Guide d’Implémentation FHIR – Pré-admission Hospitalière en Ligne
0.1.0 - ci-build FRANCE

Guide d’Implémentation FHIR – Pré-admission Hospitalière en Ligne - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: Fr Preadmission Encounter Profile

Official URL: http://hl7.fr/fhir/fr/preadmission/StructureDefinition/preadmission-encounter-fr | Version: 0.1.0
Draft as of 2026-02-24 | Computable Name: PreadmissionEncounterFr

Profil Encounter pour une préadmission

### 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 :

Action | Statut | Description
--- | --- | ---
POST | `CREATED` | La préadmission est créée par le système administratif ou le portail patient.
GET | `IN_PROGRESS` | La préadmission est commencée par le patient.
PATCH | `READY` | La préadmission est terminée par le patient et prête pour validation.
PATCH | `CANCELLED` | La préadmission est annulée par le patient ou l’agent administratif.
PATCH | `IN_PROGRESS` | La préadmission est modifiée (ex. changement de date ou d’informations).
PATCH | `REFUSED` | La préadmission est rejetée par l’agent administratif avec un motif explicatif.
PATCH | `COMPLETED` | La préadmission est validée par l’agent administratif.
DELETE | (Supprimée) | La préadmission est annulée.

### 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.

Usages:

- Refer to this Profile: Fr Preadmission DocumentReference Profile
- Examples for this Profile: Encounter/encounter-irm-complete, Encounter/encounter-irm-externe and Encounter/encounter-irm-refused
- CapabilityStatements using this Profile: Capacités serveur FHIR pour l'IG Preadmission

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

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 | ?!S Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class | S Σ | 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 | S Σ | 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 | ?!S 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 | S Σ | 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 | S Σ | 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

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 | ?!S Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class | S Σ | 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 | S Σ | 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 | ?!S 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 | S Σ | 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 | S Σ | 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

Other representations of profile: CSV, Excel, Schematron