An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.

0. References

1. Read

Return a single Encounter for the specified id.

All requests MUST contain a valid ‘Authorization’ header and SHOULD contain an ‘Accept’ header. The `Accept` header indicates the format of the response the client is able to understand, this will be one of the following application/fhir+json or application/fhir+xml.

1.1. Response

A full set of response codes can be found here API Response Codes. FHIR Servers MUST support the following response codes:

200 successful operation
400 invalid parameter
401/4xx unauthorized request
403 insufficient scope
404 resource not found
410 resource deleted

Fetches a bundle of all Encounter resources for the specified patient.

All requests MUST contain a valid ‘Authorization’ header and SHOULD contain an ‘Accept’ header. The `Accept` header indicates the format of the response the client is able to understand, this will be one of the following application/fhir+xml or application/fhir+json.

2.1. Search Parameters

The search parameters and combinations that are mandated as a minimum in the API for the Encounter resource are detailed below.

Query parameters conformance will be categorised as:

MUST - these search parameters MUST be implemented for the specified resource type.

SHOULD - these search parameters are expected to be implemented, if the data to support the query is present in the host system.

Additional search parameters MAY be added to reflect local requirements.

To be conformant, provider systems are required to implement all of the MUST parameters.

The parameters can be used independently or in combination to help refine the search results returned.

Name Type Description Conformance Path
date date A date within the period the Encounter lasted SHOULD Encounter.period
patient reference The identity of a patient to list encounters for MUST Encounter.patient
(Patient)
status token planned | arrived | triaged | in-progress | onleave | finished | cancelled | entered-in-error | unknown MUST Encounter.status
type token Specific type of encounter SHOULD Encounter.type

Search parameter combinations and modifiers for the Encounter resource are as follows:

Parameter Combinations Type Conformance Modifiers
patient + status reference + token MUST
patient + date reference + date SHOULD date modifiers ‘ge’,‘le’,’gt’,’lt’
patient + type reference + token SHOULD
patient + type + date reference + token + date SHOULD date modifiers ‘ge’,‘le’,’gt’,’lt’

This section outlines the search parameter syntax used, with some examples provided.

2.1.1. date

See date for details on this parameter. ‘date’ can be used multiple times as a search parameter

GET [baseUrl]/Encounter?patient=1&date=ge2010-01-01&date=le2011-12-31

Return all Encounter resources that have a date greater than or equal to 1st Jan 2010, a date less than or equal to 31st Dec 2011 and Patient with a logical id of 1.

2.1.2. patient

See reference for details on this parameter. The patient parameter can be used two ways:

This MUST be supported for all endpoint provider systems.

id is the logical id of the patient on the server which can be obtained by a Patient resource query.

GET [baseUrl]/Encounter?patient=42

Return all Encounter resources for Patient with a logical id of 42

This SHOULD be supported for all endpoint provider systems.

system is a uniform resource identifier which defines which CodeSystem the identifer belongs to. For NHS Number this would be https://fhir.nhs.uk/Id/nhs-number and code would be the NHS Number.

GET [baseUrl]/Encounter?patient.identifier=https://fhir.nhs.uk/Id/nhs-number|9876543210

Return all Encounter resources for Patients with a NHS Number of 9876543210

2.1.3. status

See token for details on this parameter.

To filter on status ( planned | arrived | triaged | in-progress | onleave | finished | cancelled | entered-in-error | unknown )

GET [baseUrl]/Encounter?patient=1&status=planned

Return all Encounter resources with a status of planned and Patient with a logical id of 1.

2.1.4. type

See token for details on this parameter.

To search for Encounters with typeConsultation using SNOMED CT

GET [baseUrl]/Encounter?patient=[id]&code=http://snomed.info/sct|11429006

Return all Encounter resources with SNOMED CT encounter code of 11429006 and Patient with a logical id of 1.
GET [baseUrl]/Encounter?patient=1&code=11429006

Return all Encounter resources with an encounter code of 11429006 from any CodeSystem and Patient with a logical id of 1.

2.1.5. patient + type + date

To search for Encounters with typeConsulation and date range

GET [baseUrl]/Encounter?patient=[id]&code=http://snomed.info/sct|11429006&date=ge2010-01-01&date=le2011-12-31

Return all Encounter resources with SNOMED CT encounter code of 11429006, with a date range greater than or equal to 1st Jan 2010 -> less than or equal to 31st Dec 2011 and Patient with a logical id of 1.
GET [baseUrl]/Encounter?patient=1&code=11429006&date=ge2010-01-01&date=le2011-12-31

Return all Encounter resources with encounter code of 11429006 from any CodeSystem, with a date range greater than or equal to 1st Jan 2010 -> less than or equal to 31st Dec 2011 and Patient with a logical id of 1.

2.2. Search Response

If the search fails (cannot be executed, not that there is no matches), the return value is a status code 4xx or 5xx with an OperationOutcome.

If the search succeeds, the return content is a Bundle with type = searchset containing the results of the search as a list of resources in a defined order. The result list can be long, so servers MAY use paging. If they do, they MUST use this Paging method for breaking the list into pages if appropriate. The server MAY also return an OperationOutcome resource with additional information about the search.

A full set of response codes can be found here API Response Codes. FHIR Servers MUST support the following response codes:

200 successful operation
400 invalid parameter
401/4xx unauthorized request
403 insufficient scope
404 resource not found
410 resource deleted
## 3. Example ## ### 3.1 Request Query ###

3.1 cURL

Return all Encounter resources with an id of 4, the format of the response body will be xml. The Reference Implementation is hosted at 'https://data.developer.nhs.uk/ccri/'.
curl -X GET -H 'Accept: application/fhir+xml' -H 'Authorisation: BEARER [token]' -v 'https://data.developer.nhs.uk/ccri-fhir/STU3/Encounter?patient=4'

3.2 Explore the Response

Explore the response in XML & JSON on the Reference Implementation below

Reference Implementation

XML Patient id search RI viewer JSON Patient id search RI viewer

Tags: fhir