PLUGIN
0.7.0-public-consultation-1 - draft NL

PLUGIN - Local Development build (v0.7.0-public-consultation-1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: Encounter

Official URL: https://plugin.healthcare/fhir/StructureDefinition/plugin-encounter | Version: 0.7.0-public-consultation-1
Draft as of 2026-02-27 | Computable Name: PluginEncounter
Copyright/Legal: Used by permission of the PLUGIN team, all rights reserved Creative Commons License

Contactmoment tussen patiënt en zorgverlener. Maturity Level: 0 Draft.

Open issues see Github.

Een Encounter beschrijft een bezoek aan het ziekenhuis en legt vast welk specialisme hierbij betrokken was. Dit kan een (dag)opname zijn, maar ook een poliklinisch bezoek. In het geval van een langere opname, kan het zijn dat een patiënt verschillende afdelingen in het ziekenhuis aandoet. Een opname kan bijvoorbeeld beginnen op de eerste hulp (SEH), waarna de patiënt wordt overgeplaatst naar de Acute Opname Afdeling (AOA) om, via de Intensive Care (ICU) op een reguliere afdeling terecht te komen.

Het is belangrijk om op ieder moment te kunnen achterhalen welk specialisme verantwoordelijk was voor de patiënt. Ook is het, met name voor secundair gebruik, noodzakelijk om te weten wanneer de opname startte en wanneer de patiënt met ontslag ging.

Om proces dit te faciliteren, wordt in dit CDM gebruik gemaakt van een hoofd-opname en sub-opnames. De hoofdopname start zodra de patiënt wordt opgenomen en eindigt wanneer de patiënt met ontslag is gegaan. Op ieder moment dat de medische verantwoordelijkheid over een patiënt wordt overgedragen, wordt een subopname gemaakt die wordt gelinkt aan de hoofdopname via het attribuut `partOf`.

Figuur: Visualisatie van de relatie tussen Encounter resources en bezoek aan het ziekenhuis.

Usages:

- This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | NlcoreEncounter | Encounter
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..* | Identifier | Identifier(s) by which this encounter is known
status | ?!S Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class | Σ | 1..1 | Coding | ContactType Binding: ActEncounterCode (required)
serviceType | S Σ | 1..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (required)
subject | S Σ | 1..1 | Reference(Patient | nl core Patient) | The patient or group present at the encounter
Slices for participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by profile:individual.resolve()
participant:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
participant:healthProfessional | S Σ | 0..* | BackboneElement | List of participants involved in the encounter
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | S Σ | 0..1 | CodeableConcept | HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible): Role of participant in encounter.
individual | S Σ | 0..1 | Reference(PractitionerRoleWithSpecialty | nl core HealthProfessional PractitionerRole) | ContactWith
period |  | 0..1 | Period | The start and end time of the encounter
start | S Σ C | 0..1 | dateTime | StartDateTime
end | S Σ C | 0..1 | dateTime | EndDateTime
Slices for reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Slice: Unordered, Open by exists:coding Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonCode:deviatingResult | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
Slices for extension |  |  |  | Content/Rules for all slices
extension:commentContactReason | N | 0..1 | (Complex) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment
url |  | 1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
Slices for reasonReference | Σ | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) Slice: Unordered, Open by profile:resolve()
reasonReference:All Slices |  |  |  | Content/Rules for all slices
Slices for extension |  |  |  | Content/Rules for all slices
extension:commentContactReason | N | 0..1 | (Complex) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment
url |  | 1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
reasonReference:problem | Σ | 0..* | Reference(nl core Problem) | Problem
reasonReference:procedure | Σ | 0..* | Reference(nl core Procedure event) | Procedure
hospitalization |  | 0..1 | BackboneElement | Details about the admission to a healthcare service
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
admitSource | S | 0..1 | CodeableConcept | Origin Binding: HerkomstCodelijst (extensible): From where the patient was admitted.
dischargeDisposition | S | 0..1 | CodeableConcept | Destination Binding: BestemmingCodelijst (extensible): Discharge Disposition.
location |  | 0..1 | BackboneElement | List of locations where the patient has been
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
location |  | 1..1 | Reference(Location | nl core HealthcareProvider) | Location
partOf | S | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std.
Encounter.class | Base | required | ActEncounterCode | 📦3.0.0 | THO v7.0
Encounter.serviceType | Base | example | Service type | 📦4.0.1 | FHIR Std.
Encounter.priority | Base | required | ActPriority | 📦3.0.0 | THO v7.0
Encounter.participant:healthProfessional.​type | Base | extensible | ZorgverlenerRolCodelijst | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12
Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std.
Encounter.reasonCode:deviatingResult | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std.
Encounter.hospitalization.​admitSource | Base | extensible | HerkomstCodelijst | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12
Encounter.hospitalization.​dischargeDisposition | Base | extensible | BestemmingCodelijst | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Encounter | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from NlcoreEncounter

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | NlcoreEncounter | Encounter
identifier | S | 1..* | Identifier | Identifier(s) by which this encounter is known
status | S | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled +
class |  | 1..1 | Coding | ContactType Binding: ActEncounterCode (required)
serviceType | S | 1..1 | CodeableConcept | Specific type of service
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (required)
subject | S | 1..1 | Reference(Patient | nl core Patient) | The patient or group present at the encounter
Slices for participant |  |  |  | Content/Rules for all slices
participant:healthProfessional | S | 0..* | BackboneElement | List of participants involved in the encounter
type | S | 0..1 | CodeableConcept | HealthProfessionalRole
individual | S | 0..1 | Reference(PractitionerRoleWithSpecialty | nl core HealthProfessional PractitionerRole) | ContactWith
period |  |  |  |
start | S | 0..1 | dateTime | StartDateTime
end | S | 0..1 | dateTime | EndDateTime
hospitalization |  |  |  |
admitSource | S | 0..1 | CodeableConcept | Origin
dischargeDisposition | S | 0..1 | CodeableConcept | Destination
partOf | S | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Encounter.class | Base | required | ActEncounterCode | 📦3.0.0 | THO v7.0
Encounter.priority | Base | required | ActPriority | 📦3.0.0 | THO v7.0

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | NlcoreEncounter | Encounter
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | 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
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..* | Identifier | Identifier(s) by which this encounter is known
status | ?!S Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory |  | 0..* | BackboneElement | List of past encounter statuses
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status |  | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period |  | 1..1 | Period | The time that the episode was in the specified status
class | Σ | 1..1 | Coding | ContactType Binding: ActEncounterCode (required)
classHistory |  | 0..* | BackboneElement | List of past encounter classes
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
class |  | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period |  | 1..1 | Period | The time that the episode was in the specified class
type | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: EncounterType (example): The type of encounter.
serviceType | S Σ | 1..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (required)
subject | S Σ | 1..1 | Reference(Patient | nl core Patient) | The patient or group present at the encounter
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against
basedOn |  | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter
Slices for participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by profile:individual.resolve()
participant:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period |  | 0..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
participant:healthProfessional | S Σ | 0..* | BackboneElement | List of participants involved in the encounter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | S Σ | 0..1 | CodeableConcept | HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible): Role of participant in encounter.
period |  | 0..1 | Period | Period of time during the encounter that the participant participated
individual | S Σ | 0..1 | Reference(PractitionerRoleWithSpecialty | nl core HealthProfessional PractitionerRole) | ContactWith
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter
period |  | 0..1 | Period | The start and end time of the encounter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | S Σ C | 0..1 | dateTime | StartDateTime
end | S Σ C | 0..1 | dateTime | EndDateTime
length |  | 0..1 | Duration | Quantity of time the encounter lasted (less time absent)
Slices for reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Slice: Unordered, Open by exists:coding Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonCode:deviatingResult | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:commentContactReason | N | 0..1 | (Complex) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
value[x] |  | 0..1 | string | CommentContactReason
text | Σ | 0..1 | string | DeviatingResult
Slices for reasonReference | Σ | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) Slice: Unordered, Open by profile:resolve()
reasonReference:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:commentContactReason | N | 0..1 | (Complex) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
value[x] |  | 0..1 | string | CommentContactReason
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
reasonReference:problem | Σ | 0..* | Reference(nl core Problem) | Problem
reasonReference:procedure | Σ | 0..* | Reference(nl core Procedure event) | Procedure
diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
condition | Σ | 1..1 | Reference(Condition | Procedure) | 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: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank |  | 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
hospitalization |  | 0..1 | BackboneElement | Details about the admission to a healthcare service
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier |  | 0..1 | Identifier | Pre-admission identifier
origin |  | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission
admitSource | S | 0..1 | CodeableConcept | Origin Binding: HerkomstCodelijst (extensible): 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: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
dietPreference |  | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy |  | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement |  | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination |  | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged
dischargeDisposition | S | 0..1 | CodeableConcept | Destination Binding: BestemmingCodelijst (extensible): Discharge Disposition.
location |  | 0..1 | BackboneElement | List of locations where the patient has been
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
location |  | 1..1 | Reference(Location | nl core HealthcareProvider) | Location
status |  | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (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: LocationType (example): Physical form of the location.
period |  | 0..1 | Period | Time period during which the patient was present at the location
serviceProvider |  | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter
partOf | S | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Encounter.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std.
Encounter.statusHistory.​status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std.
Encounter.class | Base | required | ActEncounterCode | 📦3.0.0 | THO v7.0
Encounter.classHistory.​class | Base | extensible | ActEncounterCode | 📦3.0.0 | THO v7.0
Encounter.type | Base | example | Encounter type | 📦4.0.1 | FHIR Std.
Encounter.serviceType | Base | example | Service type | 📦4.0.1 | FHIR Std.
Encounter.priority | Base | required | ActPriority | 📦3.0.0 | THO v7.0
Encounter.participant.​type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std.
Encounter.participant:healthProfessional.​type | Base | extensible | ZorgverlenerRolCodelijst | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12
Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std.
Encounter.reasonCode:deviatingResult | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std.
Encounter.reasonReference.​type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std.
Encounter.diagnosis.​use | Base | preferred | DiagnosisRole | 📦4.0.1 | FHIR Std.
Encounter.hospitalization.​admitSource | Base | extensible | HerkomstCodelijst | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12
Encounter.hospitalization.​reAdmission | Base | example | hl7VS-re-admissionIndicator | 📦2.0.0 | THO v7.0
Encounter.hospitalization.​dietPreference | Base | example | Diet | 📦4.0.1 | FHIR Std.
Encounter.hospitalization.​specialCourtesy | Base | preferred | Special courtesy | 📦4.0.1 | FHIR Std.
Encounter.hospitalization.​specialArrangement | Base | preferred | Special arrangements | 📦4.0.1 | FHIR Std.
Encounter.hospitalization.​dischargeDisposition | Base | extensible | BestemmingCodelijst | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12
Encounter.location.status | Base | required | EncounterLocationStatus | 📍4.0.1 | FHIR Std.
Encounter.location.physicalType | Base | example | Location type | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Encounter | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from NlcoreEncounter

Summary

Mandatory: 3 elements
Must-Support: 12 elements

Structures

This structure refers to these other structures:

- nl core Patient (http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient)
- PractitionerRoleWithSpecialty (https://plugin.healthcare/fhir/StructureDefinition/plugin-practitionerrole-specialty)
- nl core HealthProfessional PractitionerRole (http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | NlcoreEncounter | Encounter
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..* | Identifier | Identifier(s) by which this encounter is known
status | ?!S Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class | Σ | 1..1 | Coding | ContactType Binding: ActEncounterCode (required)
serviceType | S Σ | 1..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (required)
subject | S Σ | 1..1 | Reference(Patient | nl core Patient) | The patient or group present at the encounter
Slices for participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by profile:individual.resolve()
participant:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
participant:healthProfessional | S Σ | 0..* | BackboneElement | List of participants involved in the encounter
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | S Σ | 0..1 | CodeableConcept | HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible): Role of participant in encounter.
individual | S Σ | 0..1 | Reference(PractitionerRoleWithSpecialty | nl core HealthProfessional PractitionerRole) | ContactWith
period |  | 0..1 | Period | The start and end time of the encounter
start | S Σ C | 0..1 | dateTime | StartDateTime
end | S Σ C | 0..1 | dateTime | EndDateTime
Slices for reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Slice: Unordered, Open by exists:coding Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonCode:deviatingResult | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
Slices for extension |  |  |  | Content/Rules for all slices
extension:commentContactReason | N | 0..1 | (Complex) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment
url |  | 1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
Slices for reasonReference | Σ | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) Slice: Unordered, Open by profile:resolve()
reasonReference:All Slices |  |  |  | Content/Rules for all slices
Slices for extension |  |  |  | Content/Rules for all slices
extension:commentContactReason | N | 0..1 | (Complex) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment
url |  | 1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
reasonReference:problem | Σ | 0..* | Reference(nl core Problem) | Problem
reasonReference:procedure | Σ | 0..* | Reference(nl core Procedure event) | Procedure
hospitalization |  | 0..1 | BackboneElement | Details about the admission to a healthcare service
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
admitSource | S | 0..1 | CodeableConcept | Origin Binding: HerkomstCodelijst (extensible): From where the patient was admitted.
dischargeDisposition | S | 0..1 | CodeableConcept | Destination Binding: BestemmingCodelijst (extensible): Discharge Disposition.
location |  | 0..1 | BackboneElement | List of locations where the patient has been
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
location |  | 1..1 | Reference(Location | nl core HealthcareProvider) | Location
partOf | S | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std.
Encounter.class | Base | required | ActEncounterCode | 📦3.0.0 | THO v7.0
Encounter.serviceType | Base | example | Service type | 📦4.0.1 | FHIR Std.
Encounter.priority | Base | required | ActPriority | 📦3.0.0 | THO v7.0
Encounter.participant:healthProfessional.​type | Base | extensible | ZorgverlenerRolCodelijst | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12
Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std.
Encounter.reasonCode:deviatingResult | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std.
Encounter.hospitalization.​admitSource | Base | extensible | HerkomstCodelijst | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12
Encounter.hospitalization.​dischargeDisposition | Base | extensible | BestemmingCodelijst | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Encounter | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from NlcoreEncounter

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | NlcoreEncounter | Encounter
identifier | S | 1..* | Identifier | Identifier(s) by which this encounter is known
status | S | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled +
class |  | 1..1 | Coding | ContactType Binding: ActEncounterCode (required)
serviceType | S | 1..1 | CodeableConcept | Specific type of service
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (required)
subject | S | 1..1 | Reference(Patient | nl core Patient) | The patient or group present at the encounter
Slices for participant |  |  |  | Content/Rules for all slices
participant:healthProfessional | S | 0..* | BackboneElement | List of participants involved in the encounter
type | S | 0..1 | CodeableConcept | HealthProfessionalRole
individual | S | 0..1 | Reference(PractitionerRoleWithSpecialty | nl core HealthProfessional PractitionerRole) | ContactWith
period |  |  |  |
start | S | 0..1 | dateTime | StartDateTime
end | S | 0..1 | dateTime | EndDateTime
hospitalization |  |  |  |
admitSource | S | 0..1 | CodeableConcept | Origin
dischargeDisposition | S | 0..1 | CodeableConcept | Destination
partOf | S | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Encounter.class | Base | required | ActEncounterCode | 📦3.0.0 | THO v7.0
Encounter.priority | Base | required | ActPriority | 📦3.0.0 | THO v7.0

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Encounter |  | 0..* | NlcoreEncounter | Encounter
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | 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
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..* | Identifier | Identifier(s) by which this encounter is known
status | ?!S Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
statusHistory |  | 0..* | BackboneElement | List of past encounter statuses
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status |  | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
period |  | 1..1 | Period | The time that the episode was in the specified status
class | Σ | 1..1 | Coding | ContactType Binding: ActEncounterCode (required)
classHistory |  | 0..* | BackboneElement | List of past encounter classes
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
class |  | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): Classification of the encounter.
period |  | 1..1 | Period | The time that the episode was in the specified class
type | Σ | 0..* | CodeableConcept | Specific type of encounter Binding: EncounterType (example): The type of encounter.
serviceType | S Σ | 1..1 | CodeableConcept | Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
priority |  | 0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (required)
subject | S Σ | 1..1 | Reference(Patient | nl core Patient) | The patient or group present at the encounter
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against
basedOn |  | 0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter
Slices for participant | Σ | 0..* | BackboneElement | List of participants involved in the encounter Slice: Unordered, Open by profile:individual.resolve()
participant:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 0..* | CodeableConcept | Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period |  | 0..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
participant:healthProfessional | S Σ | 0..* | BackboneElement | List of participants involved in the encounter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | S Σ | 0..1 | CodeableConcept | HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible): Role of participant in encounter.
period |  | 0..1 | Period | Period of time during the encounter that the participant participated
individual | S Σ | 0..1 | Reference(PractitionerRoleWithSpecialty | nl core HealthProfessional PractitionerRole) | ContactWith
appointment | Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter
period |  | 0..1 | Period | The start and end time of the encounter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | S Σ C | 0..1 | dateTime | StartDateTime
end | S Σ C | 0..1 | dateTime | EndDateTime
length |  | 0..1 | Duration | Quantity of time the encounter lasted (less time absent)
Slices for reasonCode | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Slice: Unordered, Open by exists:coding Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
reasonCode:deviatingResult | Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:commentContactReason | N | 0..1 | (Complex) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
value[x] |  | 0..1 | string | CommentContactReason
text | Σ | 0..1 | string | DeviatingResult
Slices for reasonReference | Σ | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) Slice: Unordered, Open by profile:resolve()
reasonReference:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:commentContactReason | N | 0..1 | (Complex) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
value[x] |  | 0..1 | string | CommentContactReason
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
reasonReference:problem | Σ | 0..* | Reference(nl core Problem) | Problem
reasonReference:procedure | Σ | 0..* | Reference(nl core Procedure event) | Procedure
diagnosis | Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
condition | Σ | 1..1 | Reference(Condition | Procedure) | 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: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank |  | 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
hospitalization |  | 0..1 | BackboneElement | Details about the admission to a healthcare service
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier |  | 0..1 | Identifier | Pre-admission identifier
origin |  | 0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission
admitSource | S | 0..1 | CodeableConcept | Origin Binding: HerkomstCodelijst (extensible): 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: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
dietPreference |  | 0..* | CodeableConcept | Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy |  | 0..* | CodeableConcept | Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement |  | 0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination |  | 0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged
dischargeDisposition | S | 0..1 | CodeableConcept | Destination Binding: BestemmingCodelijst (extensible): Discharge Disposition.
location |  | 0..1 | BackboneElement | List of locations where the patient has been
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
location |  | 1..1 | Reference(Location | nl core HealthcareProvider) | Location
status |  | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (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: LocationType (example): Physical form of the location.
period |  | 0..1 | Period | Time period during which the patient was present at the location
serviceProvider |  | 0..1 | Reference(Organization) | The organization (facility) responsible for this encounter
partOf | S | 0..1 | Reference(Encounter) | Another Encounter this encounter is part of
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Encounter.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std.
Encounter.statusHistory.​status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std.
Encounter.class | Base | required | ActEncounterCode | 📦3.0.0 | THO v7.0
Encounter.classHistory.​class | Base | extensible | ActEncounterCode | 📦3.0.0 | THO v7.0
Encounter.type | Base | example | Encounter type | 📦4.0.1 | FHIR Std.
Encounter.serviceType | Base | example | Service type | 📦4.0.1 | FHIR Std.
Encounter.priority | Base | required | ActPriority | 📦3.0.0 | THO v7.0
Encounter.participant.​type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std.
Encounter.participant:healthProfessional.​type | Base | extensible | ZorgverlenerRolCodelijst | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12
Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std.
Encounter.reasonCode:deviatingResult | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std.
Encounter.reasonReference.​type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std.
Encounter.diagnosis.​use | Base | preferred | DiagnosisRole | 📦4.0.1 | FHIR Std.
Encounter.hospitalization.​admitSource | Base | extensible | HerkomstCodelijst | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12
Encounter.hospitalization.​reAdmission | Base | example | hl7VS-re-admissionIndicator | 📦2.0.0 | THO v7.0
Encounter.hospitalization.​dietPreference | Base | example | Diet | 📦4.0.1 | FHIR Std.
Encounter.hospitalization.​specialCourtesy | Base | preferred | Special courtesy | 📦4.0.1 | FHIR Std.
Encounter.hospitalization.​specialArrangement | Base | preferred | Special arrangements | 📦4.0.1 | FHIR Std.
Encounter.hospitalization.​dischargeDisposition | Base | extensible | BestemmingCodelijst | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12
Encounter.location.status | Base | required | EncounterLocationStatus | 📍4.0.1 | FHIR Std.
Encounter.location.physicalType | Base | example | Location type | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Encounter | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from NlcoreEncounter

Summary

Mandatory: 3 elements
Must-Support: 12 elements

Structures

This structure refers to these other structures:

- nl core Patient (http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient)
- PractitionerRoleWithSpecialty (https://plugin.healthcare/fhir/StructureDefinition/plugin-practitionerrole-specialty)
- nl core HealthProfessional PractitionerRole (http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole)

Other representations of profile: CSV, Excel, Schematron