NP Core Implementation Guide
1.0.0 - Release
NP Core Implementation Guide
1.0.0 - Release
NP Core Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-encounter | Version: 1.0.0 | ||||
| Active as of 2026-10-14 | Computable Name: NPCoreEncounter | ||||
Sets minimum expectations for representing a clinical interaction between a patient and a healthcare provider in Nepal.
The invariant np-enc-1 requires at least one identifier whose system is a URI namespaced under the assigning facility's NHFR code, formed as http://nhfr.digitalhealth.gov.np/{nhfrCode}. For example, a facility whose NHFR code is 00XX issues encounter identifiers under the system http://nhfr.digitalhealth.gov.np/00XX.
Because every NHFR code is already globally unique, layering the facility-assigned encounter number (e.g. an OPD ticket or admission number) under this system URI makes each encounter identifier globally unique on its own. Facilities remain free to add further identifiers (for example a local EMR identifier) alongside the NHFR-namespaced one.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
  Encounter |
C | 0..* | Encounter | An interaction during which services are provided to the patient Constraints: np-enc-1 | ||||||||
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
   extension:isPoliceCase |
0..1 | boolean | Whether this encounter is part of a medico-legal (police) case URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-is-police-case
| |||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
 identifier |
1..* | Identifier | Business identifier(s) for this encounter
| |||||||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||||||
| system |
1..1 | uri | Namespace URI for the identifier value Example General: http://www.acme.com/identifiers/patient Example Facility with NHFR code 00XX: http://nhfr.digitalhealth.gov.np/00XX Example Facility with NHFR code 12345: http://nhfr.digitalhealth.gov.np/12345 Example Facility with NHFR code 98765: http://nhfr.digitalhealth.gov.np/98765 | |||||||||
 value |
1..1 | string | Local visit or encounter number assigned by the facility Example General: 123456 Example Facility-assigned encounter number: VISIT-2026-0000123 | |||||||||
| status |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
| |||||||||
| class |
1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
| |||||||||
| type |
0..* | CodeableConcept | Specific type of encounter Binding: Encounter Type ValueSet (preferred)
| |||||||||
 subject |
1..1 | Reference(NP Core Patient | Group) | The patient or group present at the encounter
| |||||||||
| participant |
0..* | BackboneElement | List of participants involved in the encounter
| |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| individual |
0..1 | Reference(NP Core Practitioner | NP Core RelatedPerson | NP Core PractitionerRole) | Persons involved in the encounter other than the patient | |||||||||
| period |
0..1 | Period | The start and end time of the encounter
| |||||||||
| start |
C | 0..1 | dateTime | Starting time with inclusive boundary
| ||||||||
| reasonCode |
0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
| |||||||||
| reasonReference |
0..* | Reference(NP Core Condition | NP Core Procedure | NP Core Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference)
| |||||||||
| hospitalization |
0..1 | BackboneElement | Details about the admission to a healthcare service
| |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| origin |
0..1 | Reference(NP Core Health Facility | NP Core Organization | NP Core Location) | The location/organization from which the patient came before admission
| |||||||||
| dischargeDisposition |
0..1 | CodeableConcept | Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition.
| |||||||||
| serviceProvider |
0..1 | Reference(NP Core Health Facility | NP Core Organization) | The organization (facility) responsible for this encounter
| |||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.identifier.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 | preferred | Encounter Type ValueSet | 📦1.0.0 | This IG |
| Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📍4.0.1 | FHIR Std. |
| Encounter.hospitalization.dischargeDisposition | Base | example | Discharge disposition | 📍4.0.1 | FHIR Std. |
| 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())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| np-enc-1 | error | Encounter | An encounter SHALL carry at least one identifier whose system is namespaced under the assigning facility's NHFR code (i.e. http://nhfr.digitalhealth.gov.np/{nhfrCode}, with a non-empty code segment). |
identifier.where(system.startsWith('http://nhfr.digitalhealth.gov.np/') and system != 'http://nhfr.digitalhealth.gov.np/').exists()
|
This structure is derived from Encounter
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Encounter |
C | 0..* | Encounter | An interaction during which services are provided to the patient Constraints: np-enc-1 | ||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| extension:isPoliceCase |
0..1 | boolean | Whether this encounter is part of a medico-legal (police) case URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-is-police-case
| |||||||||
 identifier |
1..* | Identifier | Business identifier(s) for this encounter
| |||||||||
| system |
1..1 | uri | Namespace URI for the identifier value Example Facility with NHFR code 00XX: http://nhfr.digitalhealth.gov.np/00XX Example Facility with NHFR code 12345: http://nhfr.digitalhealth.gov.np/12345 Example Facility with NHFR code 98765: http://nhfr.digitalhealth.gov.np/98765 | |||||||||
| value |
1..1 | string | Local visit or encounter number assigned by the facility Example Facility-assigned encounter number: VISIT-2026-0000123 | |||||||||
| status |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled +
| |||||||||
| class |
1..1 | Coding | Classification of patient encounter
| |||||||||
| type |
0..* | CodeableConcept | Specific type of encounter Binding: Encounter Type ValueSet (preferred)
| |||||||||
| subject |
1..1 | Reference(NP Core Patient | Group) | The patient or group present at the encounter
| |||||||||
| participant |
0..* | BackboneElement | List of participants involved in the encounter
| |||||||||
| individual |
0..1 | Reference(NP Core Practitioner | NP Core RelatedPerson | NP Core PractitionerRole) | Persons involved in the encounter other than the patient | |||||||||
| period |
0..1 | Period | The start and end time of the encounter
| |||||||||
| start |
0..1 | dateTime | Starting time with inclusive boundary
| |||||||||
| reasonCode |
0..* | CodeableConcept | Coded reason the encounter takes place
| |||||||||
| reasonReference |
0..* | Reference(NP Core Condition | NP Core Procedure | NP Core Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference)
| |||||||||
| hospitalization |
0..1 | BackboneElement | Details about the admission to a healthcare service
| |||||||||
| origin |
0..1 | Reference(NP Core Health Facility | NP Core Organization | NP Core Location) | The location/organization from which the patient came before admission
| |||||||||
| dischargeDisposition |
0..1 | CodeableConcept | Category or kind of location after discharge
| |||||||||
| serviceProvider |
0..1 | Reference(NP Core Health Facility | NP Core Organization) | The organization (facility) responsible for this encounter
| |||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.type | Base | preferred | Encounter Type ValueSet | 📦1.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| np-enc-1 | error | Encounter | An encounter SHALL carry at least one identifier whose system is namespaced under the assigning facility's NHFR code (i.e. http://nhfr.digitalhealth.gov.np/{nhfrCode}, with a non-empty code segment). |
identifier.where(system.startsWith('http://nhfr.digitalhealth.gov.np/') and system != 'http://nhfr.digitalhealth.gov.np/').exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Encounter |
C | 0..* | Encounter | An interaction during which services are provided to the patient Constraints: np-enc-1 | ||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
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.
| |||||||||
| 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 |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| extension:isPoliceCase |
0..1 | boolean | Whether this encounter is part of a medico-legal (police) case URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-is-police-case
| |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier |
1..* | Identifier | Business identifier(s) for 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 | |||||||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||||||
| type |
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 |
1..1 | uri | Namespace URI for the identifier value Example General: http://www.acme.com/identifiers/patient Example Facility with NHFR code 00XX: http://nhfr.digitalhealth.gov.np/00XX Example Facility with NHFR code 12345: http://nhfr.digitalhealth.gov.np/12345 Example Facility with NHFR code 98765: http://nhfr.digitalhealth.gov.np/98765 | |||||||||
| value |
1..1 | string | Local visit or encounter number assigned by the facility Example General: 123456 Example Facility-assigned encounter number: VISIT-2026-0000123 | |||||||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||||||
| status |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
| |||||||||
| statusHistory |
0..* | BackboneElement | List of past encounter statuses | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
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 |
1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
| |||||||||
| 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 |
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 |
0..* | CodeableConcept | Specific type of encounter Binding: Encounter Type ValueSet (preferred)
| |||||||||
| serviceType |
0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. | |||||||||
| priority |
0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter. | |||||||||
| subject |
1..1 | Reference(NP Core Patient | Group) | The patient or group present at the encounter
| |||||||||
| episodeOfCare |
0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against | |||||||||
| basedOn |
0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter | |||||||||
| participant |
0..* | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| type |
0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | |||||||||
| period |
0..1 | Period | Period of time during the encounter that the participant participated | |||||||||
| individual |
0..1 | Reference(NP Core Practitioner | NP Core RelatedPerson | NP Core PractitionerRole) | Persons involved in the encounter other than the patient | |||||||||
| appointment |
0..* | Reference(Appointment) | The appointment that scheduled this encounter | |||||||||
| period |
0..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 |
C | 0..1 | dateTime | Starting time with inclusive boundary
| ||||||||
| end |
C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||||||
| length |
0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |||||||||
| reasonCode |
0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
| |||||||||
| reasonReference |
0..* | Reference(NP Core Condition | NP Core Procedure | NP Core Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference)
| |||||||||
| diagnosis |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| condition |
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 |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| preAdmissionIdentifier |
0..1 | Identifier | Pre-admission identifier | |||||||||
| origin |
0..1 | Reference(NP Core Health Facility | NP Core Organization | NP Core Location) | 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 |
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 | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| 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. | |||||||||
| 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 |
0..1 | Reference(NP Core Health Facility | NP Core Organization) | The organization (facility) responsible for this encounter
| |||||||||
| partOf |
0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Encounter.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.identifier.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 | preferred | Encounter Type ValueSet | 📦1.0.0 | This IG |
| Encounter.serviceType | Base | example | Service type | 📍4.0.1 | FHIR Std. |
| Encounter.priority | Base | example | ActPriority | 📦3.0.0 | THO v7.4 |
| 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. |
| 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())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| np-enc-1 | error | Encounter | An encounter SHALL carry at least one identifier whose system is namespaced under the assigning facility's NHFR code (i.e. http://nhfr.digitalhealth.gov.np/{nhfrCode}, with a non-empty code segment). |
identifier.where(system.startsWith('http://nhfr.digitalhealth.gov.np/') and system != 'http://nhfr.digitalhealth.gov.np/').exists()
|
This structure is derived from Encounter
Summary
Mandatory: 4 elements
Must-Support: 15 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Encounter |
C | 0..* | Encounter | An interaction during which services are provided to the patient Constraints: np-enc-1 | ||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| extension:isPoliceCase |
0..1 | boolean | Whether this encounter is part of a medico-legal (police) case URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-is-police-case
| |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier |
1..* | Identifier | Business identifier(s) for this encounter
| |||||||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||||||
| system |
1..1 | uri | Namespace URI for the identifier value Example General: http://www.acme.com/identifiers/patient Example Facility with NHFR code 00XX: http://nhfr.digitalhealth.gov.np/00XX Example Facility with NHFR code 12345: http://nhfr.digitalhealth.gov.np/12345 Example Facility with NHFR code 98765: http://nhfr.digitalhealth.gov.np/98765 | |||||||||
| value |
1..1 | string | Local visit or encounter number assigned by the facility Example General: 123456 Example Facility-assigned encounter number: VISIT-2026-0000123 | |||||||||
| status |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
| |||||||||
| class |
1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
| |||||||||
| type |
0..* | CodeableConcept | Specific type of encounter Binding: Encounter Type ValueSet (preferred)
| |||||||||
| subject |
1..1 | Reference(NP Core Patient | Group) | The patient or group present at the encounter
| |||||||||
| participant |
0..* | BackboneElement | List of participants involved in the encounter
| |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| individual |
0..1 | Reference(NP Core Practitioner | NP Core RelatedPerson | NP Core PractitionerRole) | Persons involved in the encounter other than the patient | |||||||||
| period |
0..1 | Period | The start and end time of the encounter
| |||||||||
| start |
C | 0..1 | dateTime | Starting time with inclusive boundary
| ||||||||
| reasonCode |
0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
| |||||||||
| reasonReference |
0..* | Reference(NP Core Condition | NP Core Procedure | NP Core Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference)
| |||||||||
| hospitalization |
0..1 | BackboneElement | Details about the admission to a healthcare service
| |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| origin |
0..1 | Reference(NP Core Health Facility | NP Core Organization | NP Core Location) | The location/organization from which the patient came before admission
| |||||||||
| dischargeDisposition |
0..1 | CodeableConcept | Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition.
| |||||||||
| serviceProvider |
0..1 | Reference(NP Core Health Facility | NP Core Organization) | The organization (facility) responsible for this encounter
| |||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.identifier.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 | preferred | Encounter Type ValueSet | 📦1.0.0 | This IG |
| Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📍4.0.1 | FHIR Std. |
| Encounter.hospitalization.dischargeDisposition | Base | example | Discharge disposition | 📍4.0.1 | FHIR Std. |
| 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())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| np-enc-1 | error | Encounter | An encounter SHALL carry at least one identifier whose system is namespaced under the assigning facility's NHFR code (i.e. http://nhfr.digitalhealth.gov.np/{nhfrCode}, with a non-empty code segment). |
identifier.where(system.startsWith('http://nhfr.digitalhealth.gov.np/') and system != 'http://nhfr.digitalhealth.gov.np/').exists()
|
Differential View
This structure is derived from Encounter
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Encounter |
C | 0..* | Encounter | An interaction during which services are provided to the patient Constraints: np-enc-1 | ||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| extension:isPoliceCase |
0..1 | boolean | Whether this encounter is part of a medico-legal (police) case URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-is-police-case
| |||||||||
| identifier |
1..* | Identifier | Business identifier(s) for this encounter
| |||||||||
| system |
1..1 | uri | Namespace URI for the identifier value Example Facility with NHFR code 00XX: http://nhfr.digitalhealth.gov.np/00XX Example Facility with NHFR code 12345: http://nhfr.digitalhealth.gov.np/12345 Example Facility with NHFR code 98765: http://nhfr.digitalhealth.gov.np/98765 | |||||||||
| value |
1..1 | string | Local visit or encounter number assigned by the facility Example Facility-assigned encounter number: VISIT-2026-0000123 | |||||||||
| status |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled +
| |||||||||
| class |
1..1 | Coding | Classification of patient encounter
| |||||||||
| type |
0..* | CodeableConcept | Specific type of encounter Binding: Encounter Type ValueSet (preferred)
| |||||||||
| subject |
1..1 | Reference(NP Core Patient | Group) | The patient or group present at the encounter
| |||||||||
| participant |
0..* | BackboneElement | List of participants involved in the encounter
| |||||||||
| individual |
0..1 | Reference(NP Core Practitioner | NP Core RelatedPerson | NP Core PractitionerRole) | Persons involved in the encounter other than the patient | |||||||||
| period |
0..1 | Period | The start and end time of the encounter
| |||||||||
| start |
0..1 | dateTime | Starting time with inclusive boundary
| |||||||||
| reasonCode |
0..* | CodeableConcept | Coded reason the encounter takes place
| |||||||||
| reasonReference |
0..* | Reference(NP Core Condition | NP Core Procedure | NP Core Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference)
| |||||||||
| hospitalization |
0..1 | BackboneElement | Details about the admission to a healthcare service
| |||||||||
| origin |
0..1 | Reference(NP Core Health Facility | NP Core Organization | NP Core Location) | The location/organization from which the patient came before admission
| |||||||||
| dischargeDisposition |
0..1 | CodeableConcept | Category or kind of location after discharge
| |||||||||
| serviceProvider |
0..1 | Reference(NP Core Health Facility | NP Core Organization) | The organization (facility) responsible for this encounter
| |||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.type | Base | preferred | Encounter Type ValueSet | 📦1.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| np-enc-1 | error | Encounter | An encounter SHALL carry at least one identifier whose system is namespaced under the assigning facility's NHFR code (i.e. http://nhfr.digitalhealth.gov.np/{nhfrCode}, with a non-empty code segment). |
identifier.where(system.startsWith('http://nhfr.digitalhealth.gov.np/') and system != 'http://nhfr.digitalhealth.gov.np/').exists()
|
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Encounter |
C | 0..* | Encounter | An interaction during which services are provided to the patient Constraints: np-enc-1 | ||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
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.
| |||||||||
| 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 |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| extension:isPoliceCase |
0..1 | boolean | Whether this encounter is part of a medico-legal (police) case URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-is-police-case
| |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier |
1..* | Identifier | Business identifier(s) for 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 | |||||||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||||||
| type |
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 |
1..1 | uri | Namespace URI for the identifier value Example General: http://www.acme.com/identifiers/patient Example Facility with NHFR code 00XX: http://nhfr.digitalhealth.gov.np/00XX Example Facility with NHFR code 12345: http://nhfr.digitalhealth.gov.np/12345 Example Facility with NHFR code 98765: http://nhfr.digitalhealth.gov.np/98765 | |||||||||
| value |
1..1 | string | Local visit or encounter number assigned by the facility Example General: 123456 Example Facility-assigned encounter number: VISIT-2026-0000123 | |||||||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||||||
| status |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
| |||||||||
| statusHistory |
0..* | BackboneElement | List of past encounter statuses | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
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 |
1..1 | Coding | Classification of patient encounter Binding: ActEncounterCode (extensible): Classification of the encounter.
| |||||||||
| 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 |
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 |
0..* | CodeableConcept | Specific type of encounter Binding: Encounter Type ValueSet (preferred)
| |||||||||
| serviceType |
0..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided. | |||||||||
| priority |
0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter. | |||||||||
| subject |
1..1 | Reference(NP Core Patient | Group) | The patient or group present at the encounter
| |||||||||
| episodeOfCare |
0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against | |||||||||
| basedOn |
0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter | |||||||||
| participant |
0..* | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| type |
0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter. | |||||||||
| period |
0..1 | Period | Period of time during the encounter that the participant participated | |||||||||
| individual |
0..1 | Reference(NP Core Practitioner | NP Core RelatedPerson | NP Core PractitionerRole) | Persons involved in the encounter other than the patient | |||||||||
| appointment |
0..* | Reference(Appointment) | The appointment that scheduled this encounter | |||||||||
| period |
0..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 |
C | 0..1 | dateTime | Starting time with inclusive boundary
| ||||||||
| end |
C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||||||
| length |
0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |||||||||
| reasonCode |
0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
| |||||||||
| reasonReference |
0..* | Reference(NP Core Condition | NP Core Procedure | NP Core Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference)
| |||||||||
| diagnosis |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| condition |
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 |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| preAdmissionIdentifier |
0..1 | Identifier | Pre-admission identifier | |||||||||
| origin |
0..1 | Reference(NP Core Health Facility | NP Core Organization | NP Core Location) | 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 |
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 | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| 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. | |||||||||
| 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 |
0..1 | Reference(NP Core Health Facility | NP Core Organization) | The organization (facility) responsible for this encounter
| |||||||||
| partOf |
0..1 | Reference(Encounter) | Another Encounter this encounter is part of | |||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Encounter.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.identifier.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 | preferred | Encounter Type ValueSet | 📦1.0.0 | This IG |
| Encounter.serviceType | Base | example | Service type | 📍4.0.1 | FHIR Std. |
| Encounter.priority | Base | example | ActPriority | 📦3.0.0 | THO v7.4 |
| 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. |
| 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())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| np-enc-1 | error | Encounter | An encounter SHALL carry at least one identifier whose system is namespaced under the assigning facility's NHFR code (i.e. http://nhfr.digitalhealth.gov.np/{nhfrCode}, with a non-empty code segment). |
identifier.where(system.startsWith('http://nhfr.digitalhealth.gov.np/') and system != 'http://nhfr.digitalhealth.gov.np/').exists()
|
This structure is derived from Encounter
Summary
Mandatory: 4 elements
Must-Support: 15 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron
