Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.7 - release New Zealand flag

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.7) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Urgent Care Encounter

Official URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/UrgentCareEncounter Version: 1.0.4
Active as of 2026-10-13 Computable Name: UrgentCareEncounter

A FHIR resource profile for operational reporting of Urgent Care encounters.

A FHIR resource profile for operational reporting of Urgent Care encounters.

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: doco
Encounter 0..* Encounter An interaction during which services are provided to the patient
Encounter.meta This element is included in summaries. 1..1 Meta Metadata about the resource
Encounter.meta.source This element is included in summaries. C 1..1 uri HPI Facility ID from where the record is sourced
Constraints: hpi-location-url-format
Encounter.meta.Slices for tag This element is included in summaries. 1..* Coding Tags applied to this resource
Slice: Unordered, Open by value:system
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Encounter.meta.Slices for tag.tag:correlationId This element is included in summaries. 1..1 Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Encounter.meta.Slices for tag.tag:correlationId.system This element is included in summaries. 1..1 uri Hub correlation ID system
Required Pattern: https://hub.services.digital.health.nz/ns/correlation-id
Encounter.meta.Slices for tag.tag:correlationId.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Encounter.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Encounter.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
Encounter.Slices for extension.extension:cscHolder 0..1 boolean Shared Care CSC holder
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-csc-holder
Encounter.Slices for extension.extension:accident 0..1 boolean Shared Care Accident Related
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-accident-related
Encounter.Slices for extension.extension:regCode 0..1 string Shared Care Registration Code
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-registration-code
Encounter.Slices for extension.extension:modeOfArrival 0..1 Coding The method of arrival of the patient into the facility
URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival
Binding: hl7VS-modeOfArrivalCode (example): The method that the patient arrived at the facility.
Encounter.Slices for extension.extension:diagnosis 0..* CodeableConcept Shared Care Diagnosis Code
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-diagnosis-code
Binding: Condition/Problem/DiagnosisCodes (example)
Encounter.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Encounter.identifier This element is included in summaries. 1..* Identifier External (provider) and Health NZ business identifiers
Encounter.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Encounter.status This element is a modifier element. This element is included in summaries. 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
Encounter.class This element is included in summaries. 1..1 Coding Classification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.
Encounter.type This element is included in summaries. 1..1 CodeableConcept Specific type of encounter
Binding: Urgent Care Encounter Type Value Set (extensible)
Encounter.priority 0..1 CodeableConcept Indicates the urgency of the encounter using the Australasian Triage Scale
Binding: Australasian Triage Scale (required)
Encounter.subject This element is included in summaries. 1..1 Reference(NZ Patient | Patient) The patient or group present at the encounter
Encounter.subject.type This element is included in summaries. 1..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Required Pattern: Patient
Encounter.subject.identifier This element is included in summaries. 1..1 Identifier Logical reference, when literal reference is not known
Encounter.subject.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Encounter.subject.identifier.system This element is included in summaries. 1..1 uri The namespace for the identifier value
Fixed Value: https://standards.digital.health.nz/ns/nhi-id
Encounter.subject.identifier.value This element is included in summaries. C 1..1 string Must be an absolute URL reference to the patient on the NHI system. See constraints for details.
Constraints: nhi-value-format
Example General: 123456
Encounter.participant This element is included in summaries. 0..* BackboneElement Practitioners involved in the encounter
Encounter.participant.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Encounter.participant.individual This element is included in summaries. 0..1 Reference(Practitioner resource for use in NZ) Persons involved in the encounter other than the patient
Encounter.participant.individual.identifier This element is included in summaries. C 1..1 Identifier A local identifier MUST be added to this section.
Constraints: hpiOrganizationIdPattern, hpiFacilityIdPattern, nzbnPattern, hpiCpnPattern
Encounter.participant.individual.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code The local identifier use SHOULD be set to official.
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Encounter.participant.individual.identifier.system This element is included in summaries. C 1..1 uri The system identifier for the organization, facility or nzbn
Constraints: allowedLocalIdentifierSystems
Example General: http://www.acme.com/identifiers/patient
Example HPI Organisation ID: https://standards.digital.health.nz/ns/hpi-organisation-id
Encounter.participant.individual.identifier.value This element is included in summaries. 1..1 string The actual local identifier value, e.g. GZZ999-Z
Example General: 123456
Example Example HPI Org ID: GZZ999-Z
Encounter.period 1..1 Period The start and end time of the encounter
Encounter.period.start This element is included in summaries. C 0..1 dateTime Starting time with inclusive boundary
Constraints: full-datetime-with-timezone
Encounter.period.end This element is included in summaries. C 0..1 dateTime End time with inclusive boundary, if not ongoing
Constraints: full-datetime-with-timezone
Encounter.hospitalization 0..1 BackboneElement Admission & discharge details (if applicable)
Encounter.hospitalization.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Encounter.location 0..* BackboneElement (Sub)Locations where the patient has been during the encounter
Encounter.location.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Encounter.location.location 1..1 Reference(Location) Location the encounter takes place
Encounter.partOf 0..1 Reference(Encounter) A preceding Encounter (e.g. discharged from ED then admitted as an inpatient)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Encounter.meta.tag:correlationId Base example Common Tags 📍4.0.1 FHIR Std.
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 v6.5
Encounter.type Base extensible Urgent Care Encounter Type Value Set 📦0.4.7 This IG
Encounter.priority Base required Australasian Triage Scale 📦0.4.7 This IG
Encounter.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Encounter.subject.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.participant.​individual.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
allowedLocalIdentifierSystems error Encounter.participant.individual.identifier.system Identifier system must be HPI facility, HPI Organisation, HPI CPN or NZBN $this = 'https://standards.digital.health.nz/ns/hpi-organisation-id' or $this = 'https://standards.digital.health.nz/ns/hpi-nzbn' or $this = 'https://standards.digital.health.nz/ns/hpi-facility-id' or $this = 'https://standards.digital.health.nz/ns/hpi-person-id'
full-datetime-with-timezone error Encounter.period.start, Encounter.period.end DateTime must be ISO 8601 format with time and timezone (e.g., 2026-01-01T00:00:00+13:00 or 2026-01-01T00:00:00Z). Date-only values are not accepted. toString().matches('^[0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\\.[0-9]+)?(Z|[+-][0-9]{2}:[0-9]{2})$')
hpi-location-url-format error Encounter.meta.source Reference must be an HPI facility URL with format https://standards.digital.health.nz/ns/hpi-facility-id/FZZ111-A matches('^https://standards.digital.health.nz/ns/hpi-facility-id/F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$')
hpiCpnPattern error Encounter.participant.individual.identifier HPI CPN must conform to format (NNXXXX where N is numeric and X is alphabetic). system = 'https://standards.digital.health.nz/ns/hpi-person-id' implies value.matches('^[0-9]{2}[A-Za-z]{4}$')
hpiFacilityIdPattern error Encounter.participant.individual.identifier HPI Facility ID must conform to format (FXXnnn-C). system = 'https://standards.digital.health.nz/ns/hpi-facility-id' implies value.matches('^F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$')
hpiOrganizationIdPattern error Encounter.participant.individual.identifier HPI Organisation ID must conform to format (GXXnnn-C). system = 'https://standards.digital.health.nz/ns/hpi-organisation-id' implies value.matches('^G[a-zA-Z0-9]{2}[0-9]{3}-[a-zA-Z0-9]$')
nhi-value-format error Encounter.subject.identifier.value Reference must be an NHI Patient URL with format ZZZ1111 or ZZZ11AA matches('^[A-Z]{3}([0-9]{4}|[0-9]{2}[A-Z]{2})$')
nzbnPattern error Encounter.participant.individual.identifier NZBN must conform to format (13 digits). system = 'https://standards.digital.health.nz/ns/hpi-nzbn' implies value.matches('^[0-9]{13}$')

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Encounter 0..* Encounter An interaction during which services are provided to the patient
Encounter.meta 1..1 Meta Metadata about the resource
Encounter.meta.source C 1..1 uri HPI Facility ID from where the record is sourced
Constraints: hpi-location-url-format
Encounter.meta.Slices for tag 1..* Coding Tags applied to this resource
Slice: Unordered, Open by value:system
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Encounter.meta.Slices for tag.tag:correlationId 1..1 Coding Tags applied to this resource
Encounter.meta.Slices for tag.tag:correlationId.system 1..1 uri Hub correlation ID system
Required Pattern: https://hub.services.digital.health.nz/ns/correlation-id
Encounter.meta.Slices for tag.tag:correlationId.code 1..1 code Symbol in syntax defined by the system
Encounter.contained 0..0 Contained, inline Resources
Encounter.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
Encounter.Slices for extension.extension:cscHolder 0..1 boolean Shared Care CSC holder
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-csc-holder
Encounter.Slices for extension.extension:accident 0..1 boolean Shared Care Accident Related
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-accident-related
Encounter.Slices for extension.extension:regCode 0..1 string Shared Care Registration Code
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-registration-code
Encounter.Slices for extension.extension:modeOfArrival 0..1 Coding The method of arrival of the patient into the facility
URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival
Binding: hl7VS-modeOfArrivalCode (example): The method that the patient arrived at the facility.
Encounter.Slices for extension.extension:diagnosis 0..* CodeableConcept Shared Care Diagnosis Code
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-diagnosis-code
Binding: Condition/Problem/DiagnosisCodes (example)
Encounter.identifier.period
Encounter.identifier.period.start C 0..1 dateTime Starting time with inclusive boundary
Constraints: full-datetime-with-timezone
Encounter.identifier.period.end C 0..1 dateTime End time with inclusive boundary, if not ongoing
Constraints: full-datetime-with-timezone
Encounter.type 1..1 CodeableConcept Specific type of encounter
Binding: Urgent Care Encounter Type Value Set (extensible)
Encounter.priority 0..1 CodeableConcept Indicates the urgency of the encounter using the Australasian Triage Scale
Binding: Australasian Triage Scale (required)
Encounter.subject 1..1 Reference(NZ Patient | Patient) The patient or group present at the encounter
Encounter.subject.type 1..1 uri Type the reference refers to (e.g. "Patient")
Required Pattern: Patient
Encounter.subject.identifier 1..1 Identifier Logical reference, when literal reference is not known
Encounter.subject.identifier.system 1..1 uri The namespace for the identifier value
Fixed Value: https://standards.digital.health.nz/ns/nhi-id
Encounter.subject.identifier.value C 1..1 string Must be an absolute URL reference to the patient on the NHI system. See constraints for details.
Constraints: nhi-value-format
Encounter.subject.display 0..0 Text alternative for the resource
Encounter.participant 0..* BackboneElement Practitioners involved in the encounter
Encounter.participant.individual 0..1 Reference(Practitioner resource for use in NZ) Persons involved in the encounter other than the patient
Encounter.participant.individual.identifier C 1..1 Identifier A local identifier MUST be added to this section.
Constraints: hpiOrganizationIdPattern, hpiFacilityIdPattern, nzbnPattern, hpiCpnPattern
Encounter.participant.individual.identifier.use 0..1 code The local identifier use SHOULD be set to official.
Encounter.participant.individual.identifier.system C 1..1 uri The system identifier for the organization, facility or nzbn
Constraints: allowedLocalIdentifierSystems
Example HPI Organisation ID: https://standards.digital.health.nz/ns/hpi-organisation-id
Encounter.participant.individual.identifier.value 1..1 string The actual local identifier value, e.g. GZZ999-Z
Example Example HPI Org ID: GZZ999-Z
Encounter.period 1..1 Period The start and end time of the encounter
Encounter.period.start C 0..1 dateTime Starting time with inclusive boundary
Constraints: full-datetime-with-timezone
Encounter.period.end C 0..1 dateTime End time with inclusive boundary, if not ongoing
Constraints: full-datetime-with-timezone
Encounter.diagnosis 0..0 The list of diagnosis relevant to this encounter
Encounter.account 0..0 The set of accounts that may be used for billing for this Encounter
Encounter.hospitalization 0..1 BackboneElement Admission & discharge details (if applicable)
Encounter.location 0..* BackboneElement (Sub)Locations where the patient has been during the encounter
Encounter.serviceProvider
Encounter.serviceProvider.identifier C 1..1 Identifier A local identifier MUST be added to this section.
Constraints: hpiOrganizationIdPattern, hpiFacilityIdPattern, nzbnPattern, hpiCpnPattern
Encounter.serviceProvider.identifier.use 0..1 code The local identifier use SHOULD be set to official.
Encounter.serviceProvider.identifier.system C 1..1 uri The system identifier for the organization, facility or nzbn
Constraints: allowedLocalIdentifierSystems
Example HPI Organisation ID: https://standards.digital.health.nz/ns/hpi-organisation-id
Encounter.serviceProvider.identifier.value 1..1 string The actual local identifier value, e.g. GZZ999-Z
Example Example HPI Org ID: GZZ999-Z
Encounter.partOf 0..1 Reference(Encounter) A preceding Encounter (e.g. discharged from ED then admitted as an inpatient)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.type Base extensible Urgent Care Encounter Type Value Set 📦0.4.7 This IG
Encounter.priority Base required Australasian Triage Scale 📦0.4.7 This IG

Constraints

Id Grade Path(s) Description Expression
allowedLocalIdentifierSystems error Encounter.participant.individual.identifier.system, Encounter.serviceProvider.identifier.system Identifier system must be HPI facility, HPI Organisation, HPI CPN or NZBN $this = 'https://standards.digital.health.nz/ns/hpi-organisation-id' or $this = 'https://standards.digital.health.nz/ns/hpi-nzbn' or $this = 'https://standards.digital.health.nz/ns/hpi-facility-id' or $this = 'https://standards.digital.health.nz/ns/hpi-person-id'
full-datetime-with-timezone error Encounter.identifier.period.start, Encounter.identifier.period.end, Encounter.period.start, Encounter.period.end DateTime must be ISO 8601 format with time and timezone (e.g., 2026-01-01T00:00:00+13:00 or 2026-01-01T00:00:00Z). Date-only values are not accepted. toString().matches('^[0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\\.[0-9]+)?(Z|[+-][0-9]{2}:[0-9]{2})$')
hpi-location-url-format error Encounter.meta.source Reference must be an HPI facility URL with format https://standards.digital.health.nz/ns/hpi-facility-id/FZZ111-A matches('^https://standards.digital.health.nz/ns/hpi-facility-id/F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$')
hpiCpnPattern error Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier HPI CPN must conform to format (NNXXXX where N is numeric and X is alphabetic). system = 'https://standards.digital.health.nz/ns/hpi-person-id' implies value.matches('^[0-9]{2}[A-Za-z]{4}$')
hpiFacilityIdPattern error Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier HPI Facility ID must conform to format (FXXnnn-C). system = 'https://standards.digital.health.nz/ns/hpi-facility-id' implies value.matches('^F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$')
hpiOrganizationIdPattern error Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier HPI Organisation ID must conform to format (GXXnnn-C). system = 'https://standards.digital.health.nz/ns/hpi-organisation-id' implies value.matches('^G[a-zA-Z0-9]{2}[0-9]{3}-[a-zA-Z0-9]$')
nhi-value-format error Encounter.subject.identifier.value Reference must be an NHI Patient URL with format ZZZ1111 or ZZZ11AA matches('^[A-Z]{3}([0-9]{4}|[0-9]{2}[A-Z]{2})$')
nzbnPattern error Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier NZBN must conform to format (13 digits). system = 'https://standards.digital.health.nz/ns/hpi-nzbn' implies value.matches('^[0-9]{13}$')
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Encounter 0..* Encounter An interaction during which services are provided to the patient
Encounter.id This element is included in summaries. 0..1 id Logical id of this artifact
Encounter.meta This element is included in summaries. 1..1 Meta Metadata about the resource
Encounter.meta.id 0..1 string Unique id for inter-element referencing
Encounter.meta.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
Encounter.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource version last changed
Encounter.meta.source This element is included in summaries. C 1..1 uri HPI Facility ID from where the record is sourced
Constraints: hpi-location-url-format
Encounter.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
Encounter.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Encounter.meta.Slices for tag This element is included in summaries. 1..* Coding Tags applied to this resource
Slice: Unordered, Open by value:system
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Encounter.meta.Slices for tag.tag:correlationId This element is included in summaries. 1..1 Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Encounter.meta.Slices for tag.tag:correlationId.id 0..1 string Unique id for inter-element referencing
Encounter.meta.Slices for tag.tag:correlationId.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.meta.Slices for tag.tag:correlationId.system This element is included in summaries. 1..1 uri Hub correlation ID system
Required Pattern: https://hub.services.digital.health.nz/ns/correlation-id
Encounter.meta.Slices for tag.tag:correlationId.version This element is included in summaries. 0..1 string Version of the system - if relevant
Encounter.meta.Slices for tag.tag:correlationId.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Encounter.meta.Slices for tag.tag:correlationId.display This element is included in summaries. 0..1 string Representation defined by the system
Encounter.meta.Slices for tag.tag:correlationId.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Encounter.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Encounter.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Encounter.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
Encounter.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
Encounter.Slices for extension.extension:cscHolder 0..1 boolean Shared Care CSC holder
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-csc-holder
Encounter.Slices for extension.extension:accident 0..1 boolean Shared Care Accident Related
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-accident-related
Encounter.Slices for extension.extension:regCode 0..1 string Shared Care Registration Code
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-registration-code
Encounter.Slices for extension.extension:modeOfArrival 0..1 Coding The method of arrival of the patient into the facility
URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival
Binding: hl7VS-modeOfArrivalCode (example): The method that the patient arrived at the facility.
Encounter.Slices for extension.extension:diagnosis 0..* CodeableConcept Shared Care Diagnosis Code
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-diagnosis-code
Binding: Condition/Problem/DiagnosisCodes (example)
Encounter.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Encounter.identifier This element is included in summaries. 1..* Identifier External (provider) and Health NZ business identifiers
Encounter.identifier.id 0..1 string Unique id for inter-element referencing
Encounter.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Encounter.identifier.type This element is included in summaries. 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.
Encounter.identifier.system This element is included in summaries. 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
Encounter.identifier.value This element is included in summaries. 0..1 string The value that is unique
Example General: 123456
Encounter.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Encounter.identifier.period.id 0..1 string Unique id for inter-element referencing
Encounter.identifier.period.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.identifier.period.start This element is included in summaries. C 0..1 dateTime Starting time with inclusive boundary
Constraints: full-datetime-with-timezone
Encounter.identifier.period.end This element is included in summaries. C 0..1 dateTime End time with inclusive boundary, if not ongoing
Constraints: full-datetime-with-timezone
Encounter.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Encounter.status This element is a modifier element. This element is included in summaries. 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
Encounter.statusHistory 0..* BackboneElement List of past encounter statuses
Encounter.statusHistory.id 0..1 string Unique id for inter-element referencing
Encounter.statusHistory.extension 0..* Extension Additional content defined by implementations
Encounter.statusHistory.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Encounter.statusHistory.status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
Encounter.statusHistory.period 1..1 Period The time that the episode was in the specified status
Encounter.class This element is included in summaries. 1..1 Coding Classification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.
Encounter.classHistory 0..* BackboneElement List of past encounter classes
Encounter.classHistory.id 0..1 string Unique id for inter-element referencing
Encounter.classHistory.extension 0..* Extension Additional content defined by implementations
Encounter.classHistory.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Encounter.classHistory.class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.
Encounter.classHistory.period 1..1 Period The time that the episode was in the specified class
Encounter.type This element is included in summaries. 1..1 CodeableConcept Specific type of encounter
Binding: Urgent Care Encounter Type Value Set (extensible)
Encounter.serviceType This element is included in summaries. 0..1 CodeableConcept Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
Encounter.priority 0..1 CodeableConcept Indicates the urgency of the encounter using the Australasian Triage Scale
Binding: Australasian Triage Scale (required)
Encounter.subject This element is included in summaries. 1..1 Reference(NZ Patient | Patient) The patient or group present at the encounter
Encounter.subject.id 0..1 string Unique id for inter-element referencing
Encounter.subject.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.subject.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL
Encounter.subject.type This element is included in summaries. 1..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Required Pattern: Patient
Encounter.subject.identifier This element is included in summaries. 1..1 Identifier Logical reference, when literal reference is not known
Encounter.subject.identifier.id 0..1 string Unique id for inter-element referencing
Encounter.subject.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.subject.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Encounter.subject.identifier.type This element is included in summaries. 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.
Encounter.subject.identifier.system This element is included in summaries. 1..1 uri The namespace for the identifier value
Fixed Value: https://standards.digital.health.nz/ns/nhi-id
Encounter.subject.identifier.value This element is included in summaries. C 1..1 string Must be an absolute URL reference to the patient on the NHI system. See constraints for details.
Constraints: nhi-value-format
Example General: 123456
Encounter.subject.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Encounter.subject.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Encounter.episodeOfCare This element is included in summaries. 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
Encounter.basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
Encounter.participant This element is included in summaries. 0..* BackboneElement Practitioners involved in the encounter
Encounter.participant.id 0..1 string Unique id for inter-element referencing
Encounter.participant.extension 0..* Extension Additional content defined by implementations
Encounter.participant.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Encounter.participant.type This element is included in summaries. 0..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.
Encounter.participant.period 0..1 Period Period of time during the encounter that the participant participated
Encounter.participant.individual This element is included in summaries. 0..1 Reference(Practitioner resource for use in NZ) Persons involved in the encounter other than the patient
Encounter.participant.individual.id 0..1 string Unique id for inter-element referencing
Encounter.participant.individual.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.participant.individual.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL
Encounter.participant.individual.type This element is included in summaries. 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Encounter.participant.individual.identifier This element is included in summaries. C 1..1 Identifier A local identifier MUST be added to this section.
Constraints: hpiOrganizationIdPattern, hpiFacilityIdPattern, nzbnPattern, hpiCpnPattern
Encounter.participant.individual.identifier.id 0..1 string Unique id for inter-element referencing
Encounter.participant.individual.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.participant.individual.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code The local identifier use SHOULD be set to official.
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Encounter.participant.individual.identifier.type This element is included in summaries. 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.
Encounter.participant.individual.identifier.system This element is included in summaries. C 1..1 uri The system identifier for the organization, facility or nzbn
Constraints: allowedLocalIdentifierSystems
Example General: http://www.acme.com/identifiers/patient
Example HPI Organisation ID: https://standards.digital.health.nz/ns/hpi-organisation-id
Encounter.participant.individual.identifier.value This element is included in summaries. 1..1 string The actual local identifier value, e.g. GZZ999-Z
Example General: 123456
Example Example HPI Org ID: GZZ999-Z
Encounter.participant.individual.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Encounter.participant.individual.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Encounter.participant.individual.display This element is included in summaries. 0..1 string Text alternative for the resource
Encounter.appointment This element is included in summaries. 0..* Reference(Appointment) The appointment that scheduled this encounter
Encounter.period 1..1 Period The start and end time of the encounter
Encounter.period.id 0..1 string Unique id for inter-element referencing
Encounter.period.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.period.start This element is included in summaries. C 0..1 dateTime Starting time with inclusive boundary
Constraints: full-datetime-with-timezone
Encounter.period.end This element is included in summaries. C 0..1 dateTime End time with inclusive boundary, if not ongoing
Constraints: full-datetime-with-timezone
Encounter.length 0..1 Duration Quantity of time the encounter lasted (less time absent)
Encounter.reasonCode This element is included in summaries. 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
Encounter.reasonReference This element is included in summaries. 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
Encounter.hospitalization 0..1 BackboneElement Admission & discharge details (if applicable)
Encounter.hospitalization.id 0..1 string Unique id for inter-element referencing
Encounter.hospitalization.extension 0..* Extension Additional content defined by implementations
Encounter.hospitalization.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Encounter.hospitalization.preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
Encounter.hospitalization.origin 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
Encounter.hospitalization.admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.
Encounter.hospitalization.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.
Encounter.hospitalization.dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
Encounter.hospitalization.specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.
Encounter.hospitalization.specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.
Encounter.hospitalization.destination 0..1 Reference(Location | Organization) Location/organization to which the patient is discharged
Encounter.hospitalization.dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.
Encounter.location 0..* BackboneElement (Sub)Locations where the patient has been during the encounter
Encounter.location.id 0..1 string Unique id for inter-element referencing
Encounter.location.extension 0..* Extension Additional content defined by implementations
Encounter.location.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Encounter.location.location 1..1 Reference(Location) Location the encounter takes place
Encounter.location.status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
Encounter.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.
Encounter.location.period 0..1 Period Time period during which the patient was present at the location
Encounter.serviceProvider 0..1 Reference(Organization) The organization (facility) responsible for this encounter
Encounter.serviceProvider.id 0..1 string Unique id for inter-element referencing
Encounter.serviceProvider.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.serviceProvider.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL
Encounter.serviceProvider.type This element is included in summaries. 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Encounter.serviceProvider.identifier This element is included in summaries. C 1..1 Identifier A local identifier MUST be added to this section.
Constraints: hpiOrganizationIdPattern, hpiFacilityIdPattern, nzbnPattern, hpiCpnPattern
Encounter.serviceProvider.identifier.id 0..1 string Unique id for inter-element referencing
Encounter.serviceProvider.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.serviceProvider.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code The local identifier use SHOULD be set to official.
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Encounter.serviceProvider.identifier.type This element is included in summaries. 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.
Encounter.serviceProvider.identifier.system This element is included in summaries. C 1..1 uri The system identifier for the organization, facility or nzbn
Constraints: allowedLocalIdentifierSystems
Example General: http://www.acme.com/identifiers/patient
Example HPI Organisation ID: https://standards.digital.health.nz/ns/hpi-organisation-id
Encounter.serviceProvider.identifier.value This element is included in summaries. 1..1 string The actual local identifier value, e.g. GZZ999-Z
Example General: 123456
Example Example HPI Org ID: GZZ999-Z
Encounter.serviceProvider.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Encounter.serviceProvider.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Encounter.serviceProvider.display This element is included in summaries. 0..1 string Text alternative for the resource
Encounter.partOf 0..1 Reference(Encounter) A preceding Encounter (e.g. discharged from ED then admitted as an inpatient)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Encounter.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Encounter.meta.tag:correlationId Base example Common Tags 📍4.0.1 FHIR Std.
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 v6.5
Encounter.classHistory.​class Base extensible ActEncounterCode 📦3.0.0 THO v6.5
Encounter.type Base extensible Urgent Care Encounter Type Value Set 📦0.4.7 This IG
Encounter.serviceType Base example Service type 📍4.0.1 FHIR Std.
Encounter.priority Base required Australasian Triage Scale 📦0.4.7 This IG
Encounter.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Encounter.subject.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.subject.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Encounter.participant.​type Base extensible Participant type 📍4.0.1 FHIR Std.
Encounter.participant.​individual.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Encounter.participant.​individual.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.participant.​individual.identifier.​type Base extensible IdentifierType 📍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 📦2.0.0 THO v6.5
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.
Encounter.serviceProvider.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Encounter.serviceProvider.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.serviceProvider.​identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
allowedLocalIdentifierSystems error Encounter.participant.individual.identifier.system, Encounter.serviceProvider.identifier.system Identifier system must be HPI facility, HPI Organisation, HPI CPN or NZBN $this = 'https://standards.digital.health.nz/ns/hpi-organisation-id' or $this = 'https://standards.digital.health.nz/ns/hpi-nzbn' or $this = 'https://standards.digital.health.nz/ns/hpi-facility-id' or $this = 'https://standards.digital.health.nz/ns/hpi-person-id'
full-datetime-with-timezone error Encounter.identifier.period.start, Encounter.identifier.period.end, Encounter.period.start, Encounter.period.end DateTime must be ISO 8601 format with time and timezone (e.g., 2026-01-01T00:00:00+13:00 or 2026-01-01T00:00:00Z). Date-only values are not accepted. toString().matches('^[0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\\.[0-9]+)?(Z|[+-][0-9]{2}:[0-9]{2})$')
hpi-location-url-format error Encounter.meta.source Reference must be an HPI facility URL with format https://standards.digital.health.nz/ns/hpi-facility-id/FZZ111-A matches('^https://standards.digital.health.nz/ns/hpi-facility-id/F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$')
hpiCpnPattern error Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier HPI CPN must conform to format (NNXXXX where N is numeric and X is alphabetic). system = 'https://standards.digital.health.nz/ns/hpi-person-id' implies value.matches('^[0-9]{2}[A-Za-z]{4}$')
hpiFacilityIdPattern error Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier HPI Facility ID must conform to format (FXXnnn-C). system = 'https://standards.digital.health.nz/ns/hpi-facility-id' implies value.matches('^F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$')
hpiOrganizationIdPattern error Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier HPI Organisation ID must conform to format (GXXnnn-C). system = 'https://standards.digital.health.nz/ns/hpi-organisation-id' implies value.matches('^G[a-zA-Z0-9]{2}[0-9]{3}-[a-zA-Z0-9]$')
nhi-value-format error Encounter.subject.identifier.value Reference must be an NHI Patient URL with format ZZZ1111 or ZZZ11AA matches('^[A-Z]{3}([0-9]{4}|[0-9]{2}[A-Z]{2})$')
nzbnPattern error Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier NZBN must conform to format (13 digits). system = 'https://standards.digital.health.nz/ns/hpi-nzbn' implies value.matches('^[0-9]{13}$')

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Encounter 0..* Encounter An interaction during which services are provided to the patient
Encounter.meta This element is included in summaries. 1..1 Meta Metadata about the resource
Encounter.meta.source This element is included in summaries. C 1..1 uri HPI Facility ID from where the record is sourced
Constraints: hpi-location-url-format
Encounter.meta.Slices for tag This element is included in summaries. 1..* Coding Tags applied to this resource
Slice: Unordered, Open by value:system
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Encounter.meta.Slices for tag.tag:correlationId This element is included in summaries. 1..1 Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Encounter.meta.Slices for tag.tag:correlationId.system This element is included in summaries. 1..1 uri Hub correlation ID system
Required Pattern: https://hub.services.digital.health.nz/ns/correlation-id
Encounter.meta.Slices for tag.tag:correlationId.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Encounter.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Encounter.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
Encounter.Slices for extension.extension:cscHolder 0..1 boolean Shared Care CSC holder
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-csc-holder
Encounter.Slices for extension.extension:accident 0..1 boolean Shared Care Accident Related
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-accident-related
Encounter.Slices for extension.extension:regCode 0..1 string Shared Care Registration Code
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-registration-code
Encounter.Slices for extension.extension:modeOfArrival 0..1 Coding The method of arrival of the patient into the facility
URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival
Binding: hl7VS-modeOfArrivalCode (example): The method that the patient arrived at the facility.
Encounter.Slices for extension.extension:diagnosis 0..* CodeableConcept Shared Care Diagnosis Code
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-diagnosis-code
Binding: Condition/Problem/DiagnosisCodes (example)
Encounter.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Encounter.identifier This element is included in summaries. 1..* Identifier External (provider) and Health NZ business identifiers
Encounter.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Encounter.status This element is a modifier element. This element is included in summaries. 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
Encounter.class This element is included in summaries. 1..1 Coding Classification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.
Encounter.type This element is included in summaries. 1..1 CodeableConcept Specific type of encounter
Binding: Urgent Care Encounter Type Value Set (extensible)
Encounter.priority 0..1 CodeableConcept Indicates the urgency of the encounter using the Australasian Triage Scale
Binding: Australasian Triage Scale (required)
Encounter.subject This element is included in summaries. 1..1 Reference(NZ Patient | Patient) The patient or group present at the encounter
Encounter.subject.type This element is included in summaries. 1..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Required Pattern: Patient
Encounter.subject.identifier This element is included in summaries. 1..1 Identifier Logical reference, when literal reference is not known
Encounter.subject.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Encounter.subject.identifier.system This element is included in summaries. 1..1 uri The namespace for the identifier value
Fixed Value: https://standards.digital.health.nz/ns/nhi-id
Encounter.subject.identifier.value This element is included in summaries. C 1..1 string Must be an absolute URL reference to the patient on the NHI system. See constraints for details.
Constraints: nhi-value-format
Example General: 123456
Encounter.participant This element is included in summaries. 0..* BackboneElement Practitioners involved in the encounter
Encounter.participant.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Encounter.participant.individual This element is included in summaries. 0..1 Reference(Practitioner resource for use in NZ) Persons involved in the encounter other than the patient
Encounter.participant.individual.identifier This element is included in summaries. C 1..1 Identifier A local identifier MUST be added to this section.
Constraints: hpiOrganizationIdPattern, hpiFacilityIdPattern, nzbnPattern, hpiCpnPattern
Encounter.participant.individual.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code The local identifier use SHOULD be set to official.
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Encounter.participant.individual.identifier.system This element is included in summaries. C 1..1 uri The system identifier for the organization, facility or nzbn
Constraints: allowedLocalIdentifierSystems
Example General: http://www.acme.com/identifiers/patient
Example HPI Organisation ID: https://standards.digital.health.nz/ns/hpi-organisation-id
Encounter.participant.individual.identifier.value This element is included in summaries. 1..1 string The actual local identifier value, e.g. GZZ999-Z
Example General: 123456
Example Example HPI Org ID: GZZ999-Z
Encounter.period 1..1 Period The start and end time of the encounter
Encounter.period.start This element is included in summaries. C 0..1 dateTime Starting time with inclusive boundary
Constraints: full-datetime-with-timezone
Encounter.period.end This element is included in summaries. C 0..1 dateTime End time with inclusive boundary, if not ongoing
Constraints: full-datetime-with-timezone
Encounter.hospitalization 0..1 BackboneElement Admission & discharge details (if applicable)
Encounter.hospitalization.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Encounter.location 0..* BackboneElement (Sub)Locations where the patient has been during the encounter
Encounter.location.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Encounter.location.location 1..1 Reference(Location) Location the encounter takes place
Encounter.partOf 0..1 Reference(Encounter) A preceding Encounter (e.g. discharged from ED then admitted as an inpatient)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Encounter.meta.tag:correlationId Base example Common Tags 📍4.0.1 FHIR Std.
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 v6.5
Encounter.type Base extensible Urgent Care Encounter Type Value Set 📦0.4.7 This IG
Encounter.priority Base required Australasian Triage Scale 📦0.4.7 This IG
Encounter.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Encounter.subject.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.participant.​individual.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
allowedLocalIdentifierSystems error Encounter.participant.individual.identifier.system Identifier system must be HPI facility, HPI Organisation, HPI CPN or NZBN $this = 'https://standards.digital.health.nz/ns/hpi-organisation-id' or $this = 'https://standards.digital.health.nz/ns/hpi-nzbn' or $this = 'https://standards.digital.health.nz/ns/hpi-facility-id' or $this = 'https://standards.digital.health.nz/ns/hpi-person-id'
full-datetime-with-timezone error Encounter.period.start, Encounter.period.end DateTime must be ISO 8601 format with time and timezone (e.g., 2026-01-01T00:00:00+13:00 or 2026-01-01T00:00:00Z). Date-only values are not accepted. toString().matches('^[0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\\.[0-9]+)?(Z|[+-][0-9]{2}:[0-9]{2})$')
hpi-location-url-format error Encounter.meta.source Reference must be an HPI facility URL with format https://standards.digital.health.nz/ns/hpi-facility-id/FZZ111-A matches('^https://standards.digital.health.nz/ns/hpi-facility-id/F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$')
hpiCpnPattern error Encounter.participant.individual.identifier HPI CPN must conform to format (NNXXXX where N is numeric and X is alphabetic). system = 'https://standards.digital.health.nz/ns/hpi-person-id' implies value.matches('^[0-9]{2}[A-Za-z]{4}$')
hpiFacilityIdPattern error Encounter.participant.individual.identifier HPI Facility ID must conform to format (FXXnnn-C). system = 'https://standards.digital.health.nz/ns/hpi-facility-id' implies value.matches('^F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$')
hpiOrganizationIdPattern error Encounter.participant.individual.identifier HPI Organisation ID must conform to format (GXXnnn-C). system = 'https://standards.digital.health.nz/ns/hpi-organisation-id' implies value.matches('^G[a-zA-Z0-9]{2}[0-9]{3}-[a-zA-Z0-9]$')
nhi-value-format error Encounter.subject.identifier.value Reference must be an NHI Patient URL with format ZZZ1111 or ZZZ11AA matches('^[A-Z]{3}([0-9]{4}|[0-9]{2}[A-Z]{2})$')
nzbnPattern error Encounter.participant.individual.identifier NZBN must conform to format (13 digits). system = 'https://standards.digital.health.nz/ns/hpi-nzbn' implies value.matches('^[0-9]{13}$')

Differential View

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Encounter 0..* Encounter An interaction during which services are provided to the patient
Encounter.meta 1..1 Meta Metadata about the resource
Encounter.meta.source C 1..1 uri HPI Facility ID from where the record is sourced
Constraints: hpi-location-url-format
Encounter.meta.Slices for tag 1..* Coding Tags applied to this resource
Slice: Unordered, Open by value:system
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Encounter.meta.Slices for tag.tag:correlationId 1..1 Coding Tags applied to this resource
Encounter.meta.Slices for tag.tag:correlationId.system 1..1 uri Hub correlation ID system
Required Pattern: https://hub.services.digital.health.nz/ns/correlation-id
Encounter.meta.Slices for tag.tag:correlationId.code 1..1 code Symbol in syntax defined by the system
Encounter.contained 0..0 Contained, inline Resources
Encounter.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
Encounter.Slices for extension.extension:cscHolder 0..1 boolean Shared Care CSC holder
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-csc-holder
Encounter.Slices for extension.extension:accident 0..1 boolean Shared Care Accident Related
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-accident-related
Encounter.Slices for extension.extension:regCode 0..1 string Shared Care Registration Code
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-registration-code
Encounter.Slices for extension.extension:modeOfArrival 0..1 Coding The method of arrival of the patient into the facility
URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival
Binding: hl7VS-modeOfArrivalCode (example): The method that the patient arrived at the facility.
Encounter.Slices for extension.extension:diagnosis 0..* CodeableConcept Shared Care Diagnosis Code
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-diagnosis-code
Binding: Condition/Problem/DiagnosisCodes (example)
Encounter.identifier 1..* Identifier External (provider) and Health NZ business identifiers
Encounter.identifier.period
Encounter.identifier.period.start C 0..1 dateTime Starting time with inclusive boundary
Constraints: full-datetime-with-timezone
Encounter.identifier.period.end C 0..1 dateTime End time with inclusive boundary, if not ongoing
Constraints: full-datetime-with-timezone
Encounter.type 1..1 CodeableConcept Specific type of encounter
Binding: Urgent Care Encounter Type Value Set (extensible)
Encounter.priority 0..1 CodeableConcept Indicates the urgency of the encounter using the Australasian Triage Scale
Binding: Australasian Triage Scale (required)
Encounter.subject 1..1 Reference(NZ Patient | Patient) The patient or group present at the encounter
Encounter.subject.type 1..1 uri Type the reference refers to (e.g. "Patient")
Required Pattern: Patient
Encounter.subject.identifier 1..1 Identifier Logical reference, when literal reference is not known
Encounter.subject.identifier.system 1..1 uri The namespace for the identifier value
Fixed Value: https://standards.digital.health.nz/ns/nhi-id
Encounter.subject.identifier.value C 1..1 string Must be an absolute URL reference to the patient on the NHI system. See constraints for details.
Constraints: nhi-value-format
Encounter.subject.display 0..0 Text alternative for the resource
Encounter.participant 0..* BackboneElement Practitioners involved in the encounter
Encounter.participant.individual 0..1 Reference(Practitioner resource for use in NZ) Persons involved in the encounter other than the patient
Encounter.participant.individual.identifier C 1..1 Identifier A local identifier MUST be added to this section.
Constraints: hpiOrganizationIdPattern, hpiFacilityIdPattern, nzbnPattern, hpiCpnPattern
Encounter.participant.individual.identifier.use 0..1 code The local identifier use SHOULD be set to official.
Encounter.participant.individual.identifier.system C 1..1 uri The system identifier for the organization, facility or nzbn
Constraints: allowedLocalIdentifierSystems
Example HPI Organisation ID: https://standards.digital.health.nz/ns/hpi-organisation-id
Encounter.participant.individual.identifier.value 1..1 string The actual local identifier value, e.g. GZZ999-Z
Example Example HPI Org ID: GZZ999-Z
Encounter.period 1..1 Period The start and end time of the encounter
Encounter.period.start C 0..1 dateTime Starting time with inclusive boundary
Constraints: full-datetime-with-timezone
Encounter.period.end C 0..1 dateTime End time with inclusive boundary, if not ongoing
Constraints: full-datetime-with-timezone
Encounter.diagnosis 0..0 The list of diagnosis relevant to this encounter
Encounter.account 0..0 The set of accounts that may be used for billing for this Encounter
Encounter.hospitalization 0..1 BackboneElement Admission & discharge details (if applicable)
Encounter.location 0..* BackboneElement (Sub)Locations where the patient has been during the encounter
Encounter.serviceProvider
Encounter.serviceProvider.identifier C 1..1 Identifier A local identifier MUST be added to this section.
Constraints: hpiOrganizationIdPattern, hpiFacilityIdPattern, nzbnPattern, hpiCpnPattern
Encounter.serviceProvider.identifier.use 0..1 code The local identifier use SHOULD be set to official.
Encounter.serviceProvider.identifier.system C 1..1 uri The system identifier for the organization, facility or nzbn
Constraints: allowedLocalIdentifierSystems
Example HPI Organisation ID: https://standards.digital.health.nz/ns/hpi-organisation-id
Encounter.serviceProvider.identifier.value 1..1 string The actual local identifier value, e.g. GZZ999-Z
Example Example HPI Org ID: GZZ999-Z
Encounter.partOf 0..1 Reference(Encounter) A preceding Encounter (e.g. discharged from ED then admitted as an inpatient)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.type Base extensible Urgent Care Encounter Type Value Set 📦0.4.7 This IG
Encounter.priority Base required Australasian Triage Scale 📦0.4.7 This IG

Constraints

Id Grade Path(s) Description Expression
allowedLocalIdentifierSystems error Encounter.participant.individual.identifier.system, Encounter.serviceProvider.identifier.system Identifier system must be HPI facility, HPI Organisation, HPI CPN or NZBN $this = 'https://standards.digital.health.nz/ns/hpi-organisation-id' or $this = 'https://standards.digital.health.nz/ns/hpi-nzbn' or $this = 'https://standards.digital.health.nz/ns/hpi-facility-id' or $this = 'https://standards.digital.health.nz/ns/hpi-person-id'
full-datetime-with-timezone error Encounter.identifier.period.start, Encounter.identifier.period.end, Encounter.period.start, Encounter.period.end DateTime must be ISO 8601 format with time and timezone (e.g., 2026-01-01T00:00:00+13:00 or 2026-01-01T00:00:00Z). Date-only values are not accepted. toString().matches('^[0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\\.[0-9]+)?(Z|[+-][0-9]{2}:[0-9]{2})$')
hpi-location-url-format error Encounter.meta.source Reference must be an HPI facility URL with format https://standards.digital.health.nz/ns/hpi-facility-id/FZZ111-A matches('^https://standards.digital.health.nz/ns/hpi-facility-id/F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$')
hpiCpnPattern error Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier HPI CPN must conform to format (NNXXXX where N is numeric and X is alphabetic). system = 'https://standards.digital.health.nz/ns/hpi-person-id' implies value.matches('^[0-9]{2}[A-Za-z]{4}$')
hpiFacilityIdPattern error Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier HPI Facility ID must conform to format (FXXnnn-C). system = 'https://standards.digital.health.nz/ns/hpi-facility-id' implies value.matches('^F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$')
hpiOrganizationIdPattern error Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier HPI Organisation ID must conform to format (GXXnnn-C). system = 'https://standards.digital.health.nz/ns/hpi-organisation-id' implies value.matches('^G[a-zA-Z0-9]{2}[0-9]{3}-[a-zA-Z0-9]$')
nhi-value-format error Encounter.subject.identifier.value Reference must be an NHI Patient URL with format ZZZ1111 or ZZZ11AA matches('^[A-Z]{3}([0-9]{4}|[0-9]{2}[A-Z]{2})$')
nzbnPattern error Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier NZBN must conform to format (13 digits). system = 'https://standards.digital.health.nz/ns/hpi-nzbn' implies value.matches('^[0-9]{13}$')

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Encounter 0..* Encounter An interaction during which services are provided to the patient
Encounter.id This element is included in summaries. 0..1 id Logical id of this artifact
Encounter.meta This element is included in summaries. 1..1 Meta Metadata about the resource
Encounter.meta.id 0..1 string Unique id for inter-element referencing
Encounter.meta.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
Encounter.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource version last changed
Encounter.meta.source This element is included in summaries. C 1..1 uri HPI Facility ID from where the record is sourced
Constraints: hpi-location-url-format
Encounter.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
Encounter.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Encounter.meta.Slices for tag This element is included in summaries. 1..* Coding Tags applied to this resource
Slice: Unordered, Open by value:system
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Encounter.meta.Slices for tag.tag:correlationId This element is included in summaries. 1..1 Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Encounter.meta.Slices for tag.tag:correlationId.id 0..1 string Unique id for inter-element referencing
Encounter.meta.Slices for tag.tag:correlationId.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.meta.Slices for tag.tag:correlationId.system This element is included in summaries. 1..1 uri Hub correlation ID system
Required Pattern: https://hub.services.digital.health.nz/ns/correlation-id
Encounter.meta.Slices for tag.tag:correlationId.version This element is included in summaries. 0..1 string Version of the system - if relevant
Encounter.meta.Slices for tag.tag:correlationId.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Encounter.meta.Slices for tag.tag:correlationId.display This element is included in summaries. 0..1 string Representation defined by the system
Encounter.meta.Slices for tag.tag:correlationId.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Encounter.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Encounter.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Encounter.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
Encounter.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
Encounter.Slices for extension.extension:cscHolder 0..1 boolean Shared Care CSC holder
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-csc-holder
Encounter.Slices for extension.extension:accident 0..1 boolean Shared Care Accident Related
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-accident-related
Encounter.Slices for extension.extension:regCode 0..1 string Shared Care Registration Code
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-registration-code
Encounter.Slices for extension.extension:modeOfArrival 0..1 Coding The method of arrival of the patient into the facility
URL: http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival
Binding: hl7VS-modeOfArrivalCode (example): The method that the patient arrived at the facility.
Encounter.Slices for extension.extension:diagnosis 0..* CodeableConcept Shared Care Diagnosis Code
URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/shared-care-diagnosis-code
Binding: Condition/Problem/DiagnosisCodes (example)
Encounter.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Encounter.identifier This element is included in summaries. 1..* Identifier External (provider) and Health NZ business identifiers
Encounter.identifier.id 0..1 string Unique id for inter-element referencing
Encounter.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Encounter.identifier.type This element is included in summaries. 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.
Encounter.identifier.system This element is included in summaries. 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
Encounter.identifier.value This element is included in summaries. 0..1 string The value that is unique
Example General: 123456
Encounter.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Encounter.identifier.period.id 0..1 string Unique id for inter-element referencing
Encounter.identifier.period.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.identifier.period.start This element is included in summaries. C 0..1 dateTime Starting time with inclusive boundary
Constraints: full-datetime-with-timezone
Encounter.identifier.period.end This element is included in summaries. C 0..1 dateTime End time with inclusive boundary, if not ongoing
Constraints: full-datetime-with-timezone
Encounter.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Encounter.status This element is a modifier element. This element is included in summaries. 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
Encounter.statusHistory 0..* BackboneElement List of past encounter statuses
Encounter.statusHistory.id 0..1 string Unique id for inter-element referencing
Encounter.statusHistory.extension 0..* Extension Additional content defined by implementations
Encounter.statusHistory.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Encounter.statusHistory.status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
Encounter.statusHistory.period 1..1 Period The time that the episode was in the specified status
Encounter.class This element is included in summaries. 1..1 Coding Classification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.
Encounter.classHistory 0..* BackboneElement List of past encounter classes
Encounter.classHistory.id 0..1 string Unique id for inter-element referencing
Encounter.classHistory.extension 0..* Extension Additional content defined by implementations
Encounter.classHistory.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Encounter.classHistory.class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.
Encounter.classHistory.period 1..1 Period The time that the episode was in the specified class
Encounter.type This element is included in summaries. 1..1 CodeableConcept Specific type of encounter
Binding: Urgent Care Encounter Type Value Set (extensible)
Encounter.serviceType This element is included in summaries. 0..1 CodeableConcept Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
Encounter.priority 0..1 CodeableConcept Indicates the urgency of the encounter using the Australasian Triage Scale
Binding: Australasian Triage Scale (required)
Encounter.subject This element is included in summaries. 1..1 Reference(NZ Patient | Patient) The patient or group present at the encounter
Encounter.subject.id 0..1 string Unique id for inter-element referencing
Encounter.subject.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.subject.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL
Encounter.subject.type This element is included in summaries. 1..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Required Pattern: Patient
Encounter.subject.identifier This element is included in summaries. 1..1 Identifier Logical reference, when literal reference is not known
Encounter.subject.identifier.id 0..1 string Unique id for inter-element referencing
Encounter.subject.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.subject.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Encounter.subject.identifier.type This element is included in summaries. 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.
Encounter.subject.identifier.system This element is included in summaries. 1..1 uri The namespace for the identifier value
Fixed Value: https://standards.digital.health.nz/ns/nhi-id
Encounter.subject.identifier.value This element is included in summaries. C 1..1 string Must be an absolute URL reference to the patient on the NHI system. See constraints for details.
Constraints: nhi-value-format
Example General: 123456
Encounter.subject.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Encounter.subject.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Encounter.episodeOfCare This element is included in summaries. 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
Encounter.basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
Encounter.participant This element is included in summaries. 0..* BackboneElement Practitioners involved in the encounter
Encounter.participant.id 0..1 string Unique id for inter-element referencing
Encounter.participant.extension 0..* Extension Additional content defined by implementations
Encounter.participant.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Encounter.participant.type This element is included in summaries. 0..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.
Encounter.participant.period 0..1 Period Period of time during the encounter that the participant participated
Encounter.participant.individual This element is included in summaries. 0..1 Reference(Practitioner resource for use in NZ) Persons involved in the encounter other than the patient
Encounter.participant.individual.id 0..1 string Unique id for inter-element referencing
Encounter.participant.individual.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.participant.individual.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL
Encounter.participant.individual.type This element is included in summaries. 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Encounter.participant.individual.identifier This element is included in summaries. C 1..1 Identifier A local identifier MUST be added to this section.
Constraints: hpiOrganizationIdPattern, hpiFacilityIdPattern, nzbnPattern, hpiCpnPattern
Encounter.participant.individual.identifier.id 0..1 string Unique id for inter-element referencing
Encounter.participant.individual.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.participant.individual.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code The local identifier use SHOULD be set to official.
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Encounter.participant.individual.identifier.type This element is included in summaries. 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.
Encounter.participant.individual.identifier.system This element is included in summaries. C 1..1 uri The system identifier for the organization, facility or nzbn
Constraints: allowedLocalIdentifierSystems
Example General: http://www.acme.com/identifiers/patient
Example HPI Organisation ID: https://standards.digital.health.nz/ns/hpi-organisation-id
Encounter.participant.individual.identifier.value This element is included in summaries. 1..1 string The actual local identifier value, e.g. GZZ999-Z
Example General: 123456
Example Example HPI Org ID: GZZ999-Z
Encounter.participant.individual.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Encounter.participant.individual.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Encounter.participant.individual.display This element is included in summaries. 0..1 string Text alternative for the resource
Encounter.appointment This element is included in summaries. 0..* Reference(Appointment) The appointment that scheduled this encounter
Encounter.period 1..1 Period The start and end time of the encounter
Encounter.period.id 0..1 string Unique id for inter-element referencing
Encounter.period.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.period.start This element is included in summaries. C 0..1 dateTime Starting time with inclusive boundary
Constraints: full-datetime-with-timezone
Encounter.period.end This element is included in summaries. C 0..1 dateTime End time with inclusive boundary, if not ongoing
Constraints: full-datetime-with-timezone
Encounter.length 0..1 Duration Quantity of time the encounter lasted (less time absent)
Encounter.reasonCode This element is included in summaries. 0..* CodeableConcept Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
Encounter.reasonReference This element is included in summaries. 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
Encounter.hospitalization 0..1 BackboneElement Admission & discharge details (if applicable)
Encounter.hospitalization.id 0..1 string Unique id for inter-element referencing
Encounter.hospitalization.extension 0..* Extension Additional content defined by implementations
Encounter.hospitalization.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Encounter.hospitalization.preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
Encounter.hospitalization.origin 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
Encounter.hospitalization.admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.
Encounter.hospitalization.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.
Encounter.hospitalization.dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
Encounter.hospitalization.specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.
Encounter.hospitalization.specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.
Encounter.hospitalization.destination 0..1 Reference(Location | Organization) Location/organization to which the patient is discharged
Encounter.hospitalization.dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.
Encounter.location 0..* BackboneElement (Sub)Locations where the patient has been during the encounter
Encounter.location.id 0..1 string Unique id for inter-element referencing
Encounter.location.extension 0..* Extension Additional content defined by implementations
Encounter.location.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Encounter.location.location 1..1 Reference(Location) Location the encounter takes place
Encounter.location.status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.
Encounter.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.
Encounter.location.period 0..1 Period Time period during which the patient was present at the location
Encounter.serviceProvider 0..1 Reference(Organization) The organization (facility) responsible for this encounter
Encounter.serviceProvider.id 0..1 string Unique id for inter-element referencing
Encounter.serviceProvider.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.serviceProvider.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL
Encounter.serviceProvider.type This element is included in summaries. 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Encounter.serviceProvider.identifier This element is included in summaries. C 1..1 Identifier A local identifier MUST be added to this section.
Constraints: hpiOrganizationIdPattern, hpiFacilityIdPattern, nzbnPattern, hpiCpnPattern
Encounter.serviceProvider.identifier.id 0..1 string Unique id for inter-element referencing
Encounter.serviceProvider.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Encounter.serviceProvider.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code The local identifier use SHOULD be set to official.
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Encounter.serviceProvider.identifier.type This element is included in summaries. 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.
Encounter.serviceProvider.identifier.system This element is included in summaries. C 1..1 uri The system identifier for the organization, facility or nzbn
Constraints: allowedLocalIdentifierSystems
Example General: http://www.acme.com/identifiers/patient
Example HPI Organisation ID: https://standards.digital.health.nz/ns/hpi-organisation-id
Encounter.serviceProvider.identifier.value This element is included in summaries. 1..1 string The actual local identifier value, e.g. GZZ999-Z
Example General: 123456
Example Example HPI Org ID: GZZ999-Z
Encounter.serviceProvider.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Encounter.serviceProvider.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Encounter.serviceProvider.display This element is included in summaries. 0..1 string Text alternative for the resource
Encounter.partOf 0..1 Reference(Encounter) A preceding Encounter (e.g. discharged from ED then admitted as an inpatient)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Encounter.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Encounter.meta.tag:correlationId Base example Common Tags 📍4.0.1 FHIR Std.
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 v6.5
Encounter.classHistory.​class Base extensible ActEncounterCode 📦3.0.0 THO v6.5
Encounter.type Base extensible Urgent Care Encounter Type Value Set 📦0.4.7 This IG
Encounter.serviceType Base example Service type 📍4.0.1 FHIR Std.
Encounter.priority Base required Australasian Triage Scale 📦0.4.7 This IG
Encounter.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Encounter.subject.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.subject.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Encounter.participant.​type Base extensible Participant type 📍4.0.1 FHIR Std.
Encounter.participant.​individual.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Encounter.participant.​individual.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.participant.​individual.identifier.​type Base extensible IdentifierType 📍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 📦2.0.0 THO v6.5
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.
Encounter.serviceProvider.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Encounter.serviceProvider.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Encounter.serviceProvider.​identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
allowedLocalIdentifierSystems error Encounter.participant.individual.identifier.system, Encounter.serviceProvider.identifier.system Identifier system must be HPI facility, HPI Organisation, HPI CPN or NZBN $this = 'https://standards.digital.health.nz/ns/hpi-organisation-id' or $this = 'https://standards.digital.health.nz/ns/hpi-nzbn' or $this = 'https://standards.digital.health.nz/ns/hpi-facility-id' or $this = 'https://standards.digital.health.nz/ns/hpi-person-id'
full-datetime-with-timezone error Encounter.identifier.period.start, Encounter.identifier.period.end, Encounter.period.start, Encounter.period.end DateTime must be ISO 8601 format with time and timezone (e.g., 2026-01-01T00:00:00+13:00 or 2026-01-01T00:00:00Z). Date-only values are not accepted. toString().matches('^[0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\\.[0-9]+)?(Z|[+-][0-9]{2}:[0-9]{2})$')
hpi-location-url-format error Encounter.meta.source Reference must be an HPI facility URL with format https://standards.digital.health.nz/ns/hpi-facility-id/FZZ111-A matches('^https://standards.digital.health.nz/ns/hpi-facility-id/F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$')
hpiCpnPattern error Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier HPI CPN must conform to format (NNXXXX where N is numeric and X is alphabetic). system = 'https://standards.digital.health.nz/ns/hpi-person-id' implies value.matches('^[0-9]{2}[A-Za-z]{4}$')
hpiFacilityIdPattern error Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier HPI Facility ID must conform to format (FXXnnn-C). system = 'https://standards.digital.health.nz/ns/hpi-facility-id' implies value.matches('^F[A-Za-z0-9]{2}[0-9]{3}-[A-Za-z0-9]$')
hpiOrganizationIdPattern error Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier HPI Organisation ID must conform to format (GXXnnn-C). system = 'https://standards.digital.health.nz/ns/hpi-organisation-id' implies value.matches('^G[a-zA-Z0-9]{2}[0-9]{3}-[a-zA-Z0-9]$')
nhi-value-format error Encounter.subject.identifier.value Reference must be an NHI Patient URL with format ZZZ1111 or ZZZ11AA matches('^[A-Z]{3}([0-9]{4}|[0-9]{2}[A-Z]{2})$')
nzbnPattern error Encounter.participant.individual.identifier, Encounter.serviceProvider.identifier NZBN must conform to format (13 digits). system = 'https://standards.digital.health.nz/ns/hpi-nzbn' implies value.matches('^[0-9]{13}$')

 

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