Introduction

La ressource Encounter est utilisée comme support central pour représenter une pré-admission hospitalière. Elle regroupe les informations essentielles pour le traitement administratif d’un séjour ou d’une consultation prévue à l’hôpital, en lien avec un rendez-vous initial.

Rôle de la ressource Encounter

La ressource Encounter est créée par le système administratif de l’hôpital, généralement à partir d’un rendez-vous saisi via une plateforme ou par un professionnel de santé. Elle joue un rôle central dans la gestion de la préadmission en permettant de :

• Suivre l’état administratif de la préadmission.
• Centraliser les données fournies par le patient.
• Référencer les consentements.
• Coordonner les échanges entre les différents systèmes hospitaliers.

Suivi de la préadmission : Extension PreadmissionStatutFr

Le statut de la préadmission est représenté à l’aide de l’extension PreadmissionStatutFr. Cette extension permet de suivre l’état administratif de la préadmission avec les valeurs suivantes :

• CREATED : Pré-admission créée mais non encore traitée.
• IN_PROGRESS : Pré-admission en cours de traitement dans le portail de préadmission. La patient n’a pas encore renseigner ses informations.
• READY : Les informations ont été renseignées par le patient dans le portail de préadmission. Celle-ci peut-être récupérée par le système administratif de l’hôpital
• COMPLETED : Pré-admission validée et finalisée.
• REFUSED : Pré-admission refusée avec un motif explicatif.
• CANCELLED : Pré-admission en cours d’annulation.

Cette extension est obligatoire dans le profil et remplace l’utilisation directe de Encounter.status pour refléter l’état administratif.

Cycle de vie de la préadmission

Le cycle de vie de la préadmission est géré à travers le champ preadmission_status, qui évolue en fonction des actions réalisées par le patient ou l’agent administratif. Voici les étapes principales :

Cycle de vie de la préadmission

Le cycle de vie de la préadmission est géré à travers le champ preadmission_status, qui évolue en fonction des actions réalisées par le patient ou l’agent administratif. Voici les étapes principales :

Spécificités du profil PreadmissionEncounterFr

Le profil PreadmissionEncounterFr apporte les contraintes suivantes :

Extensions obligatoires

• PreadmissionStatutFr : Permet de suivre l’état administratif de la préadmission. Cette extension est obligatoire et utilise un ValueSet spécifique pour définir les statuts possibles (CREATED, IN_PROGRESS, READY, COMPLETED, REFUSED).

Extensions optionnelles

• EncounterPatientComment : Permet d’ajouter des commentaires libres fournis par le patient à destination de l’agent administratif. Ces commentaires sont représentés sous forme de texte libre (string).
• EncounterAgentInstructions : Permet de transmettre des consignes spécifiques aux agents hospitaliers. Ces consignes sont également représentées sous forme de texte libre (string).

Contraintes sur les champs principaux

• Encounter.status : Fixé à planned pour indiquer que l’Encounter est prévu.
• Encounter.type : Définit le type d’Encounter (hospitalisation, consultation externe, téléconsultation).
• Encounter.subject : Référence obligatoire vers le Patient concerné.
• Encounter.appointment : Référence obligatoire vers le Appointment à l’origine de la préadmission.

Récupération des consentements et des réponses aux questionnaires

Pour garantir une traçabilité complète du dossier de préadmission, il est essentiel de pouvoir accéder facilement aux consentements du patient et aux réponses aux questionnaires administratifs ou médicaux.

Consentements (Consent)

Les consentements liés à une préadmission sont stockés sous forme de ressources Consent. La récupération de ces consentements se fait via le champ Consent.data, qui référence explicitement l’Encounter associé.

Exemple de requête FHIR pour récupérer les consentements liés à un Encounter : GET [base]/Consent?data=Encounter/[id-encounter]

QuestionnaireResponse

Pour un séjour : chaque ressource QuestionnaireResponse liée à la préadmission référence directement l’Encounter via le champ natif QuestionnaireResponse.encounter.

Exemple de requête FHIR pour récupérer les réponses aux questionnaires d’un Encounter : GET [base]/QuestionnaireResponse?encounter=Encounter/[id-encounter]

Critères de recherche autorisés

Les critères de recherche suivants sont disponibles pour le profil PreadmissionEncounterFr :

• Date de dernière mise à jour : Permet de rechercher les préadmissions en fonction de la date de leur dernière modification (_lastUpdated).
• Date de la venue : Permet de rechercher les préadmissions en fonction de la période prévue pour la venue (date).
• Statut de la préadmission : Permet de rechercher les préadmissions selon leur statut (preadmissionStatus).

Gestion des refus, validations et suppressions

En cas de refus

• Le statut de la préadmission est mis à REFUSED.
• Le motif du refus est renseigné dans l’extension EncounterAgentInstructions, qui permet de transmettre des consignes ou des commentaires spécifiques à l’agent du Bureau des Entrées (BDE).
• Le portail de préadmission est notifié du refus, accompagné du motif explicatif.

En cas de validation

• Le statut de la préadmission est mis à ACCEPTED.
• Le portail de préadmission est notifié de la validation, confirmant que la préadmission est complète et prête pour la venue du patient.

En cas de suppression

• Si la préadmission est annulée de manière définitive, la ressource Encounter peut être supprimée via une requête DELETE.
• Cette action intervient généralement lorsqu’aucun traitement administratif n’a été engagé et que la préadmission devient caduque.
• Le portail de préadmission est informé de cette suppression afin d’aligner l’état de la demande côté patient.

Exemple d’utilisation

Voici un exemple d’utilisation de la ressource Encounter pour une préadmission :

• Statut administratif : IN_PROGRESS
• Patient : Référencé via Encounter.subject.
• Rendez-vous initial : Référencé via Encounter.appointment.

Critères de recherche autorisés

Les critères de recherche suivants sont disponibles pour le profil PreadmissionEncounterFr :

• Date de dernière mise à jour : Permet de rechercher les préadmissions en fonction de la date de leur dernière modification (_lastUpdated).
• Date de la venue : Permet de rechercher les préadmissions en fonction de la période prévue pour la venue (date).
• Statut de la préadmission : Permet de rechercher les préadmissions selon leur statut (preadmission-status).
• Patient : Permet de rechercher les préadmissions liées à un patient donné, en filtrant par l’identifiant du patient (subject).

Exemple de requête :
GET [base]/Encounter?subject=Patient/12345
Cette requête retourne toutes les préadmissions associées au patient d’ID 12345.

Exemple de requête :
GET [base]/Encounter?date=lt2025-06-09&_lastUpdated=ge2025-05-26T10:00:00Z&preadmission-status=ready,cancelled Cette requête retourne toutes les préadmissions prévues dans moins de 7 jours, qui ont été modifiées sur le portail de préadmission depuis 1 heure et qui sont, soit prêtes à être traitées par le bureau des entrées, soit annulées.

Conclusion

La ressource Encounter, enrichie d’extensions spécifiques, est le pivot de la coordination des informations de préadmission. Elle permet d’aligner les processus numériques sur les réalités administratives hospitalières tout en conservant une traçabilité complète du traitement des dossiers.

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

Nom	Drapeaux	Card.	Type	Description et contraintes    Filter: Bindings Constraints Obligations
Encounter		0..*	FRCoreEncounterProfile	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 pour extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:estimatedDischargeDate		0..1	date	Estimated discharge date | Date de sortie estimée URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-estimated-discharge-date
extension:remarquePatient		0..1	string	Remarque patient URL: http://hl7.fr/fhir/fr/preadmission/StructureDefinition/encounter-patient-comment
extension:consignesAgent		0..1	string	Consignes agent URL: http://hl7.fr/fhir/fr/preadmission/StructureDefinition/encounter-agent-instructions
extension:preadmissionStatus		1..1	CodeableConcept	Statut de préadmission URL: http://hl7.fr/fhir/fr/preadmission/StructureDefinition/statut-preadmission-fr Binding: preadmission-status-vs (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identifier(s) by which this encounter is known | identifiant de la rencontre
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: temp
type	Σ	1..1	CodeableConcept	Description of identifier Binding: FR Core ValueSet Encounter identifier type (extensible)
system	Σ	1..1	uri	The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient Exemple OID de l'ANS de gestion des organisations (1.2.250.1.71.4.2.2) suivi du FINESS suivi de la branche z qui gère les id de venue/mouvements si l'établissement n'a pas d'OID (sinon utilisation de l'OID de l'établissement): 1.2.250.1.71.4.2.2.1330780321 Exemple autre solution, utilisation d'une URL: http://hopitalTest.fr/fhir/namingsystem/encounters
value	Σ	1..1	string	The value that is unique Exemple General: 123456
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class	SΣ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system Binding: type-venue-encounter-vs (required)
type	Σ	0..1	CodeableConcept	Specific type of encounter Binding: FR Core ValueSet Encounter type (example)
subject	Σ	0..1	Reference(FR Core Patient Profile | FR Core Patient INS Profile)	The patient or group present at the encounter
participant	SΣ	0..*	BackboneElement	List of participants involved in the encounter | Liste des personnes impliquées dans la rencontre
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
appointment	Σ	0..1	Reference(Fr Preadmission Appointment Profile)	The appointment that scheduled this encounter
period	S	1..1	Period	The start and end time of the encounter
account		0..1	Reference(Account)	The set of accounts that may be used for billing for this Encounter
Documentation for this format

Terminology Bindings

Path	Conformité	ValueSet / Code	URI
Encounter.identifier.use	required	Pattern Value: temp http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Encounter.identifier.type	extensible	FRCoreValueSetEncounterIdentifierType https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-identifier-type
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.class.code	required	TypeVenueEncounterValueSet http://hl7.fr/fhir/fr/preadmission/ValueSet/type-venue-encounter-vs From this IG
Encounter.type	example	FRCoreValueSetEncounterType https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-type

Constraints

Id	Grade	Path(s)	Détails	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 FRCoreEncounterProfile

Nom	Drapeaux	Card.	Type	Description et contraintes    Filter: Bindings Constraints Obligations
Encounter			FRCoreEncounterProfile
extension		1..*	Extension	Extension
Slices pour extension				Content/Rules for all slices
extension:remarquePatient		0..1	string	Remarque patient URL: http://hl7.fr/fhir/fr/preadmission/StructureDefinition/encounter-patient-comment
extension:consignesAgent		0..1	string	Consignes agent URL: http://hl7.fr/fhir/fr/preadmission/StructureDefinition/encounter-agent-instructions
extension:preadmissionStatus		1..1	CodeableConcept	Statut de préadmission URL: http://hl7.fr/fhir/fr/preadmission/StructureDefinition/statut-preadmission-fr Binding: preadmission-status-vs (required)
identifier
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: temp
type
coding
system		0..1	uri	Identity of the terminology system Binding: FR Core ValueSet Encounter identifier type (required)
code		0..1	code	Symbol in syntax defined by the system Required Pattern: VN
status	S	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled +
class	S	1..1	Coding	Classification of patient encounter
code		1..1	code	Symbol in syntax defined by the system Binding: type-venue-encounter-vs (required)
subject		0..1	Reference(FR Core Patient Profile | FR Core Patient INS Profile)	The patient or group present at the encounter
participant	S	0..*	BackboneElement	List of participants involved in the encounter | Liste des personnes impliquées dans la rencontre
appointment		0..1	Reference(Fr Preadmission Appointment Profile)	The appointment that scheduled this encounter
period	S	1..1	Period	The start and end time of the encounter
Documentation for this format

Terminology Bindings (Differential)

Path	Conformité	ValueSet	URI
Encounter.identifier.type.coding.system	required	FRCoreValueSetEncounterIdentifierType https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-identifier-type
Encounter.class.code	required	TypeVenueEncounterValueSet http://hl7.fr/fhir/fr/preadmission/ValueSet/type-venue-encounter-vs From this IG

Nom	Drapeaux	Card.	Type	Description et contraintes    Filter: Bindings Constraints Obligations
Encounter		0..*	FRCoreEncounterProfile	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	0..1	uri	Identifies where the resource comes from
Slices pour profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fr-canonical	Σ	0..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter
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.
tag	Σ	0..*	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".
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. Bindings Additionnels But AllLanguages Binding Max
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 pour extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:estimatedDischargeDate		0..1	date	Estimated discharge date | Date de sortie estimée URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-estimated-discharge-date
extension:remarquePatient		0..1	string	Remarque patient URL: http://hl7.fr/fhir/fr/preadmission/StructureDefinition/encounter-patient-comment
extension:consignesAgent		0..1	string	Consignes agent URL: http://hl7.fr/fhir/fr/preadmission/StructureDefinition/encounter-agent-instructions
extension:preadmissionStatus		1..1	CodeableConcept	Statut de préadmission URL: http://hl7.fr/fhir/fr/preadmission/StructureDefinition/statut-preadmission-fr Binding: preadmission-status-vs (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identifier(s) by which this encounter is known | identifiant de la rencontre
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 . Required Pattern: temp
type	Σ	1..1	CodeableConcept	Description of identifier Binding: FR Core ValueSet Encounter identifier type (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
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	0..1	uri	Identity of the terminology system Binding: FR Core ValueSet Encounter identifier type (required)
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: VN
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient Exemple OID de l'ANS de gestion des organisations (1.2.250.1.71.4.2.2) suivi du FINESS suivi de la branche z qui gère les id de venue/mouvements si l'établissement n'a pas d'OID (sinon utilisation de l'OID de l'établissement): 1.2.250.1.71.4.2.2.1330780321 Exemple autre solution, utilisation d'une URL: http://hopitalTest.fr/fhir/namingsystem/encounters
value	Σ	1..1	string	The value that is unique Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(FR Core Organization Profile)	Organization that issued id (may be just text)
status	?!SΣ	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	SΣ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of 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
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Binding: type-venue-encounter-vs (required)
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
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..1	CodeableConcept	Specific type of encounter Binding: FR Core ValueSet Encounter type (example)
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(FR Core Patient Profile | FR Core Patient INS Profile)	The patient or group present at the encounter
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	SΣ	0..*	BackboneElement	List of participants involved in the encounter | Liste des personnes impliquées dans la rencontre
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(RelatedPerson | FR Core Practitioner Profile | PractitionerRole)	Persons involved in the encounter other than the patient
appointment	Σ	0..1	Reference(Fr Preadmission Appointment Profile)	The appointment that scheduled this encounter
period	S	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 | Procedure)	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..1	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 | Identifiant de pré-admission
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	1..1	CodeableConcept	Description of identifier Binding: FR Core ValueSet Encounter identifier type (extensible)
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: 1.2.250.1.71.4.2.2+.n°FINESS
value	Σ	1..1	string	The value that is unique Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(FR Core Organization Profile)	Organization that issued id (may be just text)
origin		0..1	Reference(FR Core Location Profile | FR Core Organization Profile)	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 resaon of re-admission of this hospitalization encounter | Raison de la ré-admission du patient. 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(FR Core Location Profile | FR Core Organization Profile)	Location/organization to which the patient is discharged
dischargeDisposition		0..1	CodeableConcept	Category or kind of location after discharge Binding: FR Core ValueSet Encounter discharge disposition (example)
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(FR Core Location Profile)	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: FR Core ValueSet Location physical type (example)
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider		0..1	Reference(FR Core Organization Profile)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(FR Core Encounter Profile)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Conformité	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.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Bindings Additionnels But AllLanguages Binding Max
Encounter.identifier.use	required	Pattern Value: temp http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Encounter.identifier.type	extensible	FRCoreValueSetEncounterIdentifierType https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-identifier-type
Encounter.identifier.type.coding.system	required	FRCoreValueSetEncounterIdentifierType https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-identifier-type
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.class.code	required	TypeVenueEncounterValueSet http://hl7.fr/fhir/fr/preadmission/ValueSet/type-venue-encounter-vs From this IG
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	example	FRCoreValueSetEncounterType https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-type
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.preAdmissionIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Encounter.hospitalization.preAdmissionIdentifier.type	extensible	FRCoreValueSetEncounterIdentifierType https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-identifier-type
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	FRCoreValueSetEncounterDischargeDisposition https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-discharge-disposition
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 From the FHIR Standard
Encounter.location.physicalType	example	FRCoreValueSetLocationPhysicalType https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-location-physical-type

Constraints

Id	Grade	Path(s)	Détails	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()

Key Elements View

Nom	Drapeaux	Card.	Type	Description et contraintes    Filter: Bindings Constraints Obligations
Encounter		0..*	FRCoreEncounterProfile	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 pour extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:estimatedDischargeDate		0..1	date	Estimated discharge date | Date de sortie estimée URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-estimated-discharge-date
extension:remarquePatient		0..1	string	Remarque patient URL: http://hl7.fr/fhir/fr/preadmission/StructureDefinition/encounter-patient-comment
extension:consignesAgent		0..1	string	Consignes agent URL: http://hl7.fr/fhir/fr/preadmission/StructureDefinition/encounter-agent-instructions
extension:preadmissionStatus		1..1	CodeableConcept	Statut de préadmission URL: http://hl7.fr/fhir/fr/preadmission/StructureDefinition/statut-preadmission-fr Binding: preadmission-status-vs (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identifier(s) by which this encounter is known | identifiant de la rencontre
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: temp
type	Σ	1..1	CodeableConcept	Description of identifier Binding: FR Core ValueSet Encounter identifier type (extensible)
system	Σ	1..1	uri	The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient Exemple OID de l'ANS de gestion des organisations (1.2.250.1.71.4.2.2) suivi du FINESS suivi de la branche z qui gère les id de venue/mouvements si l'établissement n'a pas d'OID (sinon utilisation de l'OID de l'établissement): 1.2.250.1.71.4.2.2.1330780321 Exemple autre solution, utilisation d'une URL: http://hopitalTest.fr/fhir/namingsystem/encounters
value	Σ	1..1	string	The value that is unique Exemple General: 123456
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class	SΣ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system Binding: type-venue-encounter-vs (required)
type	Σ	0..1	CodeableConcept	Specific type of encounter Binding: FR Core ValueSet Encounter type (example)
subject	Σ	0..1	Reference(FR Core Patient Profile | FR Core Patient INS Profile)	The patient or group present at the encounter
participant	SΣ	0..*	BackboneElement	List of participants involved in the encounter | Liste des personnes impliquées dans la rencontre
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
appointment	Σ	0..1	Reference(Fr Preadmission Appointment Profile)	The appointment that scheduled this encounter
period	S	1..1	Period	The start and end time of the encounter
account		0..1	Reference(Account)	The set of accounts that may be used for billing for this Encounter
Documentation for this format

Terminology Bindings

Path	Conformité	ValueSet / Code	URI
Encounter.identifier.use	required	Pattern Value: temp http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Encounter.identifier.type	extensible	FRCoreValueSetEncounterIdentifierType https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-identifier-type
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.class.code	required	TypeVenueEncounterValueSet http://hl7.fr/fhir/fr/preadmission/ValueSet/type-venue-encounter-vs From this IG
Encounter.type	example	FRCoreValueSetEncounterType https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-type

Constraints

Id	Grade	Path(s)	Détails	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 FRCoreEncounterProfile

Nom	Drapeaux	Card.	Type	Description et contraintes    Filter: Bindings Constraints Obligations
Encounter			FRCoreEncounterProfile
extension		1..*	Extension	Extension
Slices pour extension				Content/Rules for all slices
extension:remarquePatient		0..1	string	Remarque patient URL: http://hl7.fr/fhir/fr/preadmission/StructureDefinition/encounter-patient-comment
extension:consignesAgent		0..1	string	Consignes agent URL: http://hl7.fr/fhir/fr/preadmission/StructureDefinition/encounter-agent-instructions
extension:preadmissionStatus		1..1	CodeableConcept	Statut de préadmission URL: http://hl7.fr/fhir/fr/preadmission/StructureDefinition/statut-preadmission-fr Binding: preadmission-status-vs (required)
identifier
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: temp
type
coding
system		0..1	uri	Identity of the terminology system Binding: FR Core ValueSet Encounter identifier type (required)
code		0..1	code	Symbol in syntax defined by the system Required Pattern: VN
status	S	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled +
class	S	1..1	Coding	Classification of patient encounter
code		1..1	code	Symbol in syntax defined by the system Binding: type-venue-encounter-vs (required)
subject		0..1	Reference(FR Core Patient Profile | FR Core Patient INS Profile)	The patient or group present at the encounter
participant	S	0..*	BackboneElement	List of participants involved in the encounter | Liste des personnes impliquées dans la rencontre
appointment		0..1	Reference(Fr Preadmission Appointment Profile)	The appointment that scheduled this encounter
period	S	1..1	Period	The start and end time of the encounter
Documentation for this format

Terminology Bindings (Differential)

Path	Conformité	ValueSet	URI
Encounter.identifier.type.coding.system	required	FRCoreValueSetEncounterIdentifierType https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-identifier-type
Encounter.class.code	required	TypeVenueEncounterValueSet http://hl7.fr/fhir/fr/preadmission/ValueSet/type-venue-encounter-vs From this IG

Snapshot View

Nom	Drapeaux	Card.	Type	Description et contraintes    Filter: Bindings Constraints Obligations
Encounter		0..*	FRCoreEncounterProfile	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	0..1	uri	Identifies where the resource comes from
Slices pour profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fr-canonical	Σ	0..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter
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.
tag	Σ	0..*	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".
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. Bindings Additionnels But AllLanguages Binding Max
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 pour extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:estimatedDischargeDate		0..1	date	Estimated discharge date | Date de sortie estimée URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-estimated-discharge-date
extension:remarquePatient		0..1	string	Remarque patient URL: http://hl7.fr/fhir/fr/preadmission/StructureDefinition/encounter-patient-comment
extension:consignesAgent		0..1	string	Consignes agent URL: http://hl7.fr/fhir/fr/preadmission/StructureDefinition/encounter-agent-instructions
extension:preadmissionStatus		1..1	CodeableConcept	Statut de préadmission URL: http://hl7.fr/fhir/fr/preadmission/StructureDefinition/statut-preadmission-fr Binding: preadmission-status-vs (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identifier(s) by which this encounter is known | identifiant de la rencontre
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 . Required Pattern: temp
type	Σ	1..1	CodeableConcept	Description of identifier Binding: FR Core ValueSet Encounter identifier type (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
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	0..1	uri	Identity of the terminology system Binding: FR Core ValueSet Encounter identifier type (required)
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: VN
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient Exemple OID de l'ANS de gestion des organisations (1.2.250.1.71.4.2.2) suivi du FINESS suivi de la branche z qui gère les id de venue/mouvements si l'établissement n'a pas d'OID (sinon utilisation de l'OID de l'établissement): 1.2.250.1.71.4.2.2.1330780321 Exemple autre solution, utilisation d'une URL: http://hopitalTest.fr/fhir/namingsystem/encounters
value	Σ	1..1	string	The value that is unique Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(FR Core Organization Profile)	Organization that issued id (may be just text)
status	?!SΣ	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	SΣ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of 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
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Binding: type-venue-encounter-vs (required)
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
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..1	CodeableConcept	Specific type of encounter Binding: FR Core ValueSet Encounter type (example)
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(FR Core Patient Profile | FR Core Patient INS Profile)	The patient or group present at the encounter
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	SΣ	0..*	BackboneElement	List of participants involved in the encounter | Liste des personnes impliquées dans la rencontre
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(RelatedPerson | FR Core Practitioner Profile | PractitionerRole)	Persons involved in the encounter other than the patient
appointment	Σ	0..1	Reference(Fr Preadmission Appointment Profile)	The appointment that scheduled this encounter
period	S	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 | Procedure)	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..1	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 | Identifiant de pré-admission
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	1..1	CodeableConcept	Description of identifier Binding: FR Core ValueSet Encounter identifier type (extensible)
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: 1.2.250.1.71.4.2.2+.n°FINESS
value	Σ	1..1	string	The value that is unique Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(FR Core Organization Profile)	Organization that issued id (may be just text)
origin		0..1	Reference(FR Core Location Profile | FR Core Organization Profile)	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 resaon of re-admission of this hospitalization encounter | Raison de la ré-admission du patient. 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(FR Core Location Profile | FR Core Organization Profile)	Location/organization to which the patient is discharged
dischargeDisposition		0..1	CodeableConcept	Category or kind of location after discharge Binding: FR Core ValueSet Encounter discharge disposition (example)
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(FR Core Location Profile)	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: FR Core ValueSet Location physical type (example)
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider		0..1	Reference(FR Core Organization Profile)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(FR Core Encounter Profile)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Conformité	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.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Bindings Additionnels But AllLanguages Binding Max
Encounter.identifier.use	required	Pattern Value: temp http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Encounter.identifier.type	extensible	FRCoreValueSetEncounterIdentifierType https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-identifier-type
Encounter.identifier.type.coding.system	required	FRCoreValueSetEncounterIdentifierType https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-identifier-type
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.class.code	required	TypeVenueEncounterValueSet http://hl7.fr/fhir/fr/preadmission/ValueSet/type-venue-encounter-vs From this IG
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	example	FRCoreValueSetEncounterType https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-type
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.preAdmissionIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Encounter.hospitalization.preAdmissionIdentifier.type	extensible	FRCoreValueSetEncounterIdentifierType https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-identifier-type
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	FRCoreValueSetEncounterDischargeDisposition https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-encounter-discharge-disposition
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 From the FHIR Standard
Encounter.location.physicalType	example	FRCoreValueSetLocationPhysicalType https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-location-physical-type

Constraints

Id	Grade	Path(s)	Détails	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 FRCoreEncounterProfile

Résumé

Mandatory: 2 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• FR Core Patient Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient)
• FR Core Patient INS Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-ins)
• Fr Preadmission Appointment Profile (http://hl7.fr/fhir/fr/preadmission/StructureDefinition/preadmission-appointment-fr)

Extensions

This structure refers to these extensions:

• http://hl7.fr/fhir/fr/preadmission/StructureDefinition/encounter-patient-comment
• http://hl7.fr/fhir/fr/preadmission/StructureDefinition/encounter-agent-instructions
• http://hl7.fr/fhir/fr/preadmission/StructureDefinition/statut-preadmission-fr