hospitalization.dischargeDisposition | example | DischargeDisposition `http://hl7.org/fhir/ValueSet/encounter-discharge-disposition` From the FHIR Standard
Encounter.location.status | required | EncounterLocationStatus `http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1` From the FHIR Standard
Encounter.location.physicalType | example | LocationType `http://hl7.org/fhir/ValueSet/location-physical-type` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Encounter | 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 : 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-4 | error | Encounter | If 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-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from Encounter

Summary

Structures

This structure refers to these other structures:

- FI Base Patient (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-patient)
- FI Base EpisodeOfCare (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-episode-of-care)
- FI Base Practitioner (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-practitioner)
- FI Base PractitionerRole (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-practitioner-role)
- FI Base Appointment (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-appointment)
- FI Base Condition (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-condition)
- Fi Base Procedure (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-procedure)
- FI Base Observation (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-observation)
- FI Base Location (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-location)
- FI Base Organization (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-organization)
- FI Base Encounter (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-encounter)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
modifierExtension | ?! | 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
status | ?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter. ele-1: All FHIR elements must have a @value or children
class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter. ele-1: All FHIR elements must have a @value or children
subject | Σ | 0..1 | Reference(FI Base Patient(2.0.0) | Group) | The patient or group present at the encounter ele-1: All FHIR elements must have a @value or children
episodeOfCare | Σ | 0..* | Reference(FI Base EpisodeOfCare(2.0.0)) | Episode(s) of care that this encounter should be recorded against ele-1: All FHIR elements must have a @value or children
appointment | Σ | 0..* | Reference(FI Base Appointment(2.0.0)) | The appointment that scheduled this encounter ele-1: All FHIR elements must have a @value or children
reasonReference | Σ | 0..* | Reference(FI Base Condition(2.0.0) | Fi Base Procedure(2.0.0) | FI Base Observation(2.0.0) | ImmunizationRecommendation) | Reason the encounter takes place (reference) ele-1: All FHIR elements must have a @value or children
serviceProvider |  | 0..1 | Reference(FI Base Organization(2.0.0)) | The organization (facility) responsible for this encounter ele-1: All FHIR elements must have a @value or children
partOf |  | 0..1 | Reference(FI Base Encounter(2.0.0)) | Another Encounter this encounter is part of ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Encounter.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` From the FHIR Standard
Encounter.class | extensible | ActEncounterCode `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Encounter | 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 : 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-4 | error | Encounter | If 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-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

Differential View

This structure is derived from Encounter

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  |  | Encounter |
subject |  | 0..1 | Reference(FI Base Patient(2.0.0) | Group) | The patient or group present at the encounter
episodeOfCare |  | 0..* | Reference(FI Base EpisodeOfCare(2.0.0)) | Episode(s) of care that this encounter should be recorded against
participant |  |  |  |
individual |  | 0..1 | Reference(FI Base Practitioner(2.0.0) | FI Base PractitionerRole(2.0.0) | RelatedPerson) | Persons involved in the encounter other than the patient
appointment |  | 0..* | Reference(FI Base Appointment(2.0.0)) | The appointment that scheduled this encounter
reasonReference |  | 0..* | Reference(FI Base Condition(2.0.0) | Fi Base Procedure(2.0.0) | FI Base Observation(2.0.0) | ImmunizationRecommendation) | Reason the encounter takes place (reference)
diagnosis |  |  |  |
condition |  | 1..1 | Reference(FI Base Condition(2.0.0) | Fi Base Procedure(2.0.0)) | The diagnosis or procedure relevant to the encounter
hospitalization |  |  |  |
origin |  | 0..1 | Reference(FI Base Location(2.0.0) | FI Base Organization(2.0.0)) | The location/organization from which the patient came before admission
destination |  | 0..1 | Reference(FI Base Location(2.0.0) | FI Base Organization(2.0.0)) | Location/organization to which the patient is discharged
location |  |  |  |
location |  | 1..1 | Reference(FI Base Location(2.0.0)) | Location the encounter takes place
serviceProvider |  | 0..1 | Reference(FI Base Organization(2.0.0)) | The organization (facility) responsible for this encounter
partOf |  | 0..1 | Reference(FI Base Encounter(2.0.0)) | Another Encounter this encounter is part of
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known
status | ?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory |  | 0..* | BackboneElement | List of past encounter statuses
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
status |  | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period |  | 1..1 | Period | The time that the episode was in the specified status
class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
classHistory |  | 0..* | BackboneElement | List of past encounter classes
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
class |  | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period |  | 1..1 | Period | The time that the episode was in the specified class
type | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: EncounterType (example): The type of encounter.
serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
subject | Σ | 0..1 | Reference(FI Base Patient(2.0.0) | Group) | The patient or group present at the encounter
episodeOfCare | Σ | 0..* | Reference(FI Base EpisodeOfCare(2.0.0)) | Episode(s) of care that this encounter should be recorded against
basedOn |  | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter
participant | Σ | 0..* | BackboneElement | List of participants involved in the 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
type | Σ | 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
individual | Σ | 0..1 | Reference(FI Base Practitioner(2.0.0) | FI Base PractitionerRole(2.0.0) | RelatedPerson) | Persons involved in the encounter other than the patient
appointment | Σ | 0..* | Reference(FI Base Appointment(2.0.0)) | The appointment that scheduled this encounter
period |  | 0..1 | Period | The start and end time of the encounter
length |  | 0..1 | Duration | Quantity of time the encounter lasted (less time absent)
reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonReference | Σ | 0..* | Reference(FI Base Condition(2.0.0) | Fi Base Procedure(2.0.0) | FI Base Observation(2.0.0) | ImmunizationRecommendation) | Reason the encounter takes place (reference)
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 | 1..1 | Reference(FI Base Condition(2.0.0) | Fi Base Procedure(2.0.0)) | The diagnosis or procedure relevant to the encounter
use |  | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank |  | 0..1 | positiveInt | Ranking 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..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(FI Base Location(2.0.0) | FI Base Organization(2.0.0)) | 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 | The 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..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy |  | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement |  | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination |  | 0..1 | Reference(FI Base Location(2.0.0) | FI Base Organization(2.0.0)) | 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 | List of locations where the patient has been
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(FI Base Location(2.0.0)) | Location the encounter takes place
status |  | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType |  | 0..1 | CodeableConcept | The 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..1 | Period | Time period during which the patient was present at the location
serviceProvider |  | 0..1 | Reference(FI Base Organization(2.0.0)) | The organization (facility) responsible for this encounter
partOf |  | 0..1 | Reference(FI Base Encounter(2.0.0)) | Another Encounter this encounter is part of
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Encounter.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Encounter.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` From the FHIR Standard
Encounter.statusHistory.status | required | EncounterStatus `http://hl7.org/fhir/ValueSet/encounter-status|4.0.1` From the FHIR Standard
Encounter.class | extensible | ActEncounterCode `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode`
Encounter.classHistory.class | extensible | ActEncounterCode `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode`
Encounter.type | example | EncounterType `http://hl7.org/fhir/ValueSet/encounter-type` From the FHIR Standard
Encounter.serviceType | example | ServiceType `http://hl7.org/fhir/ValueSet/service-type` From the FHIR Standard
Encounter.priority | example | ActPriority `http://terminology.hl7.org/ValueSet/v3-ActPriority`
Encounter.participant.type | extensible | ParticipantType `http://hl7.org/fhir/ValueSet/encounter-participant-type` From the FHIR Standard
Encounter.reasonCode | preferred | EncounterReasonCodes `http://hl7.org/fhir/ValueSet/encounter-reason` From the FHIR Standard
Encounter.diagnosis.use | preferred | DiagnosisRole `http://hl7.org/fhir/ValueSet/diagnosis-role` From the FHIR Standard
Encounter.hospitalization.admitSource | preferred | AdmitSource `http://hl7.org/fhir/ValueSet/encounter-admit-source` From the FHIR Standard
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicator `http://terminology.hl7.org/ValueSet/v2-0092`
Encounter.hospitalization.dietPreference | example | Diet `http://hl7.org/fhir/ValueSet/encounter-diet` From the FHIR Standard
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesy `http://hl7.org/fhir/ValueSet/encounter-special-courtesy` From the FHIR Standard
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangements `http://hl7.org/fhir/ValueSet/encounter-special-arrangements` From the FHIR Standard
Encounter.hospitalization.dischargeDisposition | example | DischargeDisposition `http://hl7.org/fhir/ValueSet/encounter-discharge-disposition` From the FHIR Standard
Encounter.location.status | required | EncounterLocationStatus `http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1` From the FHIR Standard
Encounter.location.physicalType | example | LocationType `http://hl7.org/fhir/ValueSet/location-physical-type` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Encounter | 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 : 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-4 | error | Encounter | If 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-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from Encounter

Summary

Structures

This structure refers to these other structures:

- FI Base Patient (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-patient)
- FI Base EpisodeOfCare (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-episode-of-care)
- FI Base Practitioner (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-practitioner)
- FI Base PractitionerRole (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-practitioner-role)
- FI Base Appointment (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-appointment)
- FI Base Condition (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-condition)
- Fi Base Procedure (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-procedure)
- FI Base Observation (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-observation)
- FI Base Location (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-location)
- FI Base Organization (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-organization)
- FI Base Encounter (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-encounter)

Other representations of profile: CSV, Excel, Schematron