Kenya Emergency FHIR Implementation Guide
1.0.0 - ci-build Kenya

Kenya Emergency FHIR Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Encounter - Emergency Point of Care

Official URL: https://fhir.dha.go.ke/ems/StructureDefinition/em-poc-encounter Version: 1.0.0
Active as of 2026-10-02 Computable Name: EMPOCEncounter

Represents the direct patient-care encounter performed by an emergency medical team at the scene or during transport.

The point-of-care Encounter is subordinate to the root emergency incident Encounter and references it through Encounter.partOf.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter C 0..* Encounter An interaction during which services are provided to the patient
Constraints: em-poc-1, em-poc-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:patientIdentityVerified S 1..1 boolean Whether the EMT confirmed patient identity at point of care/handover
URL: https://fhir.dha.go.ke/ems/StructureDefinition/em-patient-identity-verified
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:incidentId SΣ 1..1 Identifier Shared identifier for the complete emergency incident
..... 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: official
..... system SΣ 1..1 uri The namespace for the identifier value
Fixed Value: http://hie.go.ke/fhir/identifier/incident-id
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... identifier:pocEncounterId SΣ 0..1 Identifier Local identifier unique to this point-of-care encounter instance
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system SΣ 1..1 uri The namespace for the identifier value
Fixed Value: http://hie.go.ke/fhir/identifier/poc-encounter-id
..... value SΣ 1..1 string The value that is unique
Example General: 123456
... status ?!SΣ 1..1 code Current workflow status of the point-of-care encounter
Binding: EncounterStatus (required)
... class SΣ 1..1 Coding Emergency medical services field response
Binding: ActEncounterCode (extensible)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActEncounterCode
.... version 0..1 string Version of the system - if relevant
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FLD
.... display 1..1 string Representation defined by the system
Fixed Value: Emergency medical services field response
.... userSelected 0..1 boolean If this coding was chosen directly by the user
... type SΣ 0..1 CodeableConcept Nature of the encounter, only if it diverges from the incident type
Binding: Emergency Point-of-Care Encounter Type Value Set (required)
... priority S 1..1 CodeableConcept Clinical acuity assigned after assessment by the emergency team
Binding: Emergency Clinical Acuity Value Set (required)
... subject SΣ 1..1 Reference(Patient) The patient or group present at the encounter
... episodeOfCare SΣ 1..1 Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... participant SΣ 1..* BackboneElement List of participants involved in the encounter
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 1..1 CodeableConcept Attending emergency medical technician/clinician role
Binding: ParticipantType (extensible): Role of participant in encounter.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.dha.go.ke/ems/CodeSystem/em-participant-role
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: emt
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... individual SΣ 1..1 Reference(Practitioner | PractitionerRole) EMT or paramedic providing direct patient care
... period S 1..1 Period The start and end time of the encounter
.... start SΣC 0..1 dateTime Time of actual EMT patient contact
.... end SΣC 0..1 dateTime Time care was handed over to the receiving facility
... reasonCode SΣ 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... diagnosis SΣ 0..* BackboneElement The list of diagnosis relevant to this encounter
.... 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
... hospitalization S 0..1 BackboneElement Details about the admission to a healthcare service
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... destination S 0..1 Reference(Location - Emergency Destination Facility) Location/organization to which the patient is discharged
... location S 0..* BackboneElement List of locations where the patient has been
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location S 1..1 Reference(Location - Emergency Incident Scene | Location) Same scene Location referenced by EMIncidentEncounter, or an ambulance/ transport Location if the patient was moved
... serviceProvider S 1..1 Reference(Organization) The organization (facility) responsible for this encounter
... partOf S 1..1 Reference(Encounter - Emergency Medical Incident) Root emergency incident Encounter

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.identifier:incidentId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.identifier:pocEncounterId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.status Base required EncounterStatus 📦4.0.1 FHIR Std.
Encounter.class Base extensible ActEncounterCode 📦3.0.0 THO v7.4
Encounter.type Base required Emergency Point-of-Care Encounter Type Value Set 📦1.0.0 This IG
Encounter.priority Base required Emergency Clinical Acuity Value Set 📦1.0.0 This IG
Encounter.participant.​type Base extensible Participant type 📍4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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())
em-poc-1 error Encounter The point-of-care Encounter period end must not occur before its period start. period.end.empty() or period.start.empty() or period.end >= period.start
em-poc-2 error Encounter When the point-of-care Encounter confirms patient identity, the referenced Patient must also be marked as identity-verified. extension .where(url = 'https://fhir.dha.go.ke/ems/StructureDefinition/em-patient-identity-verified') .value.ofType(boolean) = true implies subject.resolve() .extension .where(url = 'https://fhir.dha.go.ke/ems/StructureDefinition/em-patient-identity-verified') .value.ofType(boolean) = true
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter C 0..* Encounter An interaction during which services are provided to the patient
Constraints: em-poc-1, em-poc-2
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:patientIdentityVerified S 1..1 boolean Whether the EMT confirmed patient identity at point of care/handover
URL: https://fhir.dha.go.ke/ems/StructureDefinition/em-patient-identity-verified
... Slices for identifier S 1..* Identifier Identifier(s) by which this encounter is known
Slice: Unordered, Open by value:system
.... identifier:incidentId S 1..1 Identifier Shared identifier for the complete emergency incident
..... use 0..1 code usual | official | temp | secondary | old (If known)
Required Pattern: official
..... system S 1..1 uri The namespace for the identifier value
Fixed Value: http://hie.go.ke/fhir/identifier/incident-id
..... value S 1..1 string The value that is unique
.... identifier:pocEncounterId S 0..1 Identifier Local identifier unique to this point-of-care encounter instance
..... system S 1..1 uri The namespace for the identifier value
Fixed Value: http://hie.go.ke/fhir/identifier/poc-encounter-id
..... value S 1..1 string The value that is unique
... status S 1..1 code Current workflow status of the point-of-care encounter
Binding: EncounterStatus (required)
.... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActEncounterCode
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FLD
.... display 1..1 string Representation defined by the system
Fixed Value: Emergency medical services field response
... type S 0..1 CodeableConcept Nature of the encounter, only if it diverges from the incident type
Binding: Emergency Point-of-Care Encounter Type Value Set (required)
... priority S 1..1 CodeableConcept Clinical acuity assigned after assessment by the emergency team
Binding: Emergency Clinical Acuity Value Set (required)
... subject S 1..1 Reference(Patient) The patient or group present at the encounter
... episodeOfCare S 1..1 Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... participant S 1..* BackboneElement List of participants involved in the encounter
.... type S 1..1 CodeableConcept Attending emergency medical technician/clinician role
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.dha.go.ke/ems/CodeSystem/em-participant-role
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: emt
.... individual S 1..1 Reference(Practitioner | PractitionerRole) EMT or paramedic providing direct patient care
... period S 1..1 Period The start and end time of the encounter
.... start S 0..1 dateTime Time of actual EMT patient contact
.... end S 0..1 dateTime Time care was handed over to the receiving facility
... reasonCode S 0..* CodeableConcept Coded reason the encounter takes place
... diagnosis S 0..* BackboneElement The list of diagnosis relevant to this encounter
... hospitalization S 0..1 BackboneElement Details about the admission to a healthcare service
.... destination S 0..1 Reference(Location - Emergency Destination Facility) Location/organization to which the patient is discharged
... location S 0..* BackboneElement List of locations where the patient has been
.... location S 1..1 Reference(Location - Emergency Incident Scene | Location) Same scene Location referenced by EMIncidentEncounter, or an ambulance/ transport Location if the patient was moved
... serviceProvider S 1..1 Reference(Organization) The organization (facility) responsible for this encounter
... partOf S 1..1 Reference(Encounter - Emergency Medical Incident) Root emergency incident Encounter

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.status Base required EncounterStatus 📦4.0.1 FHIR Std.
Encounter.class Base extensible ActEncounterCode 📦3.0.0 THO v7.4
Encounter.type Base required Emergency Point-of-Care Encounter Type Value Set 📦1.0.0 This IG
Encounter.priority Base required Emergency Clinical Acuity Value Set 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
em-poc-1 error Encounter The point-of-care Encounter period end must not occur before its period start. period.end.empty() or period.start.empty() or period.end >= period.start
em-poc-2 error Encounter When the point-of-care Encounter confirms patient identity, the referenced Patient must also be marked as identity-verified. extension .where(url = 'https://fhir.dha.go.ke/ems/StructureDefinition/em-patient-identity-verified') .value.ofType(boolean) = true implies subject.resolve() .extension .where(url = 'https://fhir.dha.go.ke/ems/StructureDefinition/em-patient-identity-verified') .value.ofType(boolean) = true
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter C 0..* Encounter An interaction during which services are provided to the patient
Constraints: em-poc-1, em-poc-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:patientIdentityVerified S 1..1 boolean Whether the EMT confirmed patient identity at point of care/handover
URL: https://fhir.dha.go.ke/ems/StructureDefinition/em-patient-identity-verified
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier Identifier(s) by which this encounter is known
Slice: Unordered, Open by value:system
.... identifier:incidentId SΣ 1..1 Identifier Shared identifier for the complete emergency incident
..... 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: official
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system SΣ 1..1 uri The namespace for the identifier value
Fixed Value: http://hie.go.ke/fhir/identifier/incident-id
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:pocEncounterId SΣ 0..1 Identifier Local identifier unique to this point-of-care encounter instance
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system SΣ 1..1 uri The namespace for the identifier value
Fixed Value: http://hie.go.ke/fhir/identifier/poc-encounter-id
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!SΣ 1..1 code Current workflow status of the point-of-care encounter
Binding: EncounterStatus (required)
... 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 Emergency medical services field response
Binding: ActEncounterCode (extensible)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActEncounterCode
.... version 0..1 string Version of the system - if relevant
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FLD
.... display 1..1 string Representation defined by the system
Fixed Value: Emergency medical services field response
.... userSelected 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 SΣ 0..1 CodeableConcept Nature of the encounter, only if it diverges from the incident type
Binding: Emergency Point-of-Care Encounter Type Value Set (required)
... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
... priority S 1..1 CodeableConcept Clinical acuity assigned after assessment by the emergency team
Binding: Emergency Clinical Acuity Value Set (required)
... subject SΣ 1..1 Reference(Patient) The patient or group present at the encounter
... episodeOfCare SΣ 1..1 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 1..* BackboneElement List of participants involved in the encounter
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 1..1 CodeableConcept Attending emergency medical technician/clinician role
Binding: ParticipantType (extensible): Role of participant in encounter.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.dha.go.ke/ems/CodeSystem/em-participant-role
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: emt
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... period 0..1 Period Period of time during the encounter that the participant participated
.... individual SΣ 1..1 Reference(Practitioner | PractitionerRole) EMT or paramedic providing direct patient care
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... period S 1..1 Period The start and end time 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
.... start SΣC 0..1 dateTime Time of actual EMT patient contact
.... end SΣC 0..1 dateTime Time care was handed over to the receiving facility
... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
... reasonCode SΣ 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 SΣ 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..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization S 0..1 BackboneElement Details about the admission to a healthcare service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.
.... reAdmission 0..1 CodeableConcept The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.
.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.
.... destination S 0..1 Reference(Location - Emergency Destination Facility) Location/organization to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.
... location S 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 S 1..1 Reference(Location - Emergency Incident Scene | Location) Same scene Location referenced by EMIncidentEncounter, or an ambulance/ transport Location if the patient was moved
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
.... physicalType 0..1 CodeableConcept The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.
.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider S 1..1 Reference(Organization) The organization (facility) responsible for this encounter
... partOf S 1..1 Reference(Encounter - Emergency Medical Incident) Root emergency incident Encounter

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Encounter.identifier:incidentId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.identifier:incidentId.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Encounter.identifier:pocEncounterId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.identifier:pocEncounterId.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Encounter.status Base required EncounterStatus 📦4.0.1 FHIR Std.
Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base extensible ActEncounterCode 📦3.0.0 THO v7.4
Encounter.classHistory.​class Base extensible ActEncounterCode 📦3.0.0 THO v7.4
Encounter.type Base required Emergency Point-of-Care Encounter Type Value Set 📦1.0.0 This IG
Encounter.serviceType Base example Service type 📍4.0.1 FHIR Std.
Encounter.priority Base required Emergency Clinical Acuity Value Set 📦1.0.0 This IG
Encounter.participant.​type Base extensible Participant type 📍4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📍4.0.1 FHIR Std.
Encounter.diagnosis.​use Base preferred DiagnosisRole 📍4.0.1 FHIR Std.
Encounter.hospitalization.​admitSource Base preferred Admit source 📍4.0.1 FHIR Std.
Encounter.hospitalization.​reAdmission Base example hl7VS-re-admissionIndicator 📦3.0.0 THO v7.4
Encounter.hospitalization.​dietPreference Base example Diet 📍4.0.1 FHIR Std.
Encounter.hospitalization.​specialCourtesy Base preferred Special courtesy 📍4.0.1 FHIR Std.
Encounter.hospitalization.​specialArrangement Base preferred Special arrangements 📍4.0.1 FHIR Std.
Encounter.hospitalization.​dischargeDisposition Base example Discharge disposition 📍4.0.1 FHIR Std.
Encounter.location.status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location.physicalType Base example Location type 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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())
em-poc-1 error Encounter The point-of-care Encounter period end must not occur before its period start. period.end.empty() or period.start.empty() or period.end >= period.start
em-poc-2 error Encounter When the point-of-care Encounter confirms patient identity, the referenced Patient must also be marked as identity-verified. extension .where(url = 'https://fhir.dha.go.ke/ems/StructureDefinition/em-patient-identity-verified') .value.ofType(boolean) = true implies subject.resolve() .extension .where(url = 'https://fhir.dha.go.ke/ems/StructureDefinition/em-patient-identity-verified') .value.ofType(boolean) = true
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Encounter

Summary

Mandatory: 15 elements(2 nested mandatory elements)
Must-Support: 28 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Encounter.identifier

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter C 0..* Encounter An interaction during which services are provided to the patient
Constraints: em-poc-1, em-poc-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:patientIdentityVerified S 1..1 boolean Whether the EMT confirmed patient identity at point of care/handover
URL: https://fhir.dha.go.ke/ems/StructureDefinition/em-patient-identity-verified
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:incidentId SΣ 1..1 Identifier Shared identifier for the complete emergency incident
..... 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: official
..... system SΣ 1..1 uri The namespace for the identifier value
Fixed Value: http://hie.go.ke/fhir/identifier/incident-id
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... identifier:pocEncounterId SΣ 0..1 Identifier Local identifier unique to this point-of-care encounter instance
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system SΣ 1..1 uri The namespace for the identifier value
Fixed Value: http://hie.go.ke/fhir/identifier/poc-encounter-id
..... value SΣ 1..1 string The value that is unique
Example General: 123456
... status ?!SΣ 1..1 code Current workflow status of the point-of-care encounter
Binding: EncounterStatus (required)
... class SΣ 1..1 Coding Emergency medical services field response
Binding: ActEncounterCode (extensible)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActEncounterCode
.... version 0..1 string Version of the system - if relevant
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FLD
.... display 1..1 string Representation defined by the system
Fixed Value: Emergency medical services field response
.... userSelected 0..1 boolean If this coding was chosen directly by the user
... type SΣ 0..1 CodeableConcept Nature of the encounter, only if it diverges from the incident type
Binding: Emergency Point-of-Care Encounter Type Value Set (required)
... priority S 1..1 CodeableConcept Clinical acuity assigned after assessment by the emergency team
Binding: Emergency Clinical Acuity Value Set (required)
... subject SΣ 1..1 Reference(Patient) The patient or group present at the encounter
... episodeOfCare SΣ 1..1 Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... participant SΣ 1..* BackboneElement List of participants involved in the encounter
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 1..1 CodeableConcept Attending emergency medical technician/clinician role
Binding: ParticipantType (extensible): Role of participant in encounter.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.dha.go.ke/ems/CodeSystem/em-participant-role
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: emt
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... individual SΣ 1..1 Reference(Practitioner | PractitionerRole) EMT or paramedic providing direct patient care
... period S 1..1 Period The start and end time of the encounter
.... start SΣC 0..1 dateTime Time of actual EMT patient contact
.... end SΣC 0..1 dateTime Time care was handed over to the receiving facility
... reasonCode SΣ 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... diagnosis SΣ 0..* BackboneElement The list of diagnosis relevant to this encounter
.... 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
... hospitalization S 0..1 BackboneElement Details about the admission to a healthcare service
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... destination S 0..1 Reference(Location - Emergency Destination Facility) Location/organization to which the patient is discharged
... location S 0..* BackboneElement List of locations where the patient has been
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location S 1..1 Reference(Location - Emergency Incident Scene | Location) Same scene Location referenced by EMIncidentEncounter, or an ambulance/ transport Location if the patient was moved
... serviceProvider S 1..1 Reference(Organization) The organization (facility) responsible for this encounter
... partOf S 1..1 Reference(Encounter - Emergency Medical Incident) Root emergency incident Encounter

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.identifier:incidentId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.identifier:pocEncounterId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.status Base required EncounterStatus 📦4.0.1 FHIR Std.
Encounter.class Base extensible ActEncounterCode 📦3.0.0 THO v7.4
Encounter.type Base required Emergency Point-of-Care Encounter Type Value Set 📦1.0.0 This IG
Encounter.priority Base required Emergency Clinical Acuity Value Set 📦1.0.0 This IG
Encounter.participant.​type Base extensible Participant type 📍4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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())
em-poc-1 error Encounter The point-of-care Encounter period end must not occur before its period start. period.end.empty() or period.start.empty() or period.end >= period.start
em-poc-2 error Encounter When the point-of-care Encounter confirms patient identity, the referenced Patient must also be marked as identity-verified. extension .where(url = 'https://fhir.dha.go.ke/ems/StructureDefinition/em-patient-identity-verified') .value.ofType(boolean) = true implies subject.resolve() .extension .where(url = 'https://fhir.dha.go.ke/ems/StructureDefinition/em-patient-identity-verified') .value.ofType(boolean) = true
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter C 0..* Encounter An interaction during which services are provided to the patient
Constraints: em-poc-1, em-poc-2
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:patientIdentityVerified S 1..1 boolean Whether the EMT confirmed patient identity at point of care/handover
URL: https://fhir.dha.go.ke/ems/StructureDefinition/em-patient-identity-verified
... Slices for identifier S 1..* Identifier Identifier(s) by which this encounter is known
Slice: Unordered, Open by value:system
.... identifier:incidentId S 1..1 Identifier Shared identifier for the complete emergency incident
..... use 0..1 code usual | official | temp | secondary | old (If known)
Required Pattern: official
..... system S 1..1 uri The namespace for the identifier value
Fixed Value: http://hie.go.ke/fhir/identifier/incident-id
..... value S 1..1 string The value that is unique
.... identifier:pocEncounterId S 0..1 Identifier Local identifier unique to this point-of-care encounter instance
..... system S 1..1 uri The namespace for the identifier value
Fixed Value: http://hie.go.ke/fhir/identifier/poc-encounter-id
..... value S 1..1 string The value that is unique
... status S 1..1 code Current workflow status of the point-of-care encounter
Binding: EncounterStatus (required)
.... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActEncounterCode
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FLD
.... display 1..1 string Representation defined by the system
Fixed Value: Emergency medical services field response
... type S 0..1 CodeableConcept Nature of the encounter, only if it diverges from the incident type
Binding: Emergency Point-of-Care Encounter Type Value Set (required)
... priority S 1..1 CodeableConcept Clinical acuity assigned after assessment by the emergency team
Binding: Emergency Clinical Acuity Value Set (required)
... subject S 1..1 Reference(Patient) The patient or group present at the encounter
... episodeOfCare S 1..1 Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... participant S 1..* BackboneElement List of participants involved in the encounter
.... type S 1..1 CodeableConcept Attending emergency medical technician/clinician role
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.dha.go.ke/ems/CodeSystem/em-participant-role
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: emt
.... individual S 1..1 Reference(Practitioner | PractitionerRole) EMT or paramedic providing direct patient care
... period S 1..1 Period The start and end time of the encounter
.... start S 0..1 dateTime Time of actual EMT patient contact
.... end S 0..1 dateTime Time care was handed over to the receiving facility
... reasonCode S 0..* CodeableConcept Coded reason the encounter takes place
... diagnosis S 0..* BackboneElement The list of diagnosis relevant to this encounter
... hospitalization S 0..1 BackboneElement Details about the admission to a healthcare service
.... destination S 0..1 Reference(Location - Emergency Destination Facility) Location/organization to which the patient is discharged
... location S 0..* BackboneElement List of locations where the patient has been
.... location S 1..1 Reference(Location - Emergency Incident Scene | Location) Same scene Location referenced by EMIncidentEncounter, or an ambulance/ transport Location if the patient was moved
... serviceProvider S 1..1 Reference(Organization) The organization (facility) responsible for this encounter
... partOf S 1..1 Reference(Encounter - Emergency Medical Incident) Root emergency incident Encounter

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.status Base required EncounterStatus 📦4.0.1 FHIR Std.
Encounter.class Base extensible ActEncounterCode 📦3.0.0 THO v7.4
Encounter.type Base required Emergency Point-of-Care Encounter Type Value Set 📦1.0.0 This IG
Encounter.priority Base required Emergency Clinical Acuity Value Set 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
em-poc-1 error Encounter The point-of-care Encounter period end must not occur before its period start. period.end.empty() or period.start.empty() or period.end >= period.start
em-poc-2 error Encounter When the point-of-care Encounter confirms patient identity, the referenced Patient must also be marked as identity-verified. extension .where(url = 'https://fhir.dha.go.ke/ems/StructureDefinition/em-patient-identity-verified') .value.ofType(boolean) = true implies subject.resolve() .extension .where(url = 'https://fhir.dha.go.ke/ems/StructureDefinition/em-patient-identity-verified') .value.ofType(boolean) = true

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter C 0..* Encounter An interaction during which services are provided to the patient
Constraints: em-poc-1, em-poc-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:patientIdentityVerified S 1..1 boolean Whether the EMT confirmed patient identity at point of care/handover
URL: https://fhir.dha.go.ke/ems/StructureDefinition/em-patient-identity-verified
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier Identifier(s) by which this encounter is known
Slice: Unordered, Open by value:system
.... identifier:incidentId SΣ 1..1 Identifier Shared identifier for the complete emergency incident
..... 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: official
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system SΣ 1..1 uri The namespace for the identifier value
Fixed Value: http://hie.go.ke/fhir/identifier/incident-id
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:pocEncounterId SΣ 0..1 Identifier Local identifier unique to this point-of-care encounter instance
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system SΣ 1..1 uri The namespace for the identifier value
Fixed Value: http://hie.go.ke/fhir/identifier/poc-encounter-id
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!SΣ 1..1 code Current workflow status of the point-of-care encounter
Binding: EncounterStatus (required)
... 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 Emergency medical services field response
Binding: ActEncounterCode (extensible)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActEncounterCode
.... version 0..1 string Version of the system - if relevant
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FLD
.... display 1..1 string Representation defined by the system
Fixed Value: Emergency medical services field response
.... userSelected 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 SΣ 0..1 CodeableConcept Nature of the encounter, only if it diverges from the incident type
Binding: Emergency Point-of-Care Encounter Type Value Set (required)
... serviceType Σ 0..1 CodeableConcept Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
... priority S 1..1 CodeableConcept Clinical acuity assigned after assessment by the emergency team
Binding: Emergency Clinical Acuity Value Set (required)
... subject SΣ 1..1 Reference(Patient) The patient or group present at the encounter
... episodeOfCare SΣ 1..1 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 1..* BackboneElement List of participants involved in the encounter
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 1..1 CodeableConcept Attending emergency medical technician/clinician role
Binding: ParticipantType (extensible): Role of participant in encounter.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.dha.go.ke/ems/CodeSystem/em-participant-role
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: emt
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... period 0..1 Period Period of time during the encounter that the participant participated
.... individual SΣ 1..1 Reference(Practitioner | PractitionerRole) EMT or paramedic providing direct patient care
... appointment Σ 0..* Reference(Appointment) The appointment that scheduled this encounter
... period S 1..1 Period The start and end time 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
.... start SΣC 0..1 dateTime Time of actual EMT patient contact
.... end SΣC 0..1 dateTime Time care was handed over to the receiving facility
... length 0..1 Duration Quantity of time the encounter lasted (less time absent)
... reasonCode SΣ 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 SΣ 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..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization S 0..1 BackboneElement Details about the admission to a healthcare service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.
.... reAdmission 0..1 CodeableConcept The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.
.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.
.... destination S 0..1 Reference(Location - Emergency Destination Facility) Location/organization to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.
... location S 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 S 1..1 Reference(Location - Emergency Incident Scene | Location) Same scene Location referenced by EMIncidentEncounter, or an ambulance/ transport Location if the patient was moved
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
.... physicalType 0..1 CodeableConcept The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.
.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider S 1..1 Reference(Organization) The organization (facility) responsible for this encounter
... partOf S 1..1 Reference(Encounter - Emergency Medical Incident) Root emergency incident Encounter

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Encounter.identifier:incidentId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.identifier:incidentId.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Encounter.identifier:pocEncounterId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.identifier:pocEncounterId.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Encounter.status Base required EncounterStatus 📦4.0.1 FHIR Std.
Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base extensible ActEncounterCode 📦3.0.0 THO v7.4
Encounter.classHistory.​class Base extensible ActEncounterCode 📦3.0.0 THO v7.4
Encounter.type Base required Emergency Point-of-Care Encounter Type Value Set 📦1.0.0 This IG
Encounter.serviceType Base example Service type 📍4.0.1 FHIR Std.
Encounter.priority Base required Emergency Clinical Acuity Value Set 📦1.0.0 This IG
Encounter.participant.​type Base extensible Participant type 📍4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📍4.0.1 FHIR Std.
Encounter.diagnosis.​use Base preferred DiagnosisRole 📍4.0.1 FHIR Std.
Encounter.hospitalization.​admitSource Base preferred Admit source 📍4.0.1 FHIR Std.
Encounter.hospitalization.​reAdmission Base example hl7VS-re-admissionIndicator 📦3.0.0 THO v7.4
Encounter.hospitalization.​dietPreference Base example Diet 📍4.0.1 FHIR Std.
Encounter.hospitalization.​specialCourtesy Base preferred Special courtesy 📍4.0.1 FHIR Std.
Encounter.hospitalization.​specialArrangement Base preferred Special arrangements 📍4.0.1 FHIR Std.
Encounter.hospitalization.​dischargeDisposition Base example Discharge disposition 📍4.0.1 FHIR Std.
Encounter.location.status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location.physicalType Base example Location type 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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())
em-poc-1 error Encounter The point-of-care Encounter period end must not occur before its period start. period.end.empty() or period.start.empty() or period.end >= period.start
em-poc-2 error Encounter When the point-of-care Encounter confirms patient identity, the referenced Patient must also be marked as identity-verified. extension .where(url = 'https://fhir.dha.go.ke/ems/StructureDefinition/em-patient-identity-verified') .value.ofType(boolean) = true implies subject.resolve() .extension .where(url = 'https://fhir.dha.go.ke/ems/StructureDefinition/em-patient-identity-verified') .value.ofType(boolean) = true
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Encounter

Summary

Mandatory: 15 elements(2 nested mandatory elements)
Must-Support: 28 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Encounter.identifier

 

Other representations of profile: CSV, Excel, Schematron