Non-Normative Content The Normative content for these specifications may be found on the HL7, IHE, and HITSP web sites.

Encounter Activities

[Encounter: templateId 2.16.840.1.113883.10.20.22.4.49]

This clinical statement describes the interactions between the patient and clinicians. Interactions include in-person encounters, telephone conversations, and email exchanges.

  1. SHALL contain exactly one [1..1] templateId ( CONF:10494 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.49"
  2. SHALL contain exactly one [1..1] @classCode="ENC" (CodeSystem: 2.16.840.1.113883.5.6 HL7ActClass) (CONF:8710)
  3. SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: 2.16.840.1.113883.5.1001 HL7ActMood) (CONF:8711)
  4. SHALL contain at least one [1..*] id (CONF:8713)
  5. SHOULD contain zero or one [0..1] code, where the @code SHOULD be selected from ValueSet EncounterTypeCode 2.16.840.1.113883.3.88.12.80.32 DYNAMIC (CONF:8714)
  6. SHALL contain exactly one [1..1] effectiveTime (CONF:8715)
  7. MAY contain zero or more [0..*] participant (CONF:8738, CONF:14903)
    1. Contains exactly one [1..1] Service Delivery Location (templateId: 2.16.840.1.113883.10.20.22.4.32)
  8. MAY contain zero or more [0..*] entryRelationship (CONF:8722, CONF:8723, CONF:14899)
    1. Contains @typeCode="RSON" RSON
    2. Contains exactly one [1..1] Indication (templateId: 2.16.840.1.113883.10.20.22.4.19)
  9. MAY contain zero or more [0..*] performer (CONF:8725)
    1. Such performers SHALL contain exactly one [1..1] assignedEntity (CONF:8726)
      1. This assignedEntity MAY contain zero or one [0..1] code (CONF:8727)
  10. MAY contain zero or more [0..*] entryRelationship (CONF:15492, CONF:15973)
    1. Contains exactly one [1..1] Encounter Diagnosis (templateId: 2.16.840.1.113883.10.20.22.4.80)
  11. MAY contain zero or one [0..1] sDTCDischargeDispositionCode, where the @code SHALL be selected from ValueSet NUBC UB-04 FL17-Patient Status 2.16.840.1.113883.6.301.5 STATIC (CONF:9929)
    • The prefix sdtc: SHALL be bound to the namespace "urn:hl7-org:sdtc". The use of the namespace provides a necessary extension to CDA R2 for the use of the dischargeDispositionCode element.

  12. code, if present, SHOULD contain zero or one [0..1] originalText (CONF:8719)
  13. originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:15970)
  14. reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15971)
  15. reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15972)
  16. EncounterActivities with target entry Service Delivery Location SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: 2.16.840.1.113883.5.1002 HL7ActRelationshipType) STATIC (CONF:8740)

Encounter Activities example

<encounter xmlns="urn:hl7-org:v3" xmlns:sdtc="urn:hl7-org:sdtc">
  <id root="MDHT" extension="1232993208"/>
  <effectiveTime>
    <low value="2013"/>
    <high value="2013"/>
  </effectiveTime>
  <performer>
    <assignedEntity>
      <id root="MDHT" extension="734236637"/>
      <code code="1147816843"/>
    </assignedEntity>
  </performer>
  <entryRelationship>
    <observation>
      <id root="MDHT" extension="421689742"/>
      <code code="167424136"/>
      <effectiveTime>
        <low value="2013"/>
        <high value="2013"/>
      </effectiveTime>
    </observation>
  </entryRelationship>
  <entryRelationship>
    <act>
      <id root="MDHT" extension="617385202"/>
      <code code="381589961"/>
      <effectiveTime>
        <low value="2013"/>
        <high value="2013"/>
      </effectiveTime>
      <entryRelationship>
        <observation>
          <id root="MDHT" extension="2079859474"/>
          <code code="840523137"/>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
          <entryRelationship>
            <observation/>
          </entryRelationship>
          <entryRelationship>
            <observation/>
          </entryRelationship>
          <entryRelationship>
            <observation/>
          </entryRelationship>
        </observation>
      </entryRelationship>
    </act>
  </entryRelationship>
  <sdtc:dischargeDispositionCode code="1723199720"/>
</encounter>