Encounter

• Overview
  • Contained Location Bindings
• Terminology Bindings
• Extensions
  • Custom Extensions
• Search
  • Authorization Types
  • Parameters
  • Headers
  • Example
  • Example with RevInclude
  • Authorization Types
  • Errors
• Retrieve by id
  • Authorization Types
  • Headers
  • Example
  • Encounter Combines Example
  • Errors
• Create
  • Authorization Types
  • Headers
  • Body Fields
  • Example
  • Errors
• Patch
  • Authorization Types
  • Headers
  • Patch Operations
  • Example
  • Errors

Overview

The Encounter resource provides admissions or visits during which health care services were provided to a patient. An encounter has a class to distinguish between different health care settings such as inpatient, outpatient, emergency, etc. A patient may have one medical record number with multiple encounter numbers per facility or organization. There is substantial variance between organizations in the definition of an encounter and what events are aggregated together to constitute an encounter.

The following HL7® FHIR® US Core Implementation Guide STU 4.0.0 Profiles are supported by this resource:

• US Core Encounter Profile

The following fields are returned if valued:

• Encounter id
• Encounter identifier (eg: FIN)
• Status
• Class
• Type
• Service Type
• Priority
• Subject
  • Reference (Patient)
• Participant:
  • Type
  • Name
    • Reference (Practitioner)
• Appointment
• Start/end time of the encounter
• Reason for visit
• Incident
• Admitting diagnoses
• Administrative problem
• Hospitalization:
  • Admit source
  • Diet preference
  • Special courtesy
  • Special arrangement
  • Discharge destination
    • Reference (Location)
  • Discharge disposition
• Location:
  • Name
  • Location status
• Service provider (Organization)
• Extensions including client organization, custom attribute, estimated financial responsibility amount, estimated financial responsibility not collected reason, military service connected indicator, and payment collection status

Contained Location Bindings

Location.type

Description Indicates the type of function performed at the location. Details: v3 Code System RoleCode System: http://terminology.hl7.org/CodeSystem/v3-RoleCode

Terminology Bindings

Encounter.identifier.type

Description The type used to determine which identifier to use for a specific purpose. Details: Identifier Type Codes System: http://hl7.org/fhir/identifier-type Details: v2 Identifier Type System: http://terminology.hl7.org/CodeSystem/v2-0203 Details: Millennium Encounter AliasType System: https://fhir.cerner.com/<EHR source id>/codeSet/319

Encounter.type

Description The type of encounter. Note Encounters created with meta.security set with code 'UNCERTREL' will be returned with an external encounter type. Details: Millennium Encounter Visit Type System: https://fhir.cerner.com/<EHR source id>/codeSet/71 Details: v2 Patient Class System: http://terminology.hl7.org/CodeSystem/v2-0004 Details: SNOMED CT System: http://snomed.info/sct

Encounter.serviceType

Description Broad categorization of the service that is to be provided. Details: SNOMED CT System: http://snomed.info/sct Details: Millennium Encounter Hospital Service System: https://fhir.cerner.com/<EHR source id>/codeSet/34

Encounter.priority

Description Indicates the urgency of the encounter. Details: Encounter Priority System: http://hl7.org/fhir/encounter-priority Details: Millennium Encounter Admit Type System: https://fhir.cerner.com/<EHR source id>/codeSet/3

Encounter.participant.type

Description Role of participant in encounter. Details: ParticipantType System: http://hl7.org/fhir/participant-type Details: Millennium Encounter/Personnel Relationship System: https://fhir.cerner.com/<EHR source id>/codeSet/333

Encounter.hospitalization.admitSource

Description From where patient was admitted. Details: AdmitSource System: http://hl7.org/fhir/admit-source Details: Millennium Hospitalization Admission Source System: https://fhir.cerner.com/<EHR source id>/codeSet/2

Encounter.hospitalization.dietPreference

Description Medical, cultural or ethical food preferences to help with catering requirements. Details: Diet System: http://terminology.hl7.org/CodeSystem/diet Details: Millennium Patient Diet Preference System: https://fhir.cerner.com/<EHR source id>/codeSet/18

Encounter.hospitalization.specialCourtesy

Description Special courtesies. Details: v3 Code System EncounterSpecialCourtesy System: http://terminology.hl7.org/CodeSystem/v3-EncounterSpecialCourtesy Details: Millennium Patient VIP Status System: https://fhir.cerner.com/<EHR source id>/codeSet/67 Details: Millennium Patient Courtesy System: https://fhir.cerner.com/<EHR source id>/codeSet/16

Encounter.hospitalization.specialArrangement

Description Special arrangements. Details: SpecialArrangements System: http://hl7.org/fhir/encounter-special-arrangements

Encounter.hospitalization.dischargeDisposition

Description Discharge Disposition. Details: DischargeDisposition System: http://hl7.org/fhir/discharge-disposition Details: Millennium Encounter Discharge Disposition System: https://fhir.cerner.com/<EHR source id>/codeSet/19

Encounter.meta.security

Description Security labels applied to this resource. Note Encounters created with meta.security set with code 'UNCERTREL' will be returned with an external encounter type. Details: Observation Values System: http://terminology.hl7.org/CodeSystem/v3-ObservationValue

Encounter.extension[x].extension[x].valueCodeableConcept

Description The value of the client defined custom attribute. This binding is used for the custom-attribute-value extension nested under custom-attribute extensions. Note The terminology binding only applies when the custom-attribute-value extension is of type CodeableConcept. The value of the custom attribute is not limited to a single Code Set or nomenclature. Details: Custom Attribute Code Value System: https://fhir.cerner.com/<EHR source id>/codeSet/<code set> Details: Custom Attribute Nomenclature Value System: https://fhir.cerner.com/<EHR source id>/nomenclature

Encounter.extension[x].valueMoney.currency

Description Currency codes from [ISO 4217](https://www.iso.org/iso-4217-currency-codes.html). This binding is used in estimated-financial-responsibility-amount extensions. Details: Currencies System: urn:iso:std:iso:4217

Encounter.extension[x].valueCodeableConcept

Description The reason no estimated amount is collected for the encounter. This binding is used in estimated-financial-responsibility-not-collected-reason extensions. Details: Estimated Financial Responsibility Not Collected Reason System: https://fhir.cerner.com/<EHR source id>/codeSet/4660008

Encounter.extension[x].valueCodeableConcept

Description Identifies whether an encounter is connected to military service. This binding is used in military-service-connected-indicator extensions. Details: Military Service Connected Indicator System: https://fhir.cerner.com/<EHR source id>/codeSet/4003348

Encounter.extension[x].valueCodeableConcept

Description The payment collection status. This binding is used in payment-collection-status extensions. Details: Payment Collection Status System: https://fhir.cerner.com/<EHR source id>/codeSet/4003489

Extensions

• Client Organization
• Custom Attribute
• Estimated Financial Responsibility Amount
• Estimated Financial Responsibility Not Collected Reason
• Military Service Connected Indicator
• Payment Collection Status

Custom Extensions

All URLs for custom extensions are defined as https://fhir-ehr.cerner.com/r4/StructureDefinition/{id}

ID	Value[x] Type	Description
client-organization	Reference	The financially responsible organization.
custom-attribute	None (contains nested extensions)	A client defined custom attribute for the resource. Attribute values can be of type integer, string, CodeableConcept, or dateTime.
estimated-financial-responsibility-amount	Money	The estimated amount to be collected for the encounter.
estimated-financial-responsibility-not-collected-reason	CodeableConcept	The reason no estimated amount is collected for the encounter.
military-service-connected-indicator	CodeableConcept	Identifies whether an encounter is connected to military service.
payment-collection-status	CodeableConcept	The status of the payment collection for the encounter.

Search

Search for Encounters that meet supplied query parameters:

GET /Encounter?:parameters

Implementation Notes

• The Encounter.hospitalization.destination will be returned as a reference to a contained location resource.
• The Encounter.location.location may be returned as a reference to a contained location resource.
• A populated Encounter response bundle will be sorted from newest to oldest based on the start of the Encounter.period.

Authorization Types

Parameters

Name	Required?	Type	Description
_id	This or patient or subject or account or identifier or pageContext	token	The logical resource id associated with the Encounter. Example: 7891
patient	This or subject or account or _id or identifier or pageContext	reference	The patient present at the encounter. Example: 12345
subject	This or patient or account or _id or identifier or pageContext	reference	The patient present at the encounter. Example: subject=Patient/12345 or subject:Patient=12345
account	This or patient or subject or _id or identifier or pageContext	reference	The account associated with the encounters. Example: F703726
identifier	This or patient or subject or account or _id or pageContext	token	An encounter’s identifier. Example: urn:oid:1.2.243.58|110219457
date	No	dateTime	Datetime range into which the encounter’s period datetime falls. Must be prefixed by ‘ge’, ‘gt’, ‘le’ or ‘lt’.
_count	No	number	The maximum number of results to return.
status	No	token	The status of the encounter. Example: planned
_revinclude	No	token	Provenance resource entries to be returned as part of the bundle. Example:_revinclude=Provenance:target

Notes:

• _revinclude parameter may be provided once with the value Provenance:target. Example: _revinclude=Provenance:target
• _revinclude parameter may be provided with the _id/patient/subject/account parameter. Example: _id=74771957,4732066&_revinclude=Provenance:target
• _revinclude is provided in a request to the closed endpoint, the OAuth2 token must include the user/Provenance.read scope. Currently, patient/Provenance.read is not supported and hence _revinclude cannot be utilized for patient persona.
• _count and status must be provided with patient
• status valid parameters are planned, in-progress, finished, cancelled
• The date parameter may be provided:
  • once with a prefix ge, gt, le or lt representing the earliest datetime or latest datetime. (e.g.: date=ge2015-01-01T00:00:00.000Z, date=gt2015-01-01T00:00:00.000Z,
    date=le2016-01-01T00:00:00.000Z, date=lt2016-01-01T00:00:00.000Z)
  • twice with the prefixes of ge or gt and le or lt to indicate a specific range. (e.g.: date=ge2015-01-01T00:00:00.000Z&date=le2016-01-01T00:00:00.000Z, date=ge2015-01-01T00:00:00.000Z&date=lt2016-01-01T00:00:00.000Z, date=gt2015-01-01T00:00:00.000Z&date=le2016-01-01T00:00:00.000Z, date=gt2015-01-01T00:00:00.000Z&date=lt2016-01-01T00:00:00.000Z, )
• The identifier parameter
  • Code details are required. System is optional. If a system is not provided, search is performed across all systems supported by the Encounter resource.
  • When a valid system is provided, search is performed against the specific system.

Headers

Accept: application/fhir+json
Authorization: <OAuth2 Bearer Token>

Example

Request

GET https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter?patient=12724066

Response

Status: 200 OK

{
  "resourceType": "Bundle",
  "id": "22bae7f5-5275-477a-aebf-8ba8cebbf0b8",
  "type": "searchset",
  "total": 2,
  "link": [
    {
      "relation": "self",
      "url": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter?patient=12724066"
    }
  ],
  "entry": [
    {
      "fullUrl": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter/97939518",
      "resource": {
        "resourceType": "Encounter",
        "id": "97939518",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2020-10-02T00:08:17.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Encounter</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Location</b>: Model Hospital, MX Hospital, NU05, 102, A</p><p><b>Type</b>: Inpatient</p><p><b>Service Type</b>: Medicine-General</p><p><b>Class</b>: inpatient encounter</p><p><b>Status</b>: Finished</p><p><b>Period Start Date</b>: Dec 26, 2019  3:38 P.M. UTC</p><p><b>Period End Date</b>: Jan  7, 2020  6:00 A.M. UTC</p><p><b>Reason For Visit</b>: Illness</p><p><b>Attending Physician</b>: Cerner Test, Physician - Hospitalist Cerner</p></div>"
        },
        "extension": [
          {
            "id": "CA-0",
            "extension": [
              {
                "id": "ENCNTR:17368048",
                "valueString": "Full Reg Date/Time",
                "url": "custom-attribute-name"
              },
              {
                "valueDateTime": "2019-12-26T15:41:52.000Z",
                "url": "custom-attribute-value"
              }
            ],
            "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/custom-attribute"
          },
          {
            "id": "CA-1",
            "extension": [
              {
                "id": "ENCNTR:2572582103",
                "valueString": "Driving Dx",
                "url": "custom-attribute-name"
              },
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/nomenclature",
                      "code": "13249728",
                      "display": "Primary stabbing headache",
                      "userSelected": false
                    }
                  ],
                  "text": "Primary stabbing headache"
                },
                "url": "custom-attribute-value"
              }
            ],
            "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/custom-attribute"
          },
          {
            "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/estimated-financial-responsibility-amount",
            "valueMoney": {
              "value": 0.0,
              "currency": "USD"
            }
          }
        ],
        "identifier": [
          {
            "use": "usual",
            "type": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/319",
                  "code": "1077",
                  "display": "FIN NBR",
                  "userSelected": true
                },
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "AN",
                  "display": "Account number",
                  "userSelected": false
                }
              ],
              "text": "FIN NBR"
            },
            "_system": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                  "valueCode": "unknown"
                }
              ]
            },
            "value": "15951",
            "period": {
              "start": "2019-12-26T15:41:55.000Z"
            }
          }
        ],
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "IMP",
          "display": "inpatient encounter",
          "userSelected": false
        },
        "type": [
          {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/71",
                "code": "309308",
                "display": "Inpatient",
                "userSelected": true
              },
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
                "code": "I",
                "display": "Inpatient",
                "userSelected": false
              }
            ],
            "text": "Inpatient"
          }
        ],
        "serviceType": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/34",
              "code": "313012",
              "display": "Medicine-General",
              "userSelected": true
            },
            {
              "system": "http://snomed.info/sct",
              "code": "700232004",
              "display": "General medical service (qualifier value)",
              "userSelected": false
            }
          ],
          "text": "Medicine-General"
        },
        "priority": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/3",
              "code": "670840",
              "display": "Elective",
              "userSelected": true
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActPriority",
              "code": "EL",
              "display": "elective",
              "userSelected": false
            }
          ],
          "text": "Elective"
        },
        "subject": {
          "reference": "Patient/12724066",
          "display": "SMART, NANCY"
        },
        "participant": [
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "1119",
                    "display": "Attending Physician",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "ATND",
                    "display": "attender",
                    "userSelected": false
                  }
                ],
                "text": "Attending Physician"
              }
            ],
            "period": {
              "start": "2019-12-26T15:41:55.000Z"
            },
            "individual": {
              "reference": "Practitioner/4122622",
              "display": "Cerner Test, Physician - Hospitalist Cerner"
            }
          },
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "1121",
                    "display": "Consulting Physician",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "CON",
                    "display": "consultant",
                    "userSelected": false
                  }
                ],
                "text": "Consulting Physician"
              }
            ],
            "period": {
              "start": "2020-04-30T17:47:00.000Z",
              "end": "2020-04-30T18:01:18.000Z"
            },
            "individual": {
              "reference": "Practitioner/12732065",
              "display": "PWDiabetesMe, Physician - Hospitalist"
            }
          },
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "1121",
                    "display": "Consulting Physician",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "CON",
                    "display": "consultant",
                    "userSelected": false
                  }
                ],
                "text": "Consulting Physician"
              }
            ],
            "period": {
              "start": "2020-04-24T18:27:00.000Z",
              "end": "2020-04-24T19:01:26.000Z"
            },
            "individual": {
              "reference": "Practitioner/12732065",
              "display": "PWDiabetesMe, Physician - Hospitalist"
            }
          },
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "1126",
                    "display": "Referring Physician",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "REF",
                    "display": "referrer",
                    "userSelected": false
                  }
                ],
                "text": "Referring Physician"
              }
            ],
            "period": {
              "start": "2019-12-26T15:41:55.000Z"
            },
            "individual": {
              "reference": "Practitioner/4122622",
              "display": "Cerner Test, Physician - Hospitalist Cerner"
            }
          },
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "18883355",
                    "display": "Covering Physician",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "PPRF",
                    "display": "primary performer",
                    "userSelected": false
                  }
                ],
                "text": "Covering Physician"
              }
            ],
            "period": {
              "start": "2020-01-31T20:34:00.000Z",
              "end": "2020-01-31T21:01:21.000Z"
            },
            "individual": {
              "reference": "Practitioner/12732065",
              "display": "PWDiabetesMe, Physician - Hospitalist"
            }
          },
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "18883355",
                    "display": "Covering Physician",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "PPRF",
                    "display": "primary performer",
                    "userSelected": false
                  }
                ],
                "text": "Covering Physician"
              }
            ],
            "period": {
              "start": "2019-12-26T19:05:12.000Z",
              "end": "2020-01-17T06:01:53.000Z"
            },
            "individual": {
              "reference": "Practitioner/12724045",
              "display": "Graham, Joshua"
            }
          }
        ],
        "appointment": [
          {
            "reference": "Appointment/4818609"
          }
        ],
        "period": {
          "start": "2019-12-26T15:38:02.000Z",
          "end": "2020-01-07T06:00:00.000Z"
        },
        "reasonCode": [
          {
            "text": "Illness"
          },
          {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/nomenclature",
                "code": "111611746",
                "display": "Illness",
                "userSelected": true
              }
            ],
            "text": "Illness"
          }
        ],
        "hospitalization": {
          "admitSource": {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/2",
                "code": "4326381",
                "display": "Self (Non-HC Facility Source of Origin)",
                "userSelected": true
              }
            ],
            "text": "Self (Non-HC Facility Source of Origin)"
          }
        },
        "location": [
          {
            "location": {
              "reference": "Location/32545019",
              "display": "Model Hospital, MX Hospital, NU05, 102, A"
            },
            "status": "completed"
          }
        ],
        "serviceProvider": {
          "reference": "Organization/675844"
        }
      }
    },
    {
      "fullUrl": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter/97939539",
      "resource": {
        "resourceType": "Encounter",
        "id": "97939539",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2020-01-02T14:01:42.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Encounter</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Location</b>: Model Clinic 1, MX Clinic 1, MX Clinic 1</p><p><b>Type</b>: Outpatient</p><p><b>Service Type</b>: Cardiology</p><p><b>Class</b>: Outpatient</p><p><b>Status</b>: Finished</p><p><b>Period Start Date</b>: Dec 26, 2019  4:31 P.M. UTC</p><p><b>Period End Date</b>: Dec 27, 2019  5:59 A.M. UTC</p><p><b>Reason For Visit</b>: Illness</p><p><b>Attending Physician</b>: Cerner Test, Physician - Cardiovascular Cerner</p></div>"
        },
        "extension": [
          {
            "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/estimated-financial-responsibility-amount",
            "valueMoney": {
              "value": 0.0,
              "currency": "USD"
            }
          }
        ],
        "identifier": [
          {
            "use": "usual",
            "type": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/319",
                  "code": "1077",
                  "display": "FIN NBR",
                  "userSelected": true
                },
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "AN",
                  "display": "Account number",
                  "userSelected": false
                }
              ],
              "text": "FIN NBR"
            },
            "_system": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                  "valueCode": "unknown"
                }
              ]
            },
            "value": "15958",
            "period": {
              "start": "2019-12-26T16:33:21.000Z"
            }
          }
        ],
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
          "code": "O",
          "display": "Outpatient",
          "userSelected": false
        },
        "type": [
          {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/71",
                "code": "309309",
                "display": "Outpatient",
                "userSelected": true
              },
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
                "code": "O",
                "display": "Outpatient",
                "userSelected": false
              }
            ],
            "text": "Outpatient"
          }
        ],
        "serviceType": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/34",
              "code": "33536475",
              "display": "Cardiology",
              "userSelected": true
            },
            {
              "system": "http://snomed.info/sct",
              "code": "3471000175103",
              "display": "Cardiology service (qualifier value)",
              "userSelected": false
            }
          ],
          "text": "Cardiology"
        },
        "priority": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/3",
              "code": "670840",
              "display": "Elective",
              "userSelected": true
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActPriority",
              "code": "EL",
              "display": "elective",
              "userSelected": false
            }
          ],
          "text": "Elective"
        },
        "subject": {
          "reference": "Patient/12724066",
          "display": "SMART, NANCY"
        },
        "participant": [
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "1119",
                    "display": "Attending Physician",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "ATND",
                    "display": "attender",
                    "userSelected": false
                  }
                ],
                "text": "Attending Physician"
              }
            ],
            "period": {
              "start": "2019-12-26T16:33:21.000Z"
            },
            "individual": {
              "reference": "Practitioner/4122625",
              "display": "Cerner Test, Physician - Cardiovascular Cerner"
            }
          },
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "1126",
                    "display": "Referring Physician",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "REF",
                    "display": "referrer",
                    "userSelected": false
                  }
                ],
                "text": "Referring Physician"
              }
            ],
            "period": {
              "start": "2019-12-26T16:33:21.000Z"
            },
            "individual": {
              "reference": "Practitioner/4122625",
              "display": "Cerner Test, Physician - Cardiovascular Cerner"
            }
          },
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "681274",
                    "display": "Database Coordinator",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "PART",
                    "display": "Participation",
                    "userSelected": false
                  }
                ],
                "text": "Database Coordinator"
              }
            ],
            "period": {
              "start": "2020-07-06T19:20:00.000Z",
              "end": "2020-07-07T08:01:33.000Z"
            },
            "individual": {
              "reference": "Practitioner/12724064",
              "display": "Spence, Open Platform IA, Stephen"
            }
          },
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "18883355",
                    "display": "Covering Physician",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "PPRF",
                    "display": "primary performer",
                    "userSelected": false
                  }
                ],
                "text": "Covering Physician"
              }
            ],
            "period": {
              "start": "2020-05-19T19:07:55.000Z",
              "end": "2020-05-19T20:01:41.000Z"
            },
            "individual": {
              "reference": "Practitioner/12742575",
              "display": "Torres, Drew"
            }
          },
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "18883355",
                    "display": "Covering Physician",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "PPRF",
                    "display": "primary performer",
                    "userSelected": false
                  }
                ],
                "text": "Covering Physician"
              }
            ],
            "period": {
              "start": "2020-05-19T17:58:00.000Z",
              "end": "2020-05-19T18:02:00.000Z"
            },
            "individual": {
              "reference": "Practitioner/12742575",
              "display": "Torres, Drew"
            }
          },
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "18883355",
                    "display": "Covering Physician",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "PPRF",
                    "display": "primary performer",
                    "userSelected": false
                  }
                ],
                "text": "Covering Physician"
              }
            ],
            "period": {
              "start": "2020-05-18T20:35:00.000Z",
              "end": "2020-05-18T21:01:50.000Z"
            },
            "individual": {
              "reference": "Practitioner/12742575",
              "display": "Torres, Drew"
            }
          },
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "18883355",
                    "display": "Covering Physician",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "PPRF",
                    "display": "primary performer",
                    "userSelected": false
                  }
                ],
                "text": "Covering Physician"
              }
            ],
            "period": {
              "start": "2020-05-18T15:25:00.000Z",
              "end": "2020-05-18T16:01:14.000Z"
            },
            "individual": {
              "reference": "Practitioner/12742575",
              "display": "Torres, Drew"
            }
          },
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "18883355",
                    "display": "Covering Physician",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "PPRF",
                    "display": "primary performer",
                    "userSelected": false
                  }
                ],
                "text": "Covering Physician"
              }
            ],
            "period": {
              "start": "2020-05-18T14:26:00.000Z",
              "end": "2020-05-18T15:01:19.000Z"
            },
            "individual": {
              "reference": "Practitioner/12742575",
              "display": "Torres, Drew"
            }
          },
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "18883355",
                    "display": "Covering Physician",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "PPRF",
                    "display": "primary performer",
                    "userSelected": false
                  }
                ],
                "text": "Covering Physician"
              }
            ],
            "period": {
              "start": "2020-05-16T16:24:00.000Z",
              "end": "2020-05-16T17:01:05.000Z"
            },
            "individual": {
              "reference": "Practitioner/12742575",
              "display": "Torres, Drew"
            }
          },
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "18883355",
                    "display": "Covering Physician",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "PPRF",
                    "display": "primary performer",
                    "userSelected": false
                  }
                ],
                "text": "Covering Physician"
              }
            ],
            "period": {
              "start": "2020-05-16T15:47:00.000Z",
              "end": "2020-05-16T16:01:39.000Z"
            },
            "individual": {
              "reference": "Practitioner/12742575",
              "display": "Torres, Drew"
            }
          },
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "18883355",
                    "display": "Covering Physician",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "PPRF",
                    "display": "primary performer",
                    "userSelected": false
                  }
                ],
                "text": "Covering Physician"
              }
            ],
            "period": {
              "start": "2020-05-15T17:39:00.000Z",
              "end": "2020-05-15T18:01:29.000Z"
            },
            "individual": {
              "reference": "Practitioner/12742575",
              "display": "Torres, Drew"
            }
          },
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "18883355",
                    "display": "Covering Physician",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "PPRF",
                    "display": "primary performer",
                    "userSelected": false
                  }
                ],
                "text": "Covering Physician"
              }
            ],
            "period": {
              "start": "2020-05-15T14:51:00.000Z",
              "end": "2020-05-15T15:01:44.000Z"
            },
            "individual": {
              "reference": "Practitioner/12742575",
              "display": "Torres, Drew"
            }
          },
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "18883355",
                    "display": "Covering Physician",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "PPRF",
                    "display": "primary performer",
                    "userSelected": false
                  }
                ],
                "text": "Covering Physician"
              }
            ],
            "period": {
              "start": "2020-05-14T23:06:37.000Z",
              "end": "2020-05-15T00:01:56.000Z"
            },
            "individual": {
              "reference": "Practitioner/12742575",
              "display": "Torres, Drew"
            }
          },
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "18883355",
                    "display": "Covering Physician",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "PPRF",
                    "display": "primary performer",
                    "userSelected": false
                  }
                ],
                "text": "Covering Physician"
              }
            ],
            "period": {
              "start": "2020-05-14T22:53:00.000Z",
              "end": "2020-05-14T23:02:00.000Z"
            },
            "individual": {
              "reference": "Practitioner/12742575",
              "display": "Torres, Drew"
            }
          },
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "18883355",
                    "display": "Covering Physician",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "PPRF",
                    "display": "primary performer",
                    "userSelected": false
                  }
                ],
                "text": "Covering Physician"
              }
            ],
            "period": {
              "start": "2020-05-14T20:38:00.000Z",
              "end": "2020-05-14T21:01:11.000Z"
            },
            "individual": {
              "reference": "Practitioner/12742575",
              "display": "Torres, Drew"
            }
          },
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "18883355",
                    "display": "Covering Physician",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "PPRF",
                    "display": "primary performer",
                    "userSelected": false
                  }
                ],
                "text": "Covering Physician"
              }
            ],
            "period": {
              "start": "2020-05-14T18:03:28.000Z",
              "end": "2020-05-14T19:01:24.000Z"
            },
            "individual": {
              "reference": "Practitioner/12742575",
              "display": "Torres, Drew"
            }
          }
        ],
        "period": {
          "start": "2019-12-26T16:31:51.000Z",
          "end": "2019-12-27T05:59:59.000Z"
        },
        "reasonCode": [
          {
            "text": "Illness"
          }
        ],
        "hospitalization": {
          "admitSource": {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/2",
                "code": "309200",
                "display": "Information Not Available",
                "userSelected": true
              },
              {
                "system": "http://terminology.hl7.org/CodeSystem/admit-source",
                "code": "other",
                "display": "Other",
                "userSelected": false
              }
            ],
            "text": "Information Not Available"
          },
          "dischargeDisposition": {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/19",
                "code": "638671",
                "display": "Home or Self Care",
                "userSelected": true
              },
              {
                "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                "code": "home",
                "display": "Home",
                "userSelected": false
              }
            ],
            "text": "Home or Self Care"
          }
        },
        "location": [
          {
            "location": {
              "reference": "Location/21304876",
              "display": "Model Clinic 1, MX Clinic 1, MX Clinic 1"
            },
            "status": "completed"
          }
        ],
        "serviceProvider": {
          "reference": "Organization/685844"
        }
      }
    }
  ]
}

Note: The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

Example with RevInclude

Authorization Types

Request

GET https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter?_id=1361920&_revinclude=Provenance:target #### Response

Status: 200 OK

{
  "resourceType": "Bundle",
  "id": "ee084347-903b-494f-be58-640f1cc11ac7",
  "type": "searchset",
  "total": 1,
  "link": [
    {
      "relation": "self",
      "url": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter?_id=1361920&_revinclude=Provenance%3Atarget"
    }
  ],
  "entry": [
    {
      "fullUrl": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter/1361920",
      "resource": {
        "resourceType": "Encounter",
        "id": "1361920",
        "meta": {
          "versionId": "3",
          "lastUpdated": "1902-01-02T06:01:02.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Encounter</b></p><p><b>Patient</b>: CONNOR, JOHN</p><p><b>Location</b>: Baseline West Primary Care Clinic, BW Clinic, BW Clinic</p><p><b>Type</b>: Clinic</p><p><b>Service Type</b>: Medicine-General</p><p><b>Class</b>: Outpatient</p><p><b>Status</b>: Finished</p><p><b>Period Start Date</b>: Jan 23, 2013  2:00 P.M. CST</p><p><b>Period End Date</b>: Jan 23, 2013  7:00 A.M. CST</p><p><b>Reason For Visit</b>: annual</p><p><b>Service Provider</b>: Baseline West Primary Care Clinic</p></div>"
        },
        "extension": [
          {
            "id": "CA-0",
            "extension": [
              {
                "id": "ENCNTR:3339151",
                "valueString": "Previous Patient Type",
                "url": "custom-attribute-name"
              },
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/71",
                      "code": "22282402",
                      "display": "Clinic",
                      "userSelected": true
                    }
                  ],
                  "text": "Clinic"
                },
                "url": "custom-attribute-value"
              }
            ],
            "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/custom-attribute"
          },
          {
            "id": "CA-1",
            "extension": [
              {
                "id": "ENCNTR:17368048",
                "valueString": "Full Reg Date/Time",
                "url": "custom-attribute-name"
              },
              {
                "valueDateTime": "2013-08-05T18:14:37.000Z",
                "url": "custom-attribute-value"
              }
            ],
            "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/custom-attribute"
          },
          {
            "id": "CA-2",
            "extension": [
              {
                "id": "ENCNTR:4047481",
                "valueString": "Conversation",
                "url": "custom-attribute-name"
              },
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100040",
                      "code": "4630114",
                      "display": "Register Patient",
                      "userSelected": true
                    }
                  ],
                  "text": "Register Patient"
                },
                "url": "custom-attribute-value"
              }
            ],
            "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/custom-attribute"
          },
          {
            "valueReference": {
              "reference": "Organization/589723"
            },
            "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/client-organization"
          }
        ],
        "identifier": [
          {
            "use": "usual",
            "type": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/319",
                  "code": "1077",
                  "display": "FIN NBR",
                  "userSelected": true
                },
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "AN",
                  "display": "Account number",
                  "userSelected": false
                }
              ],
              "text": "FIN NBR"
            },
            "system": "urn:oid:1.2.243.58",
            "value": "110219457",
            "period": {
              "start": "2013-03-01T04:57:37.000Z"
            }
          }
        ],
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
          "code": "O",
          "display": "Outpatient",
          "userSelected": false
        },
        "type": [
          {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/71",
                "code": "22282402",
                "display": "Clinic",
                "userSelected": true
              },
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
                "code": "O",
                "display": "Outpatient",
                "userSelected": false
              }
            ],
            "text": "Clinic"
          }
        ],
        "serviceType": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/34",
              "code": "313012",
              "display": "Medicine-General",
              "userSelected": true
            },
            {
              "system": "http://snomed.info/sct",
              "code": "700232004",
              "display": "General medical service (qualifier value)",
              "userSelected": false
            }
          ],
          "text": "Medicine-General"
        },
        "priority": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/3",
              "code": "309205",
              "display": "Routine",
              "userSelected": true
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActPriority",
              "code": "R",
              "display": "routine",
              "userSelected": false
            }
          ],
          "text": "Routine"
        },
        "subject": {
          "reference": "Patient/1349960",
          "display": "CONNOR, JOHN"
        },
        "period": {
          "start": "2013-01-23T20:00:00.000Z",
          "end": "2013-01-23T13:00:00.000Z"
        },
        "reasonCode": [
          {
            "text": "annual"
          }
        ],
        "hospitalization": {
          "admitSource": {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/2",
                "code": "309191",
                "display": "Clinic or Physician Office Referral",
                "userSelected": true
              },
              {
                "system": "http://terminology.hl7.org/CodeSystem/admit-source",
                "code": "gp",
                "display": "General Practitioner referral",
                "userSelected": false
              }
            ],
            "text": "Clinic or Physician Office Referral"
          },
          "dischargeDisposition": {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/19",
                "code": "638671",
                "display": "Home or Self Care",
                "userSelected": true
              },
              {
                "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                "code": "home",
                "display": "Home",
                "userSelected": false
              }
            ],
            "text": "Home or Self Care"
          }
        },
        "location": [
          {
            "location": {
              "reference": "Location/20573082",
              "display": "Baseline West Primary Care Clinic, BW Clinic, BW Clinic"
            },
            "status": "completed"
          }
        ],
        "serviceProvider": {
          "reference": "Organization/667844",
          "display": "Baseline West Primary Care Clinic"
        }
      },
      "search": {
        "mode": "match"
      }
    },
    {
      "fullUrl": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Provenance/encntr-12606691",
      "resource": {
        "resourceType": "Provenance",
        "id": "encntr-12606691",
        "meta": {
          "versionId": "12606691",
          "lastUpdated": "2021-05-17T07:25:58-05:00"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Provenance</b></p><p><b>Target</b>:</p><ul><li>Encounter/1361920</li></ul><p><b>Recorded</b>: Oct 25, 2019  9:57 A.M. CDT</p><p><b>Agents</b>:</p><dl><dt>Unknown</dt><dd><b>Agent Type</b>: Transmitter</dd><dd><b>Agent Role</b>: Source</dd></dl><p><b>Entity Source</b>: DocumentReference/17255835</p></div>"
        },
        "target": [
          {
            "reference": "Encounter/1361920"
          }
        ],
        "recorded": "2019-10-25T09:57:43-05:00",
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type",
                  "code": "transmitter"
                }
              ],
              "text": "Transmitter"
            },
            "role": [
              {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/contractsignertypecodes",
                    "code": "SOURCE"
                  }
                ],
                "text": "Source"
              }
            ],
            "who": {
              "reference": "Organization/619848",
              "display": "Unknown"
            }
          }
        ],
        "entity": [
          {
            "role": "source",
            "what": {
              "reference": "DocumentReference/17255835"
            }
          }
        ]
      },
      "search": {
        "mode": "include"
      }
    }
  ]
}

Patient Authorization Request

GET https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter?patient=12724066

Response

Status: 200 OK

{
  "resourceType": "Bundle",
  "id": "8fbab4cb-bf96-46cd-8dd4-e9acf616e3ae",
  "type": "searchset",
  "link": [
    {
      "relation": "self",
      "url": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter?patient=12724066"
    },
    {
      "relation": "next",
      "url": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter?patient=12724066&-pageContext=51709352-6ee2-4d09-be3b-23dcc3fcc1eb&-pageDirection=NEXT"
    }
  ],
  "entry": [
    {
      "fullUrl": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter/97954225",
      "resource": {
        "resourceType": "Encounter",
        "id": "97954225",
        "meta": {
          "versionId": "0",
          "lastUpdated": "2020-08-04T12:37:34.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Encounter</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Location</b>: Model Behavioral Health Hospital</p><p><b>Type</b>: Outpatient</p><p><b>Class</b>: Outpatient</p><p><b>Status</b>: In Progress</p></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "type": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/319",
                  "code": "1077",
                  "display": "FIN NBR",
                  "userSelected": true
                },
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "AN",
                  "display": "Account number",
                  "userSelected": false
                }
              ],
              "text": "FIN NBR"
            },
            "system": "urn:oid:5.5.5.5.5.5.",
            "value": "16131",
            "period": {
              "start": "2020-08-04T12:37:34.000Z"
            }
          }
        ],
        "status": "in-progress",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
          "code": "O",
          "display": "Outpatient",
          "userSelected": false
        },
        "type": [
          {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/71",
                "code": "309309",
                "display": "Outpatient",
                "userSelected": true
              },
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
                "code": "O",
                "display": "Outpatient",
                "userSelected": false
              }
            ],
            "text": "Outpatient"
          }
        ],
        "subject": {
          "reference": "Patient/12724066",
          "display": "SMART, NANCY"
        },
        "participant": [
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
                    "code": "242348525",
                    "display": "Chart Review",
                    "userSelected": true
                  },
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "PART",
                    "display": "Participation",
                    "userSelected": false
                  }
                ],
                "text": "Chart Review"
              }
            ],
            "period": {
              "start": "2020-11-24T18:16:18.000Z"
            },
            "individual": {
              "reference": "Practitioner/12746397",
              "display": "Pwuptodate, RN"
            }
          }
        ],
        "location": [
          {
            "location": {
              "reference": "Location/31098367",
              "display": "Model Behavioral Health Hospital"
            },
            "status": "active"
          }
        ],
        "serviceProvider": {
          "reference": "Organization/1054423"
        }
      }
    },
    {
      "fullUrl": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter/97954261",
      "resource": {
        "resourceType": "Encounter",
        "id": "97954261",
        "meta": {
          "versionId": "0",
          "lastUpdated": "2020-08-06T14:42:26.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Encounter</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Location</b>: Model Behavioral Health Hospital</p><p><b>Type</b>: Outpatient</p><p><b>Class</b>: Outpatient</p><p><b>Status</b>: In Progress</p></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "type": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/319",
                  "code": "1077",
                  "display": "FIN NBR",
                  "userSelected": true
                },
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "AN",
                  "display": "Account number",
                  "userSelected": false
                }
              ],
              "text": "FIN NBR"
            },
            "system": "urn:oid:5.5.5.5.5.5.",
            "value": "16132",
            "period": {
              "start": "2020-08-06T14:42:26.000Z"
            }
          }
        ],
        "status": "in-progress",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
          "code": "O",
          "display": "Outpatient",
          "userSelected": false
        },
        "type": [
          {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/71",
                "code": "309309",
                "display": "Outpatient",
                "userSelected": true
              },
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
                "code": "O",
                "display": "Outpatient",
                "userSelected": false
              }
            ],
            "text": "Outpatient"
          }
        ],
        "subject": {
          "reference": "Patient/12724066",
          "display": "SMART, NANCY"
        },
        "location": [
          {
            "location": {
              "reference": "Location/31098367",
              "display": "Model Behavioral Health Hospital"
            },
            "status": "active"
          }
        ],
        "serviceProvider": {
          "reference": "Organization/1054423"
        }
      }
    },
    {
      "fullUrl": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter/97954262",
      "resource": {
        "resourceType": "Encounter",
        "id": "97954262",
        "meta": {
          "versionId": "0",
          "lastUpdated": "2020-08-06T15:21:28.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Encounter</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Location</b>: Model Behavioral Health Hospital</p><p><b>Type</b>: Outpatient</p><p><b>Class</b>: Outpatient</p><p><b>Status</b>: In Progress</p></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "type": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/319",
                  "code": "1077",
                  "display": "FIN NBR",
                  "userSelected": true
                },
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "AN",
                  "display": "Account number",
                  "userSelected": false
                }
              ],
              "text": "FIN NBR"
            },
            "system": "urn:oid:5.5.5.5.5.5.",
            "value": "16133",
            "period": {
              "start": "2020-08-06T15:21:28.000Z"
            }
          }
        ],
        "status": "in-progress",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
          "code": "O",
          "display": "Outpatient",
          "userSelected": false
        },
        "type": [
          {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/71",
                "code": "309309",
                "display": "Outpatient",
                "userSelected": true
              },
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
                "code": "O",
                "display": "Outpatient",
                "userSelected": false
              }
            ],
            "text": "Outpatient"
          }
        ],
        "subject": {
          "reference": "Patient/12724066",
          "display": "SMART, NANCY"
        },
        "location": [
          {
            "location": {
              "reference": "Location/31098367",
              "display": "Model Behavioral Health Hospital"
            },
            "status": "active"
          }
        ],
        "serviceProvider": {
          "reference": "Organization/1054423"
        }
      }
    },
    {
      "fullUrl": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter/97954294",
      "resource": {
        "resourceType": "Encounter",
        "id": "97954294",
        "meta": {
          "versionId": "0",
          "lastUpdated": "2020-08-10T15:49:27.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Encounter</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Location</b>: Model Clinic 1</p><p><b>Type</b>: Outpatient</p><p><b>Class</b>: Outpatient</p><p><b>Status</b>: In Progress</p></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "type": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/319",
                  "code": "1077",
                  "display": "FIN NBR",
                  "userSelected": true
                },
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "AN",
                  "display": "Account number",
                  "userSelected": false
                }
              ],
              "text": "FIN NBR"
            },
            "system": "urn:oid:5.5.5.5.5.5.",
            "value": "16135",
            "period": {
              "start": "2020-08-10T15:49:27.000Z"
            }
          }
        ],
        "status": "in-progress",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
          "code": "O",
          "display": "Outpatient",
          "userSelected": false
        },
        "type": [
          {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/71",
                "code": "309309",
                "display": "Outpatient",
                "userSelected": true
              },
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
                "code": "O",
                "display": "Outpatient",
                "userSelected": false
              }
            ],
            "text": "Outpatient"
          }
        ],
        "subject": {
          "reference": "Patient/12724066",
          "display": "SMART, NANCY"
        },
        "location": [
          {
            "location": {
              "reference": "Location/21304872",
              "display": "Model Clinic 1"
            },
            "status": "active"
          }
        ],
        "serviceProvider": {
          "reference": "Organization/685844"
        }
      }
    },
    {
      "fullUrl": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter/97954295",
      "resource": {
        "resourceType": "Encounter",
        "id": "97954295",
        "meta": {
          "versionId": "0",
          "lastUpdated": "2020-08-10T16:20:20.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Encounter</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Location</b>: Model Clinic 1</p><p><b>Type</b>: Outpatient</p><p><b>Class</b>: Outpatient</p><p><b>Status</b>: In Progress</p></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "type": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/319",
                  "code": "1077",
                  "display": "FIN NBR",
                  "userSelected": true
                },
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "AN",
                  "display": "Account number",
                  "userSelected": false
                }
              ],
              "text": "FIN NBR"
            },
            "system": "urn:oid:5.5.5.5.5.5.",
            "value": "16136",
            "period": {
              "start": "2020-08-10T16:20:20.000Z"
            }
          }
        ],
        "status": "in-progress",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
          "code": "O",
          "display": "Outpatient",
          "userSelected": false
        },
        "type": [
          {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/71",
                "code": "309309",
                "display": "Outpatient",
                "userSelected": true
              },
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
                "code": "O",
                "display": "Outpatient",
                "userSelected": false
              }
            ],
            "text": "Outpatient"
          }
        ],
        "subject": {
          "reference": "Patient/12724066",
          "display": "SMART, NANCY"
        },
        "location": [
          {
            "location": {
              "reference": "Location/21304872",
              "display": "Model Clinic 1"
            },
            "status": "active"
          }
        ],
        "serviceProvider": {
          "reference": "Organization/685844"
        }
      }
    },
    {
      "fullUrl": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter/97954406",
      "resource": {
        "resourceType": "Encounter",
        "id": "97954406",
        "meta": {
          "versionId": "0",
          "lastUpdated": "2020-08-18T16:45:49.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Encounter</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Location</b>: Model Clinic 1</p><p><b>Type</b>: Outpatient</p><p><b>Class</b>: Outpatient</p><p><b>Status</b>: In Progress</p></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "type": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/319",
                  "code": "1077",
                  "display": "FIN NBR",
                  "userSelected": true
                },
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "AN",
                  "display": "Account number",
                  "userSelected": false
                }
              ],
              "text": "FIN NBR"
            },
            "system": "urn:oid:5.5.5.5.5.5.",
            "value": "16148",
            "period": {
              "start": "2020-08-18T16:45:49.000Z"
            }
          }
        ],
        "status": "in-progress",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
          "code": "O",
          "display": "Outpatient",
          "userSelected": false
        },
        "type": [
          {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/71",
                "code": "309309",
                "display": "Outpatient",
                "userSelected": true
              },
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
                "code": "O",
                "display": "Outpatient",
                "userSelected": false
              }
            ],
            "text": "Outpatient"
          }
        ],
        "subject": {
          "reference": "Patient/12724066",
          "display": "SMART, NANCY"
        },
        "location": [
          {
            "location": {
              "reference": "Location/21304872",
              "display": "Model Clinic 1"
            },
            "status": "active"
          }
        ],
        "serviceProvider": {
          "reference": "Organization/685844"
        }
      }
    }
  ]
}

Note: The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

Errors

The common errors and OperationOutcomes may be returned.

Retrieve by id

List an individual Encounter by its id:

GET /Encounter/:id

Implementation Notes

• The Encounter.hospitalization.destination will be returned as a reference to a contained location resource.
• The Encounter.location.location may be returned as a reference to a contained location resource.

Authorization Types

Headers

Accept: application/fhir+json
Authorization: <OAuth2 Bearer Token>

Example

Request

GET https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter/97939518

Response

Status: 200 OK

{
  "resourceType": "Encounter",
  "id": "97939518",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2020-10-02T00:08:17.000Z"
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Encounter</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Location</b>: Model Hospital, MX Hospital, NU05, 102, A</p><p><b>Type</b>: Inpatient</p><p><b>Service Type</b>: Medicine-General</p><p><b>Class</b>: inpatient encounter</p><p><b>Status</b>: Finished</p><p><b>Period Start Date</b>: Dec 26, 2019  3:38 P.M. UTC</p><p><b>Period End Date</b>: Jan  7, 2020  6:00 A.M. UTC</p><p><b>Reason For Visit</b>: Illness</p><p><b>Attending Physician</b>: Cerner Test, Physician - Hospitalist Cerner</p></div>"
  },
  "extension": [
    {
      "id": "CA-0",
      "extension": [
        {
          "id": "ENCNTR:17368048",
          "valueString": "Full Reg Date/Time",
          "url": "custom-attribute-name"
        },
        {
          "valueDateTime": "2019-12-26T15:41:52.000Z",
          "url": "custom-attribute-value"
        }
      ],
      "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/custom-attribute"
    },
    {
      "id": "CA-1",
      "extension": [
        {
          "id": "ENCNTR:2572582103",
          "valueString": "Driving Dx",
          "url": "custom-attribute-name"
        },
        {
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/nomenclature",
                "code": "13249728",
                "display": "Primary stabbing headache",
                "userSelected": false
              }
            ],
            "text": "Primary stabbing headache"
          },
          "url": "custom-attribute-value"
        }
      ],
      "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/custom-attribute"
    },
    {
      "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/estimated-financial-responsibility-amount",
      "valueMoney": {
        "value": 0.0,
        "currency": "USD"
      }
    }
  ],
  "identifier": [
    {
      "use": "usual",
      "type": {
        "coding": [
          {
            "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/319",
            "code": "1077",
            "display": "FIN NBR",
            "userSelected": true
          },
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "AN",
            "display": "Account number",
            "userSelected": false
          }
        ],
        "text": "FIN NBR"
      },
      "_system": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode": "unknown"
          }
        ]
      },
      "value": "15951",
      "period": {
        "start": "2019-12-26T15:41:55.000Z"
      }
    }
  ],
  "status": "finished",
  "class": {
    "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
    "code": "IMP",
    "display": "inpatient encounter",
    "userSelected": false
  },
  "type": [
    {
      "coding": [
        {
          "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/71",
          "code": "309308",
          "display": "Inpatient",
          "userSelected": true
        },
        {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
          "code": "I",
          "display": "Inpatient",
          "userSelected": false
        }
      ],
      "text": "Inpatient"
    }
  ],
  "serviceType": {
    "coding": [
      {
        "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/34",
        "code": "313012",
        "display": "Medicine-General",
        "userSelected": true
      },
      {
        "system": "http://snomed.info/sct",
        "code": "700232004",
        "display": "General medical service (qualifier value)",
        "userSelected": false
      }
    ],
    "text": "Medicine-General"
  },
  "priority": {
    "coding": [
      {
        "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/3",
        "code": "670840",
        "display": "Elective",
        "userSelected": true
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActPriority",
        "code": "EL",
        "display": "elective",
        "userSelected": false
      }
    ],
    "text": "Elective"
  },
  "subject": {
    "reference": "Patient/12724066",
    "display": "SMART, NANCY"
  },
  "participant": [
    {
      "type": [
        {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
              "code": "1119",
              "display": "Attending Physician",
              "userSelected": true
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
              "code": "ATND",
              "display": "attender",
              "userSelected": false
            }
          ],
          "text": "Attending Physician"
        }
      ],
      "period": {
        "start": "2019-12-26T15:41:55.000Z"
      },
      "individual": {
        "reference": "Practitioner/4122622",
        "display": "Cerner Test, Physician - Hospitalist Cerner"
      }
    },
    {
      "type": [
        {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
              "code": "1121",
              "display": "Consulting Physician",
              "userSelected": true
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
              "code": "CON",
              "display": "consultant",
              "userSelected": false
            }
          ],
          "text": "Consulting Physician"
        }
      ],
      "period": {
        "start": "2020-04-30T17:47:00.000Z",
        "end": "2020-04-30T18:01:18.000Z"
      },
      "individual": {
        "reference": "Practitioner/12732065",
        "display": "PWDiabetesMe, Physician - Hospitalist"
      }
    },
    {
      "type": [
        {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
              "code": "1121",
              "display": "Consulting Physician",
              "userSelected": true
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
              "code": "CON",
              "display": "consultant",
              "userSelected": false
            }
          ],
          "text": "Consulting Physician"
        }
      ],
      "period": {
        "start": "2020-04-24T18:27:00.000Z",
        "end": "2020-04-24T19:01:26.000Z"
      },
      "individual": {
        "reference": "Practitioner/12732065",
        "display": "PWDiabetesMe, Physician - Hospitalist"
      }
    },
    {
      "type": [
        {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
              "code": "1126",
              "display": "Referring Physician",
              "userSelected": true
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
              "code": "REF",
              "display": "referrer",
              "userSelected": false
            }
          ],
          "text": "Referring Physician"
        }
      ],
      "period": {
        "start": "2019-12-26T15:41:55.000Z"
      },
      "individual": {
        "reference": "Practitioner/4122622",
        "display": "Cerner Test, Physician - Hospitalist Cerner"
      }
    },
    {
      "type": [
        {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
              "code": "18883355",
              "display": "Covering Physician",
              "userSelected": true
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
              "code": "PPRF",
              "display": "primary performer",
              "userSelected": false
            }
          ],
          "text": "Covering Physician"
        }
      ],
      "period": {
        "start": "2020-01-31T20:34:00.000Z",
        "end": "2020-01-31T21:01:21.000Z"
      },
      "individual": {
        "reference": "Practitioner/12732065",
        "display": "PWDiabetesMe, Physician - Hospitalist"
      }
    },
    {
      "type": [
        {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
              "code": "18883355",
              "display": "Covering Physician",
              "userSelected": true
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
              "code": "PPRF",
              "display": "primary performer",
              "userSelected": false
            }
          ],
          "text": "Covering Physician"
        }
      ],
      "period": {
        "start": "2019-12-26T19:05:12.000Z",
        "end": "2020-01-17T06:01:53.000Z"
      },
      "individual": {
        "reference": "Practitioner/12724045",
        "display": "Graham, Joshua"
      }
    }
  ],
  "appointment": [
    {
      "reference": "Appointment/4818609"
    }
  ],
  "period": {
    "start": "2019-12-26T15:38:02.000Z",
    "end": "2020-01-07T06:00:00.000Z"
  },
  "reasonCode": [
    {
      "text": "Illness"
    },
    {
      "coding": [
        {
          "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/nomenclature",
          "code": "111611746",
          "display": "Illness",
          "userSelected": true
        }
      ],
      "text": "Illness"
    }
  ],
  "hospitalization": {
    "admitSource": {
      "coding": [
        {
          "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/2",
          "code": "4326381",
          "display": "Self (Non-HC Facility Source of Origin)",
          "userSelected": true
        }
      ],
      "text": "Self (Non-HC Facility Source of Origin)"
    }
  },
  "location": [
    {
      "location": {
        "reference": "Location/32545019",
        "display": "Model Hospital, MX Hospital, NU05, 102, A"
      },
      "status": "completed"
    }
  ],
  "serviceProvider": {
    "reference": "Organization/675844"
  }
}

Note: The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

Encounter Combines Example

Cerner Millennium supports the ability to logically merge an encounter record into another encounter record when both records are describing the same ecounter. This is known as an “encounter combine”. If necessary, this merging can later be undone by performing an “encounter uncombine”. When the requested encounter record has been combined into another record, an inactive Encounter entry will be returned which has a reference to the current Encounter entry in the partOf field. Entries for combined encounters will only be returned when retrieving the entries directly by id. They will not be returned when searching with other parameters.

The ability to perform encounter combine or uncombine operations is not available through the Cerner Ignite platform.

Request

GET https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter/97865451

Response

Status: 200 OK

{
  "resourceType": "Encounter",
  "id": "97865451",
  "text": {
    "status": "generated",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Encounter</b></p><p><b>Type</b>: Unknown</p></div>"
  },
  "status": "unknown",
  "class": {
    "extension": [
      {
        "valueCode": "unknown",
        "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
      }
    ]
  },
  "type": [
    {
      "extension": [
        {
          "valueCode": "unknown",
          "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
        }
      ]
    }
  ],
  "subject": {
    "extension": [
      {
        "valueCode": "unknown",
        "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
      }
    ]
  },
  "partOf": {
    "reference": "Encounter/97855447"
  }
}

Patient Authorization Request

GET https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter/97954225

Response

Status: 200 OK

{
  "resourceType": "Encounter",
  "id": "97954225",
  "meta": {
    "versionId": "0",
    "lastUpdated": "2020-08-04T12:37:34.000Z"
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Encounter</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Location</b>: Model Behavioral Health Hospital</p><p><b>Type</b>: Outpatient</p><p><b>Class</b>: Outpatient</p><p><b>Status</b>: In Progress</p></div>"
  },
  "identifier": [
    {
      "use": "usual",
      "type": {
        "coding": [
          {
            "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/319",
            "code": "1077",
            "display": "FIN NBR",
            "userSelected": true
          },
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "AN",
            "display": "Account number",
            "userSelected": false
          }
        ],
        "text": "FIN NBR"
      },
      "system": "urn:oid:5.5.5.5.5.5.",
      "value": "16131",
      "period": {
        "start": "2020-08-04T12:37:34.000Z"
      }
    }
  ],
  "status": "in-progress",
  "class": {
    "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
    "code": "O",
    "display": "Outpatient",
    "userSelected": false
  },
  "type": [
    {
      "coding": [
        {
          "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/71",
          "code": "309309",
          "display": "Outpatient",
          "userSelected": true
        },
        {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
          "code": "O",
          "display": "Outpatient",
          "userSelected": false
        }
      ],
      "text": "Outpatient"
    }
  ],
  "subject": {
    "reference": "Patient/12724066",
    "display": "SMART, NANCY"
  },
  "participant": [
    {
      "type": [
        {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
              "code": "242348525",
              "display": "Chart Review",
              "userSelected": true
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
              "code": "PART",
              "display": "Participation",
              "userSelected": false
            }
          ],
          "text": "Chart Review"
        }
      ],
      "period": {
        "start": "2020-11-24T18:16:18.000Z"
      },
      "individual": {
        "reference": "Practitioner/12746397",
        "display": "Pwuptodate, RN"
      }
    }
  ],
  "location": [
    {
      "location": {
        "reference": "Location/31098367",
        "display": "Model Behavioral Health Hospital"
      },
      "status": "active"
    }
  ],
  "serviceProvider": {
    "reference": "Organization/1054423"
  }
}

Note: The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

Errors

The common errors and OperationOutcomes may be returned.

Create

Create an individual Encounter.

POST /Encounter

Authorization Types

Headers

Authorization: <OAuth2 Bearer Token>
Accept: application/fhir+json
Content-Type: application/fhir+json

Body Fields

Name	Required	Type
resourceType	Yes	string
Description The type of the FHIR resource. Example { "resourceType": "Encounter" } Notes resourceType must be Encounter top of section
identifier	No	List of Identifier
Description Identifier(s) by which this encounter is known. Example { "identifier": [ { "use": "usual", "type": { "coding": [ { "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/319", "code": "1077", "display": "FIN NBR" } ] }, "system": "urn:oid:3.3.3.3.3.3", "value": "2009", "period": { "start": "2017-01-17T20:39:40.000Z" } } ] } top of section
identifier.type	Yes	CodeableConcept
Description The type for the identifier that can be used to determine which identifier to use for a specific purpose. Example { "type": { "coding": [ { "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/319", "code": "1077", "display": "FIN NBR" } ] } } Example { "type": { "coding": [ { "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/319", "code": "1077" } ] } } Notes Required if identifier is given. top of section
identifier.system	Yes	uri
Description The namespace of the identifier. Example { "system": "urn:oid:3.3.3.3.3.3" } Notes Required if identifier is given. top of section
identifier.value	Yes	string
Description The unique value of the identifier Example { "value": "2009" } Notes Required if identifier is given. top of section
status	Yes	code
Description The status of the encounter. Example { "status": "in-progress" } Notes Currently do not support cancelled or entered-in-error. top of section
class	No	code
Description The classification of the encounter. Example { "class": "inpatient" } Notes Direct writing of class is not supported. This field will be inferred on a write. top of section
type	Yes	List of CodeableConcept
Description The specific type of encounter. Example { "type": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0004", "code": "O" } ] } ] } Example { "type": [ { "coding": [ { "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/71", "code": "309310" } ] } ] } top of section
priority	No	CodeableConcept
Description Indicates the urgency of the encounter. Example { "priority": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ActPriority", "code": "O" } ] } ] } Example { "priority": [ { "coding": [ { "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/3", "code": "309203" } ] } ] } top of section
subject	Yes	Reference (Patient)
Description The patient present at the encounter. Example { "subject": { "reference": "Patient/4342011" } } top of section
participant	No	List of BackboneElement
Description The list of people responsible for providing the service. Example { "participant": [ { "type": [ { "coding": [ { "system": "http://hl7.org/fhir/v3/ParticipationType", "code": "ATND" } ] } ], "period": { "start": "2017-03-02T20:01:13.000Z" }, "individual": { "reference": "Practitioner/1912007" } } ] } top of section
participant.type	Yes	List of CodeableConcept
Description Role of participant in encounter. Example { "type": [ { "coding": [ { "system": "http://hl7.org/fhir/v3/ParticipationType", "code": "ATND" } ] } ] } Example { "type": [ { "coding": [ { "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333", "code": "1126" } ] } ] } Notes Required if participant is given. top of section
participant.period	No	Period
Description The start and end times for the period the participant was involved in the encounter. Example { "period": { "start": "2017-03-02T01:13:00Z" } } top of section
participant.individual	Yes	Reference (Practitioner, RelatedPerson)
Description The personnel present at the encounter. Example { "reference": "Practitioner/1912007" } Notes Required if participant is given. top of section
period	No	Period
Description The start and end times of the encounter. Example { "period": { "start": "2017-03-02T01:13:00Z", "end": "2017-03-05T00:00:00Z" } } Notes A date with time must be provided. top of section
reasonCode	No	List of CodeableConcept
Description The reason that the encounter is taking place. Example { "reasonCode": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "208388003", "display": "Fracture At Wrist And/Or Hand Level", "userSelected": true } ] }, { "text": "Neck pain" } ] } Notes ICD-10 and SNOMED codes along with text fields are supported for reasonCode. top of section
hospitalization	No	BackboneElement
Description Details about the admission to a healthcare service. Example { "hospitalization": { "admitSource": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/admit-source", "code": "born" } ] }, "dischargeDisposition": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition", "code": "other-hcf" } ] } } } Notes Only the admitSource and dischargeDisposition fields are supported on write. top of section
hospitalization.admitSource	No	CodeableConcept
Description From where patient was admitted. Example { "admitSource": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/admit-source", "code": "born" } ] } } Example { "admitSource": { "coding": [ { "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/2", "code": "670834" } ] } } top of section
hospitalization.dischargeDisposition	No	CodeableConcept
Description Category or kind of location after discharge. Example { "dischargeDisposition": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition", "code": "other-hcf" } ] } } Example { "dischargeDisposition": { "coding": [ { "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/19", "code": "638660" } ] } } top of section
serviceProvider	Yes	Reference (Organization)
Description The organization (facility) responsible for this encounter. Example { "serviceProvider": { "reference": "Organization/619848" } } Notes serviceProvider cannot be provided when location is present. top of section
location	Yes	Reference (Location)
Description The location where the encounter takes place. Example { "location": [ { "location": { "reference": "Location/21250409" } } ] } Notes Only one location reference is permitted. location cannot be provided when serviceProvider is present. top of section
custom-attribute	No	Extension
Description A client defined custom attribute for the encounter. Example { "extension": [ { "id": "ENCNTR:2822522", "valueString": "ICD-9 Code", "url": "custom-attribute-name" }, { "valueString": "test string", "url": "custom-attribute-value" } ], "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/custom-attribute" }, { "extension": [ { "id": "ENCNTR:4047481", "valueString": "Conversation", "url": "custom-attribute-name" }, { "valueCodeableConcept": { "coding": [ { "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100040", "code": "4630114", "display": "Register Patient", "userSelected": true } ], "text": "Register Patient" }, ], "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/custom-attribute" }, { "extension": [ { "id": "ENCNTR:970558313", "valueString": "Gestational AGE", "url": "custom-attribute-name" }, { "valueInteger": 256, "url": "custom-attribute-value" } ], "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/custom-attribute" }, { "extension": [ { "id": "ENCNTR:3339152", "valueString": "Self-Pay Follow Up Date", "url": "custom-attribute-name" }, { "valueDateTime": "2020-07-03T12:00:00.000Z", "url": "custom-attribute-value" } ], "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/custom-attribute" } Notes The custom-attribute id field cannot be set. custom-attribute-name and custom-attribute-value are both required. id and valueString for custom-attribute-name are required. custom-attribute-value can be of type string, integer, dateTime, or CodeableConcept. CodeableConcept can have the following systems: https://fhir.cerner.com/<EHR source id>/nomenclature https://fhir.cerner.com/<EHR source id>/codeSet/<code set> top of section
meta.security	No	List of Coding
Description Security labels applied to this resource. Example { "meta": [ { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "UNCERTREL" } ] } ] } Notes Encounters created with meta.security set with code 'UNCERTREL' will be returned with an external encounter type. top of section

Example

Request

POST https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter

Body

{
  "resourceType": "Encounter",
  "status": "in-progress",
  "type": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
          "code": "O"
        }
      ]
    }
  ],
  "priority": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActPriority",
        "code": "EL"
      }
    ]
  },
  "subject": {
    "reference": "Patient/12724066"
  },
  "reasonCode": [
    {
      "text": "Neck Pain"
    }
  ],
  "hospitalization": {
    "admitSource": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/admit-source",
          "code": "born"
        }
      ]
    },
    "dischargeDisposition": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
          "code": "other-hcf"
        }
      ]
    }
  },
  "serviceProvider": {
    "reference": "Organization/675844"
  },
  "period": {
    "start": "2020-03-02T01:13:00Z",
    "end": "2020-03-05T00:00:00Z"
  },
  "participant": [
    {
      "type": [
        {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/333",
              "code": "1119"
            }
          ]
        }
      ],
      "period": {
        "start": "2020-03-02T20:01:13.000Z"
      },
      "individual": {
        "reference": "Practitioner/4122622"
      }
    }
  ],
  "extension": [
    {
      "extension": [
        {
          "id": "ENCNTR:2822522",
          "valueString": "ICD-9 Code",
          "url": "custom-attribute-name"
        },
        {
          "valueString": "test string",
          "url": "custom-attribute-value"
        }
      ],
      "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/custom-attribute"
    },
    {
      "extension": [
        {
          "id": "ENCNTR:4047481",
          "valueString": "Conversation",
          "url": "custom-attribute-name"
        },
        {
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100040",
                "code": "4630114",
                "display": "Register Patient",
                "userSelected": true
              }
            ],
            "text": "Register Patient"
          },
          "url": "custom-attribute-value"
        }
      ],
      "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/custom-attribute"
    },
    {
      "extension": [
        {
          "id": "ENCNTR:970558313",
          "valueString": "Gestational AGE",
          "url": "custom-attribute-name"
        },
        {
          "valueInteger": 255,
          "url": "custom-attribute-value"
        }
      ],
      "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/custom-attribute"
    },
    {
      "extension": [
        {
          "id": "ENCNTR:3339152",
          "valueString": "Self-Pay Follow Up Date",
          "url": "custom-attribute-name"
        },
        {
          "valueDateTime": "2020-07-03T12:00:00.000Z",
          "url": "custom-attribute-value"
        }
      ],
      "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/custom-attribute"
    }
  ]
}

Response

Status: 201 Created

Cache-Control: no-cache
Content-Length: 0
Content-Type: application/fhir+json
Date: Wed, 27 Mar 2019 15:59:33 GMT
Etag: W/"0"
Last-Modified: Wed, 27 Mar 2019 15:59:30 GMT
Location: https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter/1621910
Vary: Origin
X-Request-Id: 1638e30e497b93ff4383b2ff0eaeea68

The ETag response header indicates the current If-Match version to use on subsequent updates.

Errors

The common errors and OperationOutcomes may be returned.

Patch

Patch an existing encounter.

PATCH /Encounter/:id

Implementation Notes

• This implementation follows the JSON PATCH spec.
• Only operations on the paths listed below are supported.

Authorization Types

Headers

Authorization: <OAuth2 Bearer Token>
Accept: application/fhir+json
Content-Type: application/json-patch+json
If-Match: W/"<Current version of the Encounter resource>"

Patch Operations

Path	Operation	Value Type
/period/start	replace	dateTime
Description The start time of the encounter. Example { "op": "replace", "path": "/period/start", "value": "2015-09-01T00:00:00.000Z" } Notes When no value is provided the Encounter.period.start will be unset. When Encounter.period.start value is provided, time component should be provided. top of section
/period/end	replace	dateTime
Description The end time of the encounter. Example { "op": "replace", "path": "/period/end", "value": "2017-09-01T00:00:00.000Z" } Notes When no value is provided the Encounter.period.end will be unset. When Encounter.period.end value is provided, time component should be provided. top of section
/type	replace	List of CodeableConcept
Description The specific type of encounter. Example { "op": "replace", "path": "/type", "value": [ { "coding": [ { "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/71", "code": "309310" } ] } ] } Notes Encounter.type value should be a list. When a list is provided, the first value would be used to patch Encounter.type. top of section
/extension	replace	List of Extension
Description The array of extensions for an encounter. Example { "op": "replace", "path": "/extension", "value": [ { "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/payment-collection-status", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/4003489", "code": "269411463", "display": "1st Attempt - Left Message", "userSelected": true } ], "text": "1st Attempt - Left Message" } }, { 'op': 'replace', 'path': '/extension', 'value': [ { 'url': 'https://fhir-ehr.cerner.com/r4/StructureDefinition/estimated-financial-responsibility-amount', 'valueMoney': { 'value': 10.0, 'currency': 'USD' } } ] }, { 'op': 'replace', 'path': '/extension', 'value': [ { 'id': 'CA-0', 'extension': [ { 'id': 'ENCNTR:3339152', 'valueString': 'Self-Pay Follow Up Date', 'url': 'custom-attribute-name' }, { 'valueDateTime': '2018-05-01T12:00:00.000Z', 'url': 'custom-attribute-value' } ], 'url': 'https://fhir-ehr.cerner.com/r4/StructureDefinition/custom-attribute' } ] } ] } Notes Supported extensions that can be replaced: Payment Collection Status Estimated Financial Responsibility Amount Custom Attribute custom-attribute extensions without the id field populated will be treated as an add operation. Existing custom-attribute extensions that are not present will not be modified. top of section
/extension/-	add	Single Extension
Description An extension for an encounter. Example [ { "op": "add", "path": "/extension/-", "value": { "extension": [ { "id": "ENCNTR:2822522", "valueString": "ICD-9 Code", "url": "custom-attribute-name" }, { "valueString": "test string", "url": "custom-attribute-value" } ], "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/custom-attribute" } } ] Notes The custom-attribute id field cannot be set. Add operation is currently only supported for Custom Attribute Extension top of section

Example

Request

PATCH https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Encounter/97939518

Body

[
  {
    "op": "replace",
    "path": "/period/start",
    "value": "2015-09-01T00:00:00.000Z"
  },
  {
    "op": "replace",
    "path": "/period/end",
    "value": "2017-09-01T00:00:00.000Z"
  },
  {
    "op": "replace",
    "path": "/type",
    "value": [
      {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
            "code": "O",
            "display": "Outpatient",
            "userSelected": false
          }
        ]
      }
    ]
  },
  {
    "op": "replace",
    "path": "/extension",
    "value": [
      {
        "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/payment-collection-status",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/4003489",
              "code": "269411463",
              "display": "1st Attempt - Left Message",
              "userSelected": true
            }
          ],
          "text": "1st Attempt - Left Message"
        }
      }
    ]
  },
  {
    "op": "replace",
    "path": "/extension",
    "value": [
      {
        "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/estimated-financial-responsibility-amount",
        "valueMoney": {
          "value": 10.0,
          "currency": "USD"
        }
      }
    ]
  },
  {
    "op": "add",
    "path": "/extension/-",
    "value": {
      "extension": [
        {
          "id": "ENCNTR:2822522",
          "valueString": "ICD-9 Code",
          "url": "custom-attribute-name"
        },
        {
          "valueString": "test string",
          "url": "custom-attribute-value"
        }
      ],
      "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/custom-attribute"
    }
  },
  {
    "op": "replace",
    "path": "/extension",
    "value": [
      {
        "id": "CA-0",
        "extension": [
          {
            "id": "ENCNTR:3339152",
            "valueString": "Self-Pay Follow Up Date",
            "url": "custom-attribute-name"
          },
          {
            "valueDateTime": "2018-05-01T12:00:00.000Z",
            "url": "custom-attribute-value"
          }
        ],
        "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/custom-attribute"
      }
    ]
  }
]

Response

Status: 200 OK

Cache-Control: no-cache
Content-Length: 0
Content-Type: text/html
Date: Tue, 26 Mar 2019 15:42:29 GMT
Etag: W/"10"
Last-Modified: Tue, 26 Mar 2019 15:42:27 GMT
Vary: Origin
X-Request-Id: 47306a14c8a2c3afd4ab85aa9594101d

The ETag response header indicates the current If-Match version to use on subsequent updates.

Errors

The common errors and OperationOutcomes may be returned.