Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.4 - release

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.4) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: NZ SharedCare Encounter

Official URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/SharedCareEncounter | Version: 1.0.0
Active as of 2025-12-11 | Computable Name: SharedCareEncounter

A FHIR resource profile for operational reporting of NZ encounters.

A FHIR resource profile for operational reporting of NZ encounters.

Usages:

- Examples for this Profile: Encounter/NzTelehealthEncounterExample
- CapabilityStatements using this Profile: Shared Care FHIR Server Capability Statement

You can also check for usages in the FHIR IG Statistics

### 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
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:cscHolder |  | 0..1 | boolean | Shared Care CSC holder URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-csc-holder
extension:accident |  | 0..1 | boolean | Shared Care Accident Related URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-accident-related
extension:regCode |  | 0..1 | string | Shared Care Registration Code URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-registration-code
extension:modeOfArrival |  | 0..1 | Coding | The method of arrival of the patient into the facility URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival Binding: hl7VS-modeOfArrivalCode (example): The method that the patient arrived at the facility.
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | External (provider) and Health NZ business identifiers
status | ?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
type | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: Shared Care Encounter Type Value Set (extensible)
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter using the Australasian Triage Scale Binding: Australasian Triage Scale (required)
subject | Σ | 1..1 | Reference(NZ Patient | Patient) | The patient or group present at the encounter
type | Σ | 1..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Patient
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/nhi-id
value | Σ C | 1..1 | string | Must be an absolute URL reference to the patient on the NHI system. See constraints for details. Constraints: nhi-value-format Example General: 123456
participant | Σ | 0..* | BackboneElement | Practitioners involved in the encounter
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
individual | Σ | 0..1 | Reference(Practitioner resource for use in NZ | PractitionerRole resource for use in NZ) | Persons involved in the encounter other than the patient
identifier | Σ C | 1..1 | Identifier | A local identifier MUST be added to this section. Constraints: hpiOrganizationIdPattern, hpiFacilityIdPattern, nzbnPattern, hpiCpnPattern
use | ?!Σ | 0..1 | code | The local identifier use SHOULD be set to official. Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ C | 1..1 | uri | The system identifier for the organization, facility or nzbn Constraints: allowedLocalIdentifierSystems Example General: http://www.acme.com/identifiers/patient Example HPI Organisation ID: https://standards.digital.health.nz/ns/hpi-organisation-id
value | Σ | 1..1 | string | The actual local identifier value, e.g. GZZ999-Z Example General: 123456 Example Example HPI Org ID: GZZ999-Z
appointment | Σ | 0..* | Reference(NZ SharedCare Appointment) | The appointment that scheduled this encounter
period |  | 1..1 | Period | The start and end time of the encounter
hospitalization |  | 0..1 | BackboneElement | Admission & discharge details (if applicable)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
location |  | 0..* | BackboneElement | (Sub)Locations where the patient has been during the encounter
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
location |  | 1..1 | Reference(Location) | Location the encounter takes place
partOf |  | 0..1 | Reference(Encounter) | A preceding Encounter (e.g. discharged from ED then admitted as an inpatient)
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | 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`
Encounter.type | extensible | SharedCareEncounterTypeValueSet `https://fhir-ig.digital.health.nz/shared-care/ValueSet/shared-care-encounter-type-valueset` From this IG
Encounter.priority | required | AustralasianTriageScale(a valid code from Australasian Triage Scale Code System) `https://fhir-ig.digital.health.nz/shared-care/ValueSet/australasian-triage-scale` From this IG
Encounter.subject.type | extensible | Pattern Value: Patient `http://hl7.org/fhir/ValueSet/resource-types` From the FHIR Standard
Encounter.subject.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard
Encounter.participant.individual.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
allowedLocalIdentifierSystems | error | Encounter.participant.individual.identifier.system | Identifier system must be HPI facility, HPI Organisation, HPI CPN or NZBN : $this = 'https://standards.digital.health.nz/ns/hpi-organisation-id' or $this = 'https://standards.digital.health.nz/ns/hpi-nzbn' or $this = 'https://standards.digital.health.nz/ns/hpi-facility-id' or $this = 'https://standards.digital.health.nz/ns/hpi-person-id' |
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
hpiCpnPattern | error | Encounter.participant.individual.identifier | HPI CPN must conform to format (NNXXXX where N is numeric and X is alphabetic). : system = 'https://standards.digital.health.nz/ns/hpi-person-id' implies value.matches('^[0-9]{2}[A-Za-z]{4}$') |
hpiFacilityIdPattern | error | Encounter.participant.individual.identifier | HPI Facility ID must conform to format (FXXnnn-C). : system = 'https://standards.digital.health.nz/ns/hpi-facility-id' implies value.matches('^F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$') |
hpiOrganizationIdPattern | error | Encounter.participant.individual.identifier | HPI Organisation ID must conform to format (GXXnnn-C). : system = 'https://standards.digital.health.nz/ns/hpi-organisation-id' implies value.matches('^G[a-zA-Z0-9]{2}[0-9]{3}-[a-zA-Z0-9]$') |
nhi-value-format | error | Encounter.subject.identifier.value | Reference must be an NHI Patient URL with format ZZZ1111 or ZZZ11AA : matches('^[A-Z]{3}([0-9]{4}|[0-9]{2}[A-Z]{2})$') |
nzbnPattern | error | Encounter.participant.individual.identifier | NZBN must conform to format (13 digits). : system = 'https://standards.digital.health.nz/ns/hpi-nzbn' implies value.matches('^[0-9]{13}$') |

This structure is derived from Encounter

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An interaction during which services are provided to the patient
meta |  |  |  |
source | C | 1..1 | uri | HPI Facility ID from where the record is sourced Constraints: hpi-location-url-format
Slices for tag |  | 1..* | Coding | Tags applied to this resource Slice: Unordered, Open by value:system
tag:correlationId |  | 1..1 | Coding | Tags applied to this resource
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://hub.services.digital.health.nz/ns/correlation-id
code |  | 1..1 | code | Symbol in syntax defined by the system
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:cscHolder |  | 0..1 | boolean | Shared Care CSC holder URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-csc-holder
extension:accident |  | 0..1 | boolean | Shared Care Accident Related URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-accident-related
extension:regCode |  | 0..1 | string | Shared Care Registration Code URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-registration-code
extension:modeOfArrival |  | 0..1 | Coding | The method of arrival of the patient into the facility URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival Binding: hl7VS-modeOfArrivalCode (example): The method that the patient arrived at the facility.
identifier |  | 1..* | Identifier | External (provider) and Health NZ business identifiers
type |  | 0..* | CodeableConcept | Specific type of encounter Binding: Shared Care Encounter Type Value Set (extensible)
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter using the Australasian Triage Scale Binding: Australasian Triage Scale (required)
subject |  | 1..1 | Reference(NZ Patient | Patient) | The patient or group present at the encounter
type |  | 1..1 | uri | Type the reference refers to (e.g. "Patient") Required Pattern: Patient
identifier |  | 1..1 | Identifier | Logical reference, when literal reference is not known
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/nhi-id
value | C | 1..1 | string | Must be an absolute URL reference to the patient on the NHI system. See constraints for details. Constraints: nhi-value-format
participant |  | 0..* | BackboneElement | Practitioners involved in the encounter
individual |  | 0..1 | Reference(Practitioner resource for use in NZ | PractitionerRole resource for use in NZ) | Persons involved in the encounter other than the patient
identifier | C | 1..1 | Identifier | A local identifier MUST be added to this section. Constraints: hpiOrganizationIdPattern, hpiFacilityIdPattern, nzbnPattern, hpiCpnPattern
use |  | 0..1 | code | The local identifier use SHOULD be set to official.
system | C | 1..1 | uri | The system identifier for the organization, facility or nzbn Constraints: allowedLocalIdentifierSystems Example HPI Organisation ID: https://standards.digital.health.nz/ns/hpi-organisation-id
value |  | 1..1 | string | The actual local identifier value, e.g. GZZ999-Z Example Example HPI Org ID: GZZ999-Z
appointment |  | 0..* | Reference(NZ SharedCare Appointment) | The appointment that scheduled this encounter
period |  | 1..1 | Period | The start and end time of the encounter
diagnosis |  |  |  |
condition |  | 1..1 | Reference(Condition) | 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: Diagnosis Use Codes (extensible)
hospitalization |  | 0..1 | BackboneElement | Admission & discharge details (if applicable)
location |  | 0..* | BackboneElement | (Sub)Locations where the patient has been during the encounter
serviceProvider |  |  |  |
identifier | C | 1..1 | Identifier | A local identifier MUST be added to this section. Constraints: hpiOrganizationIdPattern, hpiFacilityIdPattern, nzbnPattern, hpiCpnPattern
use |  | 0..1 | code | The local identifier use SHOULD be set to official.
system | C | 1..1 | uri | The system identifier for the organization, facility or nzbn Constraints: allowedLocalIdentifierSystems Example HPI Organisation ID: https://standards.digital.health.nz/ns/hpi-organisation-id
value |  | 1..1 | string | The actual local identifier value, e.g. GZZ999-Z Example Example HPI Org ID: GZZ999-Z
partOf |  | 0..1 | Reference(Encounter) | A preceding Encounter (e.g. discharged from ED then admitted as an inpatient)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Encounter.type | extensible | SharedCareEncounterTypeValueSet `https://fhir-ig.digital.health.nz/shared-care/ValueSet/shared-care-encounter-type-valueset` From this IG
Encounter.priority | required | AustralasianTriageScale(a valid code from Australasian Triage Scale Code System) `https://fhir-ig.digital.health.nz/shared-care/ValueSet/australasian-triage-scale` From this IG
Encounter.diagnosis.use | extensible | DiagnosisUseCodes `https://fhir-ig.digital.health.nz/shared-care/ValueSet/diagnosis-use-codes` From this IG

#### Constraints

Id | Grade | Path(s) | Details | Requirements
allowedLocalIdentifierSystems | error | Encounter.participant.individual.identifier.system, Encounter.serviceProvider.identifier.system | Identifier system must be HPI facility, HPI Organisation, HPI CPN or NZBN : $this = 'https://standards.digital.health.nz/ns/hpi-organisation-id' or $this = 'https://standards.digital.health.nz/ns/hpi-nzbn' or $this = 'https://standards.digital.health.nz/ns/hpi-facility-id' or $this = 'https://standards.digital.health.nz/ns/hpi-person-id' |
hpi-location-url-format | error | Encounter.meta.source | Reference must be an HPI facility URL with format https://standards.digital.health.nz/ns/hpi-facility-id/FZZ111-A : matches('^https://standards.digital.health.nz/ns/hpi-facility-id/F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$') |
hpiCpnPattern | error | Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier | HPI CPN must conform to format (NNXXXX where N is numeric and X is alphabetic). : system = 'https://standards.digital.health.nz/ns/hpi-person-id' implies value.matches('^[0-9]{2}[A-Za-z]{4}$') |
hpiFacilityIdPattern | error | Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier | HPI Facility ID must conform to format (FXXnnn-C). : system = 'https://standards.digital.health.nz/ns/hpi-facility-id' implies value.matches('^F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$') |
hpiOrganizationIdPattern | error | Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier | HPI Organisation ID must conform to format (GXXnnn-C). : system = 'https://standards.digital.health.nz/ns/hpi-organisation-id' implies value.matches('^G[a-zA-Z0-9]{2}[0-9]{3}-[a-zA-Z0-9]$') |
nhi-value-format | error | Encounter.subject.identifier.value | Reference must be an NHI Patient URL with format ZZZ1111 or ZZZ11AA : matches('^[A-Z]{3}([0-9]{4}|[0-9]{2}[A-Z]{2})$') |
nzbnPattern | error | Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier | NZBN must conform to format (13 digits). : system = 'https://standards.digital.health.nz/ns/hpi-nzbn' implies value.matches('^[0-9]{13}$') |

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
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ C | 1..1 | uri | HPI Facility ID from where the record is sourced Constraints: hpi-location-url-format
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag | Σ | 1..* | Coding | Tags applied to this resource Slice: Unordered, Open by value:system Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
tag:correlationId | Σ | 1..1 | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: https://hub.services.digital.health.nz/ns/correlation-id
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:cscHolder |  | 0..1 | boolean | Shared Care CSC holder URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-csc-holder
extension:accident |  | 0..1 | boolean | Shared Care Accident Related URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-accident-related
extension:regCode |  | 0..1 | string | Shared Care Registration Code URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-registration-code
extension:modeOfArrival |  | 0..1 | Coding | The method of arrival of the patient into the facility URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival Binding: hl7VS-modeOfArrivalCode (example): The method that the patient arrived at the facility.
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | External (provider) and Health NZ business identifiers
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: Shared Care Encounter Type Value Set (extensible)
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 using the Australasian Triage Scale Binding: Australasian Triage Scale (required)
subject | Σ | 1..1 | Reference(NZ Patient | Patient) | The patient or group present at the encounter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 1..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Patient
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/nhi-id
value | Σ C | 1..1 | string | Must be an absolute URL reference to the patient on the NHI system. See constraints for details. Constraints: nhi-value-format Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | 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 | Practitioners 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(Practitioner resource for use in NZ | PractitionerRole resource for use in NZ) | Persons involved in the encounter other than the patient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ C | 1..1 | Identifier | A local identifier MUST be added to this section. Constraints: hpiOrganizationIdPattern, hpiFacilityIdPattern, nzbnPattern, hpiCpnPattern
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | The local identifier use SHOULD be set to official. Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ C | 1..1 | uri | The system identifier for the organization, facility or nzbn Constraints: allowedLocalIdentifierSystems Example General: http://www.acme.com/identifiers/patient Example HPI Organisation ID: https://standards.digital.health.nz/ns/hpi-organisation-id
value | Σ | 1..1 | string | The actual local identifier value, e.g. GZZ999-Z Example General: 123456 Example Example HPI Org ID: GZZ999-Z
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
appointment | Σ | 0..* | Reference(NZ SharedCare Appointment) | The appointment that scheduled this encounter
period |  | 1..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(Condition | Procedure | Observation | 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(Condition) | 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: Diagnosis Use Codes (extensible)
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 | Admission & discharge details (if applicable)
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 | 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(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 | (Sub)Locations where the patient has been during 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
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.
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(Organization) | The organization (facility) responsible for this encounter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ C | 1..1 | Identifier | A local identifier MUST be added to this section. Constraints: hpiOrganizationIdPattern, hpiFacilityIdPattern, nzbnPattern, hpiCpnPattern
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | The local identifier use SHOULD be set to official. Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ C | 1..1 | uri | The system identifier for the organization, facility or nzbn Constraints: allowedLocalIdentifierSystems Example General: http://www.acme.com/identifiers/patient Example HPI Organisation ID: https://standards.digital.health.nz/ns/hpi-organisation-id
value | Σ | 1..1 | string | The actual local identifier value, e.g. GZZ999-Z Example General: 123456 Example Example HPI Org ID: GZZ999-Z
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
partOf |  | 0..1 | Reference(Encounter) | A preceding Encounter (e.g. discharged from ED then admitted as an inpatient)
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Encounter.meta.security | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels` From the FHIR Standard
Encounter.meta.tag | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags` From the FHIR Standard
Encounter.meta.tag:correlationId | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags` From the FHIR Standard
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 | extensible | SharedCareEncounterTypeValueSet `https://fhir-ig.digital.health.nz/shared-care/ValueSet/shared-care-encounter-type-valueset` From this IG
Encounter.serviceType | example | ServiceType `http://hl7.org/fhir/ValueSet/service-type` From the FHIR Standard
Encounter.priority | required | AustralasianTriageScale(a valid code from Australasian Triage Scale Code System) `https://fhir-ig.digital.health.nz/shared-care/ValueSet/australasian-triage-scale` From this IG
Encounter.subject.type | extensible | Pattern Value: Patient `http://hl7.org/fhir/ValueSet/resource-types` From the FHIR Standard
Encounter.subject.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard
Encounter.subject.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From the FHIR Standard
Encounter.participant.type | extensible | ParticipantType `http://hl7.org/fhir/ValueSet/encounter-participant-type` From the FHIR Standard
Encounter.participant.individual.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From the FHIR Standard
Encounter.participant.individual.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard
Encounter.participant.individual.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From the FHIR Standard
Encounter.reasonCode | preferred | EncounterReasonCodes `http://hl7.org/fhir/ValueSet/encounter-reason` From the FHIR Standard
Encounter.diagnosis.use | extensible | DiagnosisUseCodes `https://fhir-ig.digital.health.nz/shared-care/ValueSet/diagnosis-use-codes` From this IG
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
Encounter.serviceProvider.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From the FHIR Standard
Encounter.serviceProvider.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard
Encounter.serviceProvider.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
allowedLocalIdentifierSystems | error | Encounter.participant.individual.identifier.system, Encounter.serviceProvider.identifier.system | Identifier system must be HPI facility, HPI Organisation, HPI CPN or NZBN : $this = 'https://standards.digital.health.nz/ns/hpi-organisation-id' or $this = 'https://standards.digital.health.nz/ns/hpi-nzbn' or $this = 'https://standards.digital.health.nz/ns/hpi-facility-id' or $this = 'https://standards.digital.health.nz/ns/hpi-person-id' |
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
hpi-location-url-format | error | Encounter.meta.source | Reference must be an HPI facility URL with format https://standards.digital.health.nz/ns/hpi-facility-id/FZZ111-A : matches('^https://standards.digital.health.nz/ns/hpi-facility-id/F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$') |
hpiCpnPattern | error | Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier | HPI CPN must conform to format (NNXXXX where N is numeric and X is alphabetic). : system = 'https://standards.digital.health.nz/ns/hpi-person-id' implies value.matches('^[0-9]{2}[A-Za-z]{4}$') |
hpiFacilityIdPattern | error | Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier | HPI Facility ID must conform to format (FXXnnn-C). : system = 'https://standards.digital.health.nz/ns/hpi-facility-id' implies value.matches('^F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$') |
hpiOrganizationIdPattern | error | Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier | HPI Organisation ID must conform to format (GXXnnn-C). : system = 'https://standards.digital.health.nz/ns/hpi-organisation-id' implies value.matches('^G[a-zA-Z0-9]{2}[0-9]{3}-[a-zA-Z0-9]$') |
nhi-value-format | error | Encounter.subject.identifier.value | Reference must be an NHI Patient URL with format ZZZ1111 or ZZZ11AA : matches('^[A-Z]{3}([0-9]{4}|[0-9]{2}[A-Z]{2})$') |
nzbnPattern | error | Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier | NZBN must conform to format (13 digits). : system = 'https://standards.digital.health.nz/ns/hpi-nzbn' implies value.matches('^[0-9]{13}$') |

This structure is derived from Encounter

Summary

Mandatory: 7 elements(11 nested mandatory elements)
Fixed: 2 elements

Structures

This structure refers to these other structures:

- NZ Patient (http://hl7.org.nz/fhir/StructureDefinition/NzPatient)
- Practitioner resource for use in NZ (http://hl7.org.nz/fhir/StructureDefinition/NzPractitioner)
- PractitionerRole resource for use in NZ (http://hl7.org.nz/fhir/StructureDefinition/NzPractitionerRole)
- NZ SharedCare Appointment (https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/SharedCareAppointment)

Extensions

This structure refers to these extensions:

- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-csc-holder
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-accident-related
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-registration-code
- http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Encounter.meta.tag

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
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:cscHolder |  | 0..1 | boolean | Shared Care CSC holder URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-csc-holder
extension:accident |  | 0..1 | boolean | Shared Care Accident Related URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-accident-related
extension:regCode |  | 0..1 | string | Shared Care Registration Code URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-registration-code
extension:modeOfArrival |  | 0..1 | Coding | The method of arrival of the patient into the facility URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival Binding: hl7VS-modeOfArrivalCode (example): The method that the patient arrived at the facility.
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | External (provider) and Health NZ business identifiers
status | ?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
type | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: Shared Care Encounter Type Value Set (extensible)
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter using the Australasian Triage Scale Binding: Australasian Triage Scale (required)
subject | Σ | 1..1 | Reference(NZ Patient | Patient) | The patient or group present at the encounter
type | Σ | 1..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Patient
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/nhi-id
value | Σ C | 1..1 | string | Must be an absolute URL reference to the patient on the NHI system. See constraints for details. Constraints: nhi-value-format Example General: 123456
participant | Σ | 0..* | BackboneElement | Practitioners involved in the encounter
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
individual | Σ | 0..1 | Reference(Practitioner resource for use in NZ | PractitionerRole resource for use in NZ) | Persons involved in the encounter other than the patient
identifier | Σ C | 1..1 | Identifier | A local identifier MUST be added to this section. Constraints: hpiOrganizationIdPattern, hpiFacilityIdPattern, nzbnPattern, hpiCpnPattern
use | ?!Σ | 0..1 | code | The local identifier use SHOULD be set to official. Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ C | 1..1 | uri | The system identifier for the organization, facility or nzbn Constraints: allowedLocalIdentifierSystems Example General: http://www.acme.com/identifiers/patient Example HPI Organisation ID: https://standards.digital.health.nz/ns/hpi-organisation-id
value | Σ | 1..1 | string | The actual local identifier value, e.g. GZZ999-Z Example General: 123456 Example Example HPI Org ID: GZZ999-Z
appointment | Σ | 0..* | Reference(NZ SharedCare Appointment) | The appointment that scheduled this encounter
period |  | 1..1 | Period | The start and end time of the encounter
hospitalization |  | 0..1 | BackboneElement | Admission & discharge details (if applicable)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
location |  | 0..* | BackboneElement | (Sub)Locations where the patient has been during the encounter
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
location |  | 1..1 | Reference(Location) | Location the encounter takes place
partOf |  | 0..1 | Reference(Encounter) | A preceding Encounter (e.g. discharged from ED then admitted as an inpatient)
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | 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`
Encounter.type | extensible | SharedCareEncounterTypeValueSet `https://fhir-ig.digital.health.nz/shared-care/ValueSet/shared-care-encounter-type-valueset` From this IG
Encounter.priority | required | AustralasianTriageScale(a valid code from Australasian Triage Scale Code System) `https://fhir-ig.digital.health.nz/shared-care/ValueSet/australasian-triage-scale` From this IG
Encounter.subject.type | extensible | Pattern Value: Patient `http://hl7.org/fhir/ValueSet/resource-types` From the FHIR Standard
Encounter.subject.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard
Encounter.participant.individual.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
allowedLocalIdentifierSystems | error | Encounter.participant.individual.identifier.system | Identifier system must be HPI facility, HPI Organisation, HPI CPN or NZBN : $this = 'https://standards.digital.health.nz/ns/hpi-organisation-id' or $this = 'https://standards.digital.health.nz/ns/hpi-nzbn' or $this = 'https://standards.digital.health.nz/ns/hpi-facility-id' or $this = 'https://standards.digital.health.nz/ns/hpi-person-id' |
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
hpiCpnPattern | error | Encounter.participant.individual.identifier | HPI CPN must conform to format (NNXXXX where N is numeric and X is alphabetic). : system = 'https://standards.digital.health.nz/ns/hpi-person-id' implies value.matches('^[0-9]{2}[A-Za-z]{4}$') |
hpiFacilityIdPattern | error | Encounter.participant.individual.identifier | HPI Facility ID must conform to format (FXXnnn-C). : system = 'https://standards.digital.health.nz/ns/hpi-facility-id' implies value.matches('^F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$') |
hpiOrganizationIdPattern | error | Encounter.participant.individual.identifier | HPI Organisation ID must conform to format (GXXnnn-C). : system = 'https://standards.digital.health.nz/ns/hpi-organisation-id' implies value.matches('^G[a-zA-Z0-9]{2}[0-9]{3}-[a-zA-Z0-9]$') |
nhi-value-format | error | Encounter.subject.identifier.value | Reference must be an NHI Patient URL with format ZZZ1111 or ZZZ11AA : matches('^[A-Z]{3}([0-9]{4}|[0-9]{2}[A-Z]{2})$') |
nzbnPattern | error | Encounter.participant.individual.identifier | NZBN must conform to format (13 digits). : system = 'https://standards.digital.health.nz/ns/hpi-nzbn' implies value.matches('^[0-9]{13}$') |

Differential View

This structure is derived from Encounter

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An interaction during which services are provided to the patient
meta |  |  |  |
source | C | 1..1 | uri | HPI Facility ID from where the record is sourced Constraints: hpi-location-url-format
Slices for tag |  | 1..* | Coding | Tags applied to this resource Slice: Unordered, Open by value:system
tag:correlationId |  | 1..1 | Coding | Tags applied to this resource
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://hub.services.digital.health.nz/ns/correlation-id
code |  | 1..1 | code | Symbol in syntax defined by the system
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:cscHolder |  | 0..1 | boolean | Shared Care CSC holder URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-csc-holder
extension:accident |  | 0..1 | boolean | Shared Care Accident Related URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-accident-related
extension:regCode |  | 0..1 | string | Shared Care Registration Code URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-registration-code
extension:modeOfArrival |  | 0..1 | Coding | The method of arrival of the patient into the facility URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival Binding: hl7VS-modeOfArrivalCode (example): The method that the patient arrived at the facility.
identifier |  | 1..* | Identifier | External (provider) and Health NZ business identifiers
type |  | 0..* | CodeableConcept | Specific type of encounter Binding: Shared Care Encounter Type Value Set (extensible)
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter using the Australasian Triage Scale Binding: Australasian Triage Scale (required)
subject |  | 1..1 | Reference(NZ Patient | Patient) | The patient or group present at the encounter
type |  | 1..1 | uri | Type the reference refers to (e.g. "Patient") Required Pattern: Patient
identifier |  | 1..1 | Identifier | Logical reference, when literal reference is not known
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/nhi-id
value | C | 1..1 | string | Must be an absolute URL reference to the patient on the NHI system. See constraints for details. Constraints: nhi-value-format
participant |  | 0..* | BackboneElement | Practitioners involved in the encounter
individual |  | 0..1 | Reference(Practitioner resource for use in NZ | PractitionerRole resource for use in NZ) | Persons involved in the encounter other than the patient
identifier | C | 1..1 | Identifier | A local identifier MUST be added to this section. Constraints: hpiOrganizationIdPattern, hpiFacilityIdPattern, nzbnPattern, hpiCpnPattern
use |  | 0..1 | code | The local identifier use SHOULD be set to official.
system | C | 1..1 | uri | The system identifier for the organization, facility or nzbn Constraints: allowedLocalIdentifierSystems Example HPI Organisation ID: https://standards.digital.health.nz/ns/hpi-organisation-id
value |  | 1..1 | string | The actual local identifier value, e.g. GZZ999-Z Example Example HPI Org ID: GZZ999-Z
appointment |  | 0..* | Reference(NZ SharedCare Appointment) | The appointment that scheduled this encounter
period |  | 1..1 | Period | The start and end time of the encounter
diagnosis |  |  |  |
condition |  | 1..1 | Reference(Condition) | 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: Diagnosis Use Codes (extensible)
hospitalization |  | 0..1 | BackboneElement | Admission & discharge details (if applicable)
location |  | 0..* | BackboneElement | (Sub)Locations where the patient has been during the encounter
serviceProvider |  |  |  |
identifier | C | 1..1 | Identifier | A local identifier MUST be added to this section. Constraints: hpiOrganizationIdPattern, hpiFacilityIdPattern, nzbnPattern, hpiCpnPattern
use |  | 0..1 | code | The local identifier use SHOULD be set to official.
system | C | 1..1 | uri | The system identifier for the organization, facility or nzbn Constraints: allowedLocalIdentifierSystems Example HPI Organisation ID: https://standards.digital.health.nz/ns/hpi-organisation-id
value |  | 1..1 | string | The actual local identifier value, e.g. GZZ999-Z Example Example HPI Org ID: GZZ999-Z
partOf |  | 0..1 | Reference(Encounter) | A preceding Encounter (e.g. discharged from ED then admitted as an inpatient)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Encounter.type | extensible | SharedCareEncounterTypeValueSet `https://fhir-ig.digital.health.nz/shared-care/ValueSet/shared-care-encounter-type-valueset` From this IG
Encounter.priority | required | AustralasianTriageScale(a valid code from Australasian Triage Scale Code System) `https://fhir-ig.digital.health.nz/shared-care/ValueSet/australasian-triage-scale` From this IG
Encounter.diagnosis.use | extensible | DiagnosisUseCodes `https://fhir-ig.digital.health.nz/shared-care/ValueSet/diagnosis-use-codes` From this IG

#### Constraints

Id | Grade | Path(s) | Details | Requirements
allowedLocalIdentifierSystems | error | Encounter.participant.individual.identifier.system, Encounter.serviceProvider.identifier.system | Identifier system must be HPI facility, HPI Organisation, HPI CPN or NZBN : $this = 'https://standards.digital.health.nz/ns/hpi-organisation-id' or $this = 'https://standards.digital.health.nz/ns/hpi-nzbn' or $this = 'https://standards.digital.health.nz/ns/hpi-facility-id' or $this = 'https://standards.digital.health.nz/ns/hpi-person-id' |
hpi-location-url-format | error | Encounter.meta.source | Reference must be an HPI facility URL with format https://standards.digital.health.nz/ns/hpi-facility-id/FZZ111-A : matches('^https://standards.digital.health.nz/ns/hpi-facility-id/F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$') |
hpiCpnPattern | error | Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier | HPI CPN must conform to format (NNXXXX where N is numeric and X is alphabetic). : system = 'https://standards.digital.health.nz/ns/hpi-person-id' implies value.matches('^[0-9]{2}[A-Za-z]{4}$') |
hpiFacilityIdPattern | error | Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier | HPI Facility ID must conform to format (FXXnnn-C). : system = 'https://standards.digital.health.nz/ns/hpi-facility-id' implies value.matches('^F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$') |
hpiOrganizationIdPattern | error | Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier | HPI Organisation ID must conform to format (GXXnnn-C). : system = 'https://standards.digital.health.nz/ns/hpi-organisation-id' implies value.matches('^G[a-zA-Z0-9]{2}[0-9]{3}-[a-zA-Z0-9]$') |
nhi-value-format | error | Encounter.subject.identifier.value | Reference must be an NHI Patient URL with format ZZZ1111 or ZZZ11AA : matches('^[A-Z]{3}([0-9]{4}|[0-9]{2}[A-Z]{2})$') |
nzbnPattern | error | Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier | NZBN must conform to format (13 digits). : system = 'https://standards.digital.health.nz/ns/hpi-nzbn' implies value.matches('^[0-9]{13}$') |

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
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ C | 1..1 | uri | HPI Facility ID from where the record is sourced Constraints: hpi-location-url-format
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag | Σ | 1..* | Coding | Tags applied to this resource Slice: Unordered, Open by value:system Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
tag:correlationId | Σ | 1..1 | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: https://hub.services.digital.health.nz/ns/correlation-id
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:cscHolder |  | 0..1 | boolean | Shared Care CSC holder URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-csc-holder
extension:accident |  | 0..1 | boolean | Shared Care Accident Related URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-accident-related
extension:regCode |  | 0..1 | string | Shared Care Registration Code URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-registration-code
extension:modeOfArrival |  | 0..1 | Coding | The method of arrival of the patient into the facility URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival Binding: hl7VS-modeOfArrivalCode (example): The method that the patient arrived at the facility.
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | External (provider) and Health NZ business identifiers
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: Shared Care Encounter Type Value Set (extensible)
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 using the Australasian Triage Scale Binding: Australasian Triage Scale (required)
subject | Σ | 1..1 | Reference(NZ Patient | Patient) | The patient or group present at the encounter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 1..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Patient
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/nhi-id
value | Σ C | 1..1 | string | Must be an absolute URL reference to the patient on the NHI system. See constraints for details. Constraints: nhi-value-format Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | 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 | Practitioners 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(Practitioner resource for use in NZ | PractitionerRole resource for use in NZ) | Persons involved in the encounter other than the patient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ C | 1..1 | Identifier | A local identifier MUST be added to this section. Constraints: hpiOrganizationIdPattern, hpiFacilityIdPattern, nzbnPattern, hpiCpnPattern
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | The local identifier use SHOULD be set to official. Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ C | 1..1 | uri | The system identifier for the organization, facility or nzbn Constraints: allowedLocalIdentifierSystems Example General: http://www.acme.com/identifiers/patient Example HPI Organisation ID: https://standards.digital.health.nz/ns/hpi-organisation-id
value | Σ | 1..1 | string | The actual local identifier value, e.g. GZZ999-Z Example General: 123456 Example Example HPI Org ID: GZZ999-Z
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
appointment | Σ | 0..* | Reference(NZ SharedCare Appointment) | The appointment that scheduled this encounter
period |  | 1..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(Condition | Procedure | Observation | 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(Condition) | 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: Diagnosis Use Codes (extensible)
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 | Admission & discharge details (if applicable)
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 | 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(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 | (Sub)Locations where the patient has been during 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
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.
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(Organization) | The organization (facility) responsible for this encounter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ C | 1..1 | Identifier | A local identifier MUST be added to this section. Constraints: hpiOrganizationIdPattern, hpiFacilityIdPattern, nzbnPattern, hpiCpnPattern
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | The local identifier use SHOULD be set to official. Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ C | 1..1 | uri | The system identifier for the organization, facility or nzbn Constraints: allowedLocalIdentifierSystems Example General: http://www.acme.com/identifiers/patient Example HPI Organisation ID: https://standards.digital.health.nz/ns/hpi-organisation-id
value | Σ | 1..1 | string | The actual local identifier value, e.g. GZZ999-Z Example General: 123456 Example Example HPI Org ID: GZZ999-Z
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
partOf |  | 0..1 | Reference(Encounter) | A preceding Encounter (e.g. discharged from ED then admitted as an inpatient)
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Encounter.meta.security | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels` From the FHIR Standard
Encounter.meta.tag | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags` From the FHIR Standard
Encounter.meta.tag:correlationId | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags` From the FHIR Standard
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 | extensible | SharedCareEncounterTypeValueSet `https://fhir-ig.digital.health.nz/shared-care/ValueSet/shared-care-encounter-type-valueset` From this IG
Encounter.serviceType | example | ServiceType `http://hl7.org/fhir/ValueSet/service-type` From the FHIR Standard
Encounter.priority | required | AustralasianTriageScale(a valid code from Australasian Triage Scale Code System) `https://fhir-ig.digital.health.nz/shared-care/ValueSet/australasian-triage-scale` From this IG
Encounter.subject.type | extensible | Pattern Value: Patient `http://hl7.org/fhir/ValueSet/resource-types` From the FHIR Standard
Encounter.subject.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard
Encounter.subject.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From the FHIR Standard
Encounter.participant.type | extensible | ParticipantType `http://hl7.org/fhir/ValueSet/encounter-participant-type` From the FHIR Standard
Encounter.participant.individual.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From the FHIR Standard
Encounter.participant.individual.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard
Encounter.participant.individual.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From the FHIR Standard
Encounter.reasonCode | preferred | EncounterReasonCodes `http://hl7.org/fhir/ValueSet/encounter-reason` From the FHIR Standard
Encounter.diagnosis.use | extensible | DiagnosisUseCodes `https://fhir-ig.digital.health.nz/shared-care/ValueSet/diagnosis-use-codes` From this IG
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
Encounter.serviceProvider.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` From the FHIR Standard
Encounter.serviceProvider.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard
Encounter.serviceProvider.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
allowedLocalIdentifierSystems | error | Encounter.participant.individual.identifier.system, Encounter.serviceProvider.identifier.system | Identifier system must be HPI facility, HPI Organisation, HPI CPN or NZBN : $this = 'https://standards.digital.health.nz/ns/hpi-organisation-id' or $this = 'https://standards.digital.health.nz/ns/hpi-nzbn' or $this = 'https://standards.digital.health.nz/ns/hpi-facility-id' or $this = 'https://standards.digital.health.nz/ns/hpi-person-id' |
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
hpi-location-url-format | error | Encounter.meta.source | Reference must be an HPI facility URL with format https://standards.digital.health.nz/ns/hpi-facility-id/FZZ111-A : matches('^https://standards.digital.health.nz/ns/hpi-facility-id/F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$') |
hpiCpnPattern | error | Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier | HPI CPN must conform to format (NNXXXX where N is numeric and X is alphabetic). : system = 'https://standards.digital.health.nz/ns/hpi-person-id' implies value.matches('^[0-9]{2}[A-Za-z]{4}$') |
hpiFacilityIdPattern | error | Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier | HPI Facility ID must conform to format (FXXnnn-C). : system = 'https://standards.digital.health.nz/ns/hpi-facility-id' implies value.matches('^F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$') |
hpiOrganizationIdPattern | error | Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier | HPI Organisation ID must conform to format (GXXnnn-C). : system = 'https://standards.digital.health.nz/ns/hpi-organisation-id' implies value.matches('^G[a-zA-Z0-9]{2}[0-9]{3}-[a-zA-Z0-9]$') |
nhi-value-format | error | Encounter.subject.identifier.value | Reference must be an NHI Patient URL with format ZZZ1111 or ZZZ11AA : matches('^[A-Z]{3}([0-9]{4}|[0-9]{2}[A-Z]{2})$') |
nzbnPattern | error | Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier | NZBN must conform to format (13 digits). : system = 'https://standards.digital.health.nz/ns/hpi-nzbn' implies value.matches('^[0-9]{13}$') |

This structure is derived from Encounter

Summary

Mandatory: 7 elements(11 nested mandatory elements)
Fixed: 2 elements

Structures

This structure refers to these other structures:

- NZ Patient (http://hl7.org.nz/fhir/StructureDefinition/NzPatient)
- Practitioner resource for use in NZ (http://hl7.org.nz/fhir/StructureDefinition/NzPractitioner)
- PractitionerRole resource for use in NZ (http://hl7.org.nz/fhir/StructureDefinition/NzPractitionerRole)
- NZ SharedCare Appointment (https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/SharedCareAppointment)

Extensions

This structure refers to these extensions:

- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-csc-holder
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-accident-related
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-registration-code
- http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Encounter.meta.tag

Other representations of profile: CSV, Excel, Schematron