{"schema":"https://ver.cy/schemas/card/1.0.0","id":"EM-HCP-03","code":"em-hcp-03","url":"https://ver.cy/models/em-hcp-03/","name":"Patient encounter","alternateNames":[],"kind":"enterprise-contour","status":"published","version":"research-checkpoint","language":"en","classifiers":{"family":"Enterprise profiles","category":"Enterprise subject","entryKind":"subject","plane":"","domain":["Enterprise","HCP"],"industry":["Healthcare provider"],"navPath":"","tags":["EM-HCP-03","W-IND","subject","Encounter","EncounterLocation","EncounterParticipant","Admission","Discharge"],"facets":{}},"whatItIs":"An interaction between a patient and a provider: an outpatient visit, an admission, a stay or a remote contact, with its period, location, participants, reason and discharge. Clinical findings and orders are linked, not stored in the encounter.","purpose":"Give each interaction between patient and provider one clear record of when, where and with whom it happened, to which orders, documents and charges can be linked.","scope":{"in":[],"out":[],"boundaries":[]},"distinguishingFeatures":["An encounter records the interaction, while clinical findings live in linked records.","Ward transfers are location periods within one encounter unless local policy says otherwise.","Billing cases are linked to encounters, not identical with them.","Participants carry roles and periods for accountability."],"structure":{"bundles":[{"id":"encounter-frame","name":"Encounter frame","description":"When and where the interaction happened.","layers":[{"id":"time-and-place","name":"Time and place","description":"Period, class, reason and locations.","findings":[{"id":"period-and-class","name":"Period and class","description":"Start, end, class and reason of the encounter.","questions":[{"text":"What are the start and end of this encounter, and what is its class, such as outpatient, inpatient or remote?","id":"period-and-class-q1"},{"text":"What reason for this encounter was recorded at its start?","id":"period-and-class-q2"}]},{"id":"locations","name":"Locations","description":"Locations occupied during the encounter.","questions":[{"text":"Which locations did the patient occupy during this encounter, and for which periods?","id":"locations-q1"}]}]}]},{"id":"accountability-and-outcome","name":"Accountability and outcome","description":"Who took part and how the encounter ended.","layers":[{"id":"participants-and-discharge","name":"Participants and discharge","description":"Participants, discharge and links.","findings":[{"id":"participants","name":"Participants","description":"Practitioners with roles and periods.","questions":[{"text":"Which practitioners took part in this encounter, in which roles and periods?","id":"participants-q1"},{"text":"Who was the responsible practitioner of this encounter at discharge?","id":"participants-q2"}]},{"id":"links-and-discharge","name":"Links and discharge","description":"Discharge disposition and linked records.","questions":[{"text":"What discharge disposition was recorded for this encounter?","id":"links-and-discharge-q1"},{"text":"Which orders, documents and charges are linked to this encounter?","id":"links-and-discharge-q2"},{"text":"Which earlier encounter or episode of care does this encounter belong to?","id":"links-and-discharge-q3"}]}]}]}]},"agentConduct":{"may":["Summarize an encounter's timeline from linked records.","Flag encounters without an end time or a responsible practitioner.","Prepare discharge paperwork drafts for clinician review."],"mustNot":["Discharge a patient or change an encounter status without clinical authority.","Merge encounters for billing convenience.","Give clinical advice based on the encounter record."],"requiresHuman":["Admission and discharge decisions are made by authorized clinicians.","Corrections of encounter periods after closure require responsible staff."]},"ethics":{"considerations":["Encounter data reveals where and when a person received care.","Errors in encounter records can affect the continuity of care."],"affectedParties":["Patients","Clinicians and nurses","Payers of care"]},"owners":{"steward":"The medical director who answers for the record of care delivery.","roles":[],"masterSystems":["Patient administration system","Electronic health record system"]},"relations":[{"target":"EM-HCP-01","type":"neighbor"},{"target":"EM-HCP-02","type":"neighbor"},{"target":"EM-HCP-05","type":"neighbor"},{"target":"EM-HCP-08","type":"neighbor"},{"target":"EM-FAC-01","type":"neighbor"},{"target":"EM-FIN-03","type":"neighbor"},{"target":"WM-ACT-018","type":"references","note":"conceptual-candidate"},{"target":"WM-ACT-014","type":"references","note":"conceptual-candidate"}],"interaction":{"identity":{"applicability":"required","items":["An encounter has an identifier unique within the provider, often called a visit or case number.","It references exactly one patient record."]},"properties":{"applicability":"not-applicable","items":[]},"recognition":{"applicability":"required","items":["Records show a patient, a period, a class, locations and participants.","An encounter must be distinguished from an appointment, an episode of care and a billing case."]},"capabilities":{"applicability":"required","items":["The contour supports bed and location tracking, accountability and linking of care records."]},"hazards":{"applicability":"required","items":["Wrong location or patient data can send staff or results to the wrong place.","Encounters left open distort occupancy and billing."]},"interfaces":{"applicability":"optional","items":["HL7 International publishes the FHIR Encounter resource.","IHE publishes integration profiles for patient administration across systems."]},"context":{"applicability":"required","items":["The contour is used in hospitals, clinics, emergency services and telehealth.","Hospital reporting rules may define encounter categories."]}},"sources":[{"title":"HL7 FHIR: Encounter resource"},{"title":"openEHR: composition context and care setting"},{"title":"Admission, discharge and transfer practice"},{"title":"HL7 FHIR R4 Encounter resource","url":"https://hl7.org/fhir/R4/encounter.html","note":"Checked live (HTTP 200) on 2026-10-21."},{"title":"HL7 FHIR R4 Provenance resource","url":"https://hl7.org/fhir/R4/provenance.html","note":"Checked live (HTTP 200) on 2026-10-21."}],"openQuestions":["When does a transfer between wards create a new encounter and when only a location change?","How are the encounter class and service type kept apart from billing categories?","Which participant roles are needed for accountability?","Settle the boundary and the reuse, extend or new decision against the current specifications.","Confirm the semantic crosswalk, rights and source mastership.","Choose immutable references and run fixture checks before claiming publication readiness."],"resources":{"source":"https://ver.cy/enterprise/models/em-hcp-03/"},"provenance":{"origin":"enterprise research programme","builtFrom":["enterprise/models/em-hcp-03/brief.json","ver-cy/world-models/card-supplements/em-hcp-03.json"],"providers":[],"researchStatus":"published-partial","generatedAt":"","builder":"tools/build_cards.py@1.0.0"},"completeness":{"sections":{"classifiers":"filled","whatItIs":"filled","purpose":"filled","distinguishingFeatures":"filled","structure":"filled","agentConduct":"filled","ethics":"filled","owners":"filled","relations":"filled","interaction.identity":"filled","interaction.properties":"not-applicable","interaction.recognition":"filled","interaction.capabilities":"filled","interaction.hazards":"filled","interaction.interfaces":"filled","interaction.context":"filled","sources":"filled"},"notes":{"interaction.properties":"Enterprise record contour: physical properties belong to referenced world models.","_supplement":"Sections authored in card supplement 1.1.0 by Claude (Opus 5.5) (2026-10-21, unreviewed). Written from the industry contour brief and established practice in the field; source pages were checked live on 2026-10-21. Unreviewed.","_gate":"Published through the contour publication gate 1.0 on 2026-10-21T19:02:23+00:00: completeness 1.00; subject: research brief; 2 live sources; review by codex: pass"},"score":1.0}}