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Encounter Sequence can be used (v3.4.0233 or later version) to import data into non-fixed encounters.  The Encounter Sequence is a value unique to an encounter.  The Encounter Sequence for an encounter can be exported through the Data Management page, Bulk Data Tools tab, "Export All Subject Data' link.

Case 1: Have Encounter Date, but no Encounter Sequence
 - If encounter date matches an existing encounter, import will update matching encounter.
 - If no encounter found with matching encounter date, import will create a new encounter.

Case 2: No Encounter Date and have Encounter Sequence.
 - If Encounter Sequence matches an existing encounter, import will update matching encounter.
 - If no encounter found with matching Encounter Sequence, validation error for missing Encounter Date

Case 3: Have Encounter Date and have Encounter Sequence.
 - If Encounter Sequence matches an existing encounter, import will update matching encounter (including Encounter Date).
 - If no encounter found with matching Encounter Sequence, import will create a new encounter.

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