Amakomaya Nepal FHIR Implementation Guide
2.0.0 - ci-build Nepal

Amakomaya Nepal FHIR Implementation Guide - Local Development build (v2.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: AMK Encounter

Official URL: https://fhir.amakomaya.com/StructureDefinition/amk-encounter | Version: 2.0.0
Active as of 2026-08-21 | Computable Name: AMKEncounter
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

Encounter representing in the Amakomaya app.

Usages:

- Examples for this Profile: Encounter/PregnancyAMKApplicationModeEncounter

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An interaction during which services are provided to the patient
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
status | ?!Σ | 1..1 | code | planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter. Required Pattern: in-progress
serviceType | Σ | 0..1 | CodeableReference(HealthcareService) | The specific service that is to be performed during this encounter Binding: AMK Application Mode (required)
subject | S Σ | 1..1 | Reference(Patient) | The patient or group related to this encounter
plannedStartDate |  | 1..1 | dateTime | The planned start date/time (or admission date) of the encounter
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Encounter.status | Base | required | Encounter Status | 📍6.0.0-ballot5 | FHIR Std.
Encounter.serviceType | Base | required | AMK Application Mode | 📦2.0.0 | This IG

#### 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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').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())`

This structure is derived from Encounter

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An interaction during which services are provided to the patient
status |  | 1..1 | code | planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Required Pattern: in-progress
serviceType |  | 0..1 | CodeableReference(HealthcareService) | The specific service that is to be performed during this encounter Binding: AMK Application Mode (required)
subject | S | 1..1 | Reference(Patient) | The patient or group related to this encounter
plannedStartDate |  | 1..1 | dateTime | The planned start date/time (or admission date) of the encounter
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Encounter.serviceType | Base | required | AMK Application Mode | 📦2.0.0 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An interaction during which services are provided to the patient
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
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
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known
status | ?!Σ | 1..1 | code | planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter. Required Pattern: in-progress
businessStatus |  | 0..* | BackboneElement | A granular, workflows specific set of statuses that apply to 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
code |  | 1..1 | CodeableConcept | The current business status Binding Description: (example): The current business status.
Additional Bindings | Purpose
EncounterBusinessStatusInpatient | Starter
EncounterBusinessStatusOutpatient | Starter
EncounterBusinessStatusEmergency | Starter
type |  | 0..1 | CodeableConcept | The kind of workflow the status is tracking Binding: EncounterBusinessStatusType (example): The kind of workflow the status is tracking (e.g., inpatient, outpatient, emergency).
effectiveDate |  | 0..1 | dateTime | When the encounter entered this business status
class | Σ | 0..* | CodeableConcept | Classification of patient encounter context - e.g. Inpatient, outpatient Binding: Encounter class (preferred): Classification of the encounter.
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
type | Σ | 0..* | CodeableConcept | Specific type of encounter (e.g. e-mail consultation, surgical day-care, ...) Binding: EncounterType (example): A specific code indicating type of service provided
serviceType | Σ | 0..1 | CodeableReference(HealthcareService) | The specific service that is to be performed during this encounter Binding: AMK Application Mode (required)
subject | S Σ | 1..1 | Reference(Patient) | The patient or group related to this encounter
subjectStatus |  | 0..1 | CodeableConcept | The current status of the subject in relation to the Encounter Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter.
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against
basedOn |  | 0..* | Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest | RequestOrchestration | NutritionOrder | VisionPrescription) | The request that initiated this encounter
careTeam |  | 0..* | Reference(CareTeam) | The group(s) that are allocated to participate in this encounter
partOf |  | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of
serviceProvider |  | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter
participant | Σ C | 0..* | BackboneElement | List of participants involved in the encounter Constraints: enc-1, enc-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
type | Σ C | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (preferred): Role of participant in encounter.
period |  | 0..1 | Period | Period of time during the encounter that the participant participated
actor | Σ C | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter
virtualService |  | 0..* | VirtualServiceDetail | Connection details of a virtual service (e.g. conference call)
actualPeriod |  | 0..1 | Period | The actual start and end time of the encounter
plannedStartDate |  | 1..1 | dateTime | The planned start date/time (or admission date) of the encounter
plannedEndDate |  | 0..1 | dateTime | The planned end date/time (or discharge date) of the encounter
length |  | 0..1 | Duration | Actual quantity of time the encounter lasted (less time absent)
reason | Σ | 0..* | BackboneElement | The list of medical reasons that are expected to be addressed during 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
use | Σ | 0..* | CodeableConcept | What the reason value should be used for/as Binding: EncounterReasonUse (example)
value | Σ | 0..* | CodeableReference(Condition | DiagnosticReport | Observation | Procedure) | Reason the encounter takes place (core or reference) Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
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 Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
condition | Σ | 0..* | CodeableReference(Condition) | The diagnosis relevant to the encounter Binding: ConditionProblemDiagnosisCodes (example)
use |  | 0..* | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.
account |  | 0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter
dietPreference |  | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialArrangement |  | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc Binding: SpecialArrangements (preferred): Special arrangements.
specialCourtesy |  | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
admission |  | 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 Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
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 | Indicates that the patient is being re-admitted Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this admission encounter.
destination |  | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged
dischargeDisposition |  | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition.
location |  | 0..* | BackboneElement | 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 Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
location |  | 1..1 | Reference(Location) | Location the encounter takes place
status |  | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
form |  | 0..1 | CodeableConcept | The form of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.) Binding: LocationForm (example): Form of the location.
period |  | 0..1 | Period | Time period during which the patient was present at the location
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Encounter.language | Base | required | All Languages | 📍6.0.0-ballot5 | FHIR Std.
Encounter.status | Base | required | Encounter Status | 📍6.0.0-ballot5 | FHIR Std.
Encounter.businessStatus.​code | Base | example |  | Not State | Unknown
Encounter.businessStatus.​type | Base | example | Encounter Business Status Type | 📍6.0.0-ballot5 | FHIR Std.
Encounter.class | Base | preferred | Encounter class | 📦2.0.1 | THO v7.3
Encounter.priority | Base | example | ActPriority | 📦3.0.0 | THO v7.3
Encounter.type | Base | example | Encounter Type | 📍6.0.0-ballot5 | FHIR Std.
Encounter.serviceType | Base | required | AMK Application Mode | 📦2.0.0 | This IG
Encounter.subjectStatus | Base | example | Encounter Subject Status | 📍6.0.0-ballot5 | FHIR Std.
Encounter.participant.​type | Base | preferred | Participant Type | 📍6.0.0-ballot5 | FHIR Std.
Encounter.reason.use | Base | example | Encounter Reason Use | 📍6.0.0-ballot5 | FHIR Std.
Encounter.reason.value | Base | preferred | Encounter Reason Codes | 📍6.0.0-ballot5 | FHIR Std.
Encounter.diagnosis.​condition | Base | example | Condition/Problem/Diagnosis Codes | 📍6.0.0-ballot5 | FHIR Std.
Encounter.diagnosis.​use | Base | preferred | Encounter Diagnosis Use | 📍6.0.0-ballot5 | FHIR Std.
Encounter.dietPreference | Base | example | Diet | 📍6.0.0-ballot5 | FHIR Std.
Encounter.specialArrangement | Base | preferred | Special Arrangements | 📍6.0.0-ballot5 | FHIR Std.
Encounter.specialCourtesy | Base | preferred | Special Courtesy | 📍6.0.0-ballot5 | FHIR Std.
Encounter.admission.​admitSource | Base | preferred | Admit Source | 📍6.0.0-ballot5 | FHIR Std.
Encounter.admission.​reAdmission | Base | example | hl7VS-re-admissionIndicator | 📦3.0.0 | THO v7.3
Encounter.admission.​dischargeDisposition | Base | example | Discharge Disposition | 📍6.0.0-ballot5 | FHIR Std.
Encounter.location.status | Base | required | Encounter Location Status | 📍6.0.0-ballot5 | FHIR Std.
Encounter.location.form | Base | example | Location Form | 📍6.0.0-ballot5 | 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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').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())`
enc-1 | error | Encounter.participant | A type must be provided when no explicit actor is specified | `actor.exists() or type.exists()`
enc-2 | error | Encounter.participant | A type cannot be provided for a patient or group participant | `actor.exists(resolve() is Patient or resolve() is Group) implies type.exists().not()`

This structure is derived from Encounter

Summary

Mandatory: 2 elements
Must-Support: 1 element

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An interaction during which services are provided to the patient
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
status | ?!Σ | 1..1 | code | planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter. Required Pattern: in-progress
serviceType | Σ | 0..1 | CodeableReference(HealthcareService) | The specific service that is to be performed during this encounter Binding: AMK Application Mode (required)
subject | S Σ | 1..1 | Reference(Patient) | The patient or group related to this encounter
plannedStartDate |  | 1..1 | dateTime | The planned start date/time (or admission date) of the encounter
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Encounter.status | Base | required | Encounter Status | 📍6.0.0-ballot5 | FHIR Std.
Encounter.serviceType | Base | required | AMK Application Mode | 📦2.0.0 | This IG

#### 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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').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())`

Differential View

This structure is derived from Encounter

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An interaction during which services are provided to the patient
status |  | 1..1 | code | planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Required Pattern: in-progress
serviceType |  | 0..1 | CodeableReference(HealthcareService) | The specific service that is to be performed during this encounter Binding: AMK Application Mode (required)
subject | S | 1..1 | Reference(Patient) | The patient or group related to this encounter
plannedStartDate |  | 1..1 | dateTime | The planned start date/time (or admission date) of the encounter
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Encounter.serviceType | Base | required | AMK Application Mode | 📦2.0.0 | This IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An interaction during which services are provided to the patient
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
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
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier | Σ | 0..* | Identifier | Identifier(s) by which this encounter is known
status | ?!Σ | 1..1 | code | planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter. Required Pattern: in-progress
businessStatus |  | 0..* | BackboneElement | A granular, workflows specific set of statuses that apply to 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
code |  | 1..1 | CodeableConcept | The current business status Binding Description: (example): The current business status.
Additional Bindings | Purpose
EncounterBusinessStatusInpatient | Starter
EncounterBusinessStatusOutpatient | Starter
EncounterBusinessStatusEmergency | Starter
type |  | 0..1 | CodeableConcept | The kind of workflow the status is tracking Binding: EncounterBusinessStatusType (example): The kind of workflow the status is tracking (e.g., inpatient, outpatient, emergency).
effectiveDate |  | 0..1 | dateTime | When the encounter entered this business status
class | Σ | 0..* | CodeableConcept | Classification of patient encounter context - e.g. Inpatient, outpatient Binding: Encounter class (preferred): Classification of the encounter.
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
type | Σ | 0..* | CodeableConcept | Specific type of encounter (e.g. e-mail consultation, surgical day-care, ...) Binding: EncounterType (example): A specific code indicating type of service provided
serviceType | Σ | 0..1 | CodeableReference(HealthcareService) | The specific service that is to be performed during this encounter Binding: AMK Application Mode (required)
subject | S Σ | 1..1 | Reference(Patient) | The patient or group related to this encounter
subjectStatus |  | 0..1 | CodeableConcept | The current status of the subject in relation to the Encounter Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter.
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against
basedOn |  | 0..* | Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest | RequestOrchestration | NutritionOrder | VisionPrescription) | The request that initiated this encounter
careTeam |  | 0..* | Reference(CareTeam) | The group(s) that are allocated to participate in this encounter
partOf |  | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of
serviceProvider |  | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter
participant | Σ C | 0..* | BackboneElement | List of participants involved in the encounter Constraints: enc-1, enc-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
type | Σ C | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (preferred): Role of participant in encounter.
period |  | 0..1 | Period | Period of time during the encounter that the participant participated
actor | Σ C | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) | The individual, device, or service participating in the encounter
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter
virtualService |  | 0..* | VirtualServiceDetail | Connection details of a virtual service (e.g. conference call)
actualPeriod |  | 0..1 | Period | The actual start and end time of the encounter
plannedStartDate |  | 1..1 | dateTime | The planned start date/time (or admission date) of the encounter
plannedEndDate |  | 0..1 | dateTime | The planned end date/time (or discharge date) of the encounter
length |  | 0..1 | Duration | Actual quantity of time the encounter lasted (less time absent)
reason | Σ | 0..* | BackboneElement | The list of medical reasons that are expected to be addressed during 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
use | Σ | 0..* | CodeableConcept | What the reason value should be used for/as Binding: EncounterReasonUse (example)
value | Σ | 0..* | CodeableReference(Condition | DiagnosticReport | Observation | Procedure) | Reason the encounter takes place (core or reference) Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
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 Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
condition | Σ | 0..* | CodeableReference(Condition) | The diagnosis relevant to the encounter Binding: ConditionProblemDiagnosisCodes (example)
use |  | 0..* | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.
account |  | 0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter
dietPreference |  | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialArrangement |  | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc Binding: SpecialArrangements (preferred): Special arrangements.
specialCourtesy |  | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
admission |  | 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 Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
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 | Indicates that the patient is being re-admitted Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this admission encounter.
destination |  | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged
dischargeDisposition |  | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition.
location |  | 0..* | BackboneElement | 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 Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
location |  | 1..1 | Reference(Location) | Location the encounter takes place
status |  | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
form |  | 0..1 | CodeableConcept | The form of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.) Binding: LocationForm (example): Form of the location.
period |  | 0..1 | Period | Time period during which the patient was present at the location
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Encounter.language | Base | required | All Languages | 📍6.0.0-ballot5 | FHIR Std.
Encounter.status | Base | required | Encounter Status | 📍6.0.0-ballot5 | FHIR Std.
Encounter.businessStatus.​code | Base | example |  | Not State | Unknown
Encounter.businessStatus.​type | Base | example | Encounter Business Status Type | 📍6.0.0-ballot5 | FHIR Std.
Encounter.class | Base | preferred | Encounter class | 📦2.0.1 | THO v7.3
Encounter.priority | Base | example | ActPriority | 📦3.0.0 | THO v7.3
Encounter.type | Base | example | Encounter Type | 📍6.0.0-ballot5 | FHIR Std.
Encounter.serviceType | Base | required | AMK Application Mode | 📦2.0.0 | This IG
Encounter.subjectStatus | Base | example | Encounter Subject Status | 📍6.0.0-ballot5 | FHIR Std.
Encounter.participant.​type | Base | preferred | Participant Type | 📍6.0.0-ballot5 | FHIR Std.
Encounter.reason.use | Base | example | Encounter Reason Use | 📍6.0.0-ballot5 | FHIR Std.
Encounter.reason.value | Base | preferred | Encounter Reason Codes | 📍6.0.0-ballot5 | FHIR Std.
Encounter.diagnosis.​condition | Base | example | Condition/Problem/Diagnosis Codes | 📍6.0.0-ballot5 | FHIR Std.
Encounter.diagnosis.​use | Base | preferred | Encounter Diagnosis Use | 📍6.0.0-ballot5 | FHIR Std.
Encounter.dietPreference | Base | example | Diet | 📍6.0.0-ballot5 | FHIR Std.
Encounter.specialArrangement | Base | preferred | Special Arrangements | 📍6.0.0-ballot5 | FHIR Std.
Encounter.specialCourtesy | Base | preferred | Special Courtesy | 📍6.0.0-ballot5 | FHIR Std.
Encounter.admission.​admitSource | Base | preferred | Admit Source | 📍6.0.0-ballot5 | FHIR Std.
Encounter.admission.​reAdmission | Base | example | hl7VS-re-admissionIndicator | 📦3.0.0 | THO v7.3
Encounter.admission.​dischargeDisposition | Base | example | Discharge Disposition | 📍6.0.0-ballot5 | FHIR Std.
Encounter.location.status | Base | required | Encounter Location Status | 📍6.0.0-ballot5 | FHIR Std.
Encounter.location.form | Base | example | Location Form | 📍6.0.0-ballot5 | 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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').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())`
enc-1 | error | Encounter.participant | A type must be provided when no explicit actor is specified | `actor.exists() or type.exists()`
enc-2 | error | Encounter.participant | A type cannot be provided for a patient or group participant | `actor.exists(resolve() is Patient or resolve() is Group) implies type.exists().not()`

This structure is derived from Encounter

Summary

Mandatory: 2 elements
Must-Support: 1 element

Other representations of profile: CSV, Excel, Schematron