## Profile Comparison between https://fhir.dghs.gov.bd/core/StructureDefinition/bd-encounter vs https://fhir.dghs.gov.bd/core/StructureDefinition/bd-encounter

Left: | Encounter Profile for Bangladesh (https://fhir.dghs.gov.bd/core/StructureDefinition/bd-encounter)
Right: | Encounter Profile for Bangladesh (https://fhir.dghs.gov.bd/core/StructureDefinition/bd-encounter)

### Messages

Error | StructureDefinition.version | Values for version differ: '0.2.0' vs '0.2.3'
Information | StructureDefinition.date | Values for date differ: '2025-10-03T12:29:59+00:00' vs '2026-03-06T18:02:49+00:00'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Encounter |
copyright |  |
date | 2025-10-03T12:29:59+00:00 | 2026-03-06T18:02:49+00:00 | Values Differ
description | Profile of Encounter Bangladesh Standard |
experimental |  |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#050 |
kind | resource |
name | BDEncounterProfile |
publisher | Directorate General of Health Services (DGHS), Bangladesh |
purpose |  |
status | draft |
title | Encounter Profile for Bangladesh |
type | Encounter |
url | https://fhir.dghs.gov.bd/core/StructureDefinition/bd-encounter |
version | 0.2.0 | 0.2.3 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Encounter |  | 0..* | Encounter | An interaction during which services are provided to the patient |  | 0..* | Encounter | An interaction during which services are provided to the patient |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 1..* | Identifier | Identifier(s) by which this encounter is known | Σ | 1..* | Identifier | Identifier(s) by which this encounter is known |
status | ?!Σ | 1..1 | code | Encounter status in BD Binding: ?? (required) | ?!Σ | 1..1 | code | Encounter status in BD Binding: ?? (required) |
statusHistory |  | 0..* | BackboneElement | List of past encounter statuses |  | 0..* | BackboneElement | List of past encounter statuses |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
status |  | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: ?? (required): Current state of the encounter. |  | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: ?? (required): Current state of the encounter. |
period |  | 1..1 | Period | The time that the episode was in the specified status |  | 1..1 | Period | The time that the episode was in the specified status |
class | Σ | 1..1 | Coding | Classification of patient encounter Binding: ?? (required) | Σ | 1..1 | Coding | Classification of patient encounter Binding: ?? (required) |
classHistory |  | 0..* | BackboneElement | List of past encounter classes |  | 0..* | BackboneElement | List of past encounter classes |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
class |  | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ?? (extensible): Classification of the encounter. |  | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ?? (extensible): Classification of the encounter. |
period |  | 1..1 | Period | The time that the episode was in the specified class |  | 1..1 | Period | The time that the episode was in the specified class |
type | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: ?? (example): The type of encounter. | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: ?? (example): The type of encounter. |
serviceType | Σ | 0..1 | CodeableConcept | Specific type of service Binding: ?? (example): Broad categorization of the service that is to be provided. | Σ | 0..1 | CodeableConcept | Specific type of service Binding: ?? (example): Broad categorization of the service that is to be provided. |
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ?? (example): Indicates the urgency of the encounter. |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ?? (example): Indicates the urgency of the encounter. |
subject | Σ | 1..1 | Reference(Patient | Group) | The patient or group present at the encounter | Σ | 1..1 | Reference(Patient | Group) | The patient or group present at the encounter |
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against |
basedOn | S | 0..1 | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter | S | 0..1 | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter |
participant | Σ | 1..* | BackboneElement | List of participants involved in the encounter | Σ | 1..* | BackboneElement | List of participants involved in the encounter |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
type | Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ?? (extensible): Role of participant in encounter. | Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ?? (extensible): Role of participant in encounter. |
period |  | 1..1 | Period | Period of time during the encounter that the participant participated |  | 1..1 | Period | Period of time during the encounter that the participant participated |
individual | Σ | 0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson) | Persons involved in the encounter other than the patient | Σ | 0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson) | Persons involved in the encounter other than the patient |
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter |
period |  | 0..1 | Period | The start and end time of the encounter |  | 0..1 | Period | The start and end time of the encounter |
length |  | 0..1 | Duration | Quantity of time the encounter lasted (less time absent) |  | 0..1 | Duration | Quantity of time the encounter lasted (less time absent) |
reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: ?? (preferred): Reason why the encounter takes place. | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: ?? (preferred): Reason why the encounter takes place. |
reasonReference | Σ | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) | Σ | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) |
diagnosis | S Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter | S Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
condition | Σ | 1..1 | Reference(ICD 11) | The diagnosis or procedure relevant to the encounter | Σ | 1..1 | Reference(ICD 11) | The diagnosis or procedure relevant to the encounter |
use |  | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: ?? (preferred): The type of diagnosis this condition represents. |  | 0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: ?? (preferred): The type of diagnosis this condition represents. |
rank |  | 0..1 | positiveInt | Ranking of the diagnosis (for each role type) |  | 0..1 | positiveInt | Ranking of the diagnosis (for each role type) |
account |  | 0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter |  | 0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter |
hospitalization |  | 0..1 | BackboneElement | Details about the admission to a healthcare service |  | 0..1 | BackboneElement | Details about the admission to a healthcare service |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
preAdmissionIdentifier |  | 0..1 | Identifier | Pre-admission identifier |  | 0..1 | Identifier | Pre-admission identifier |
origin |  | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission |  | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission |
admitSource |  | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: ?? (preferred): From where the patient was admitted. |  | 0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding: ?? (preferred): From where the patient was admitted. |
reAdmission |  | 0..1 | CodeableConcept | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: ?? (example): The reason for re-admission of this hospitalization encounter. |  | 0..1 | CodeableConcept | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: ?? (example): The reason for re-admission of this hospitalization encounter. |
dietPreference |  | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: ?? (example): Medical, cultural or ethical food preferences to help with catering requirements. |  | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: ?? (example): Medical, cultural or ethical food preferences to help with catering requirements. |
specialCourtesy |  | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: ?? (preferred): Special courtesies. |  | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: ?? (preferred): Special courtesies. |
specialArrangement |  | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: ?? (preferred): Special arrangements. |  | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: ?? (preferred): Special arrangements. |
destination |  | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged |  | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged |
dischargeDisposition | S | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: ?? (example): Discharge Disposition. | S | 0..1 | CodeableConcept | Category or kind of location after discharge Binding: ?? (example): Discharge Disposition. |
location |  | 0..* | BackboneElement | List of locations where the patient has been |  | 0..* | BackboneElement | List of locations where the patient has been |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
location |  | 1..1 | Reference(Location) | Location the encounter takes place |  | 1..1 | Reference(Location) | Location the encounter takes place |
status |  | 0..1 | code | planned | active | reserved | completed Binding: ?? (required): The status of the location. |  | 0..1 | code | planned | active | reserved | completed Binding: ?? (required): The status of the location. |
physicalType |  | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: ?? (example): Physical form of the location. |  | 0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: ?? (example): Physical form of the location. |
period |  | 0..1 | Period | Time period during which the patient was present at the location |  | 0..1 | Period | Time period during which the patient was present at the location |
serviceProvider |  | 1..1 | Reference(Organization) | The organization (facility) responsible for this encounter |  | 1..1 | Reference(Organization) | The organization (facility) responsible for this encounter |
partOf | S | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of | S | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of |
Documentation for this format