PLUGIN - Local Development build (v0.1.0-ci) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Encounter

Contactmoment tussen patiënt en zorgverlener. Een contact kan zowel klinisch ((dag)opname) als poliklinisch zijn.

​In het geval dat een patiënt tijdens een opname meerdere contactmomenten heeft, bijvoorbeeld als een patiënt vanaf de SEH naar de afdeling wordt overgeplaatst, wordt gebruik gemaakt van een hoofd- en deelbezoeken. Deze worden aan elkaar gekoppeld m.b.v. het attribuut partOf. De API van Epic lijkt dit te ondersteunen?

Todo's

Vaststellen type bezoek

Het attribuut class kan gebruikt worden voor het type bezoek. In nl-core-Encounter is hier een waardenlijst aan gekoppeld: https://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.zib2020@0.11.0-beta.1&filepath=package/ConceptMap-ContactTypeCodeLijst-to-ActEncounterCode.json. Vertaling naar/afstemming met de use-case AIOC moet nog plaatsvinden.

In release v6 (2023) van de ZiBs (ContactTypeCodelijst) zijn deze codes komen te vervallen en vervangen door SNOMED codes.

Oorspronkelijke locatie patiënt

Voor AIOC is het nodig te weten via welke route een patient in het ziekenhuis terecht kwam. De ValueSet hiervoor moet nog aangemaakt/gekoppeld worden.

Ontslagbestemming patiënt

Voor AIOC is het nodig te weten waar de patient na ontslag naartoe gaat. De ValueSet hiervoor moet nog aangemaakt/gekoppeld worden. Admit source, de 'preferred' value set, lijkt hiervoor geschikt?

Verantwoordelijk specialisme

In veel gevallen is het wenselijk om te achterhalen welk specialisme hoofdverantwoordelijk was voor een (deel)contact.

De route die hiervoor voor de hand ligt is participant > individual (PractitionerRole) > specialty. De nl-core (0.11.0-beta.1) bevat een profiel op PractitionerRole dat (https://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.zib2020@0.11.0-beta.1&filepath=package/ValueSet-SpecialismeCodelijsten-2.16.840.1.113883.2.4.3.11.60.121.11.22–20200901000000.json)

Aard van de betrokkenheid van een specialisme volgt dan via participant > type (admit/attend/discharge)

Alternatieven? - serviceType - serviceProvider (Organization) met ValueSet voor Organization.type - anders?

Usage:

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

Formal Views of Profile Content

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

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

This structure is derived from NlcoreEncounter

Name	Flags	Card.	Type	Description & Constraints
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	PatternNlCoreHealthProfessionalReference(PractitionerSpecialty | nl core HealthProfessional PractitionerRole)	A reference from one resource to another
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	Conformance	ValueSet	URI
Encounter.class	required	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.priority	required	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	NlcoreEncounter	Encounter
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	SΣ	1..*	Identifier	Identifier(s) by which this encounter is known
status	?!SΣ	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	SΣ	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	SΣC	1..1	Reference(Patient | nl core Patient)	The patient or group present at the encounter ref-1: SHALL have a contained resource if a local reference is provided
Slices for participant	ΣN	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	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
participant:healthProfessional	SΣ	0..*	BackboneElement	List of participants involved in the encounter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..1	CodeableConcept	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible): Role of participant in encounter.
individual	SΣC	0..1	PatternNlCoreHealthProfessionalReference(PractitionerSpecialty | nl core HealthProfessional PractitionerRole)	A reference from one resource to another ref-1: SHALL have a contained resource if a local reference is provided
Slices for reasonCode	ΣN	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	ΣN	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
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	ΣCN	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference) Slice: Unordered, Open by profile:resolve() ref-1: SHALL have a contained resource if a local reference is provided
reasonReference:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
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"
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
reasonReference:problem	ΣCN	0..*	Reference(nl core Problem)	Problem ref-1: SHALL have a contained resource if a local reference is provided
reasonReference:procedure	ΣCN	0..*	Reference(nl core Procedure event)	Procedure ref-1: SHALL have a contained resource if a local reference is provided
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	C	1..1	Reference(Location | nl core HealthcareProvider)	Location ref-1: SHALL have a contained resource if a local reference is provided
partOf	SC	0..1	Reference(Encounter)	Another Encounter this encounter is part of ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	required	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Encounter.priority	required	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.participant:healthProfessional.type	extensible	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20200901000000
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Encounter.reasonCode:deviatingResult	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Encounter.hospitalization.admitSource	extensible	HerkomstCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2--20200901000000
Encounter.hospitalization.dischargeDisposition	extensible	BestemmingCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.3--20200901000000

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
ref-1	error	Encounter.subject, Encounter.participant:healthProfessional.individual, Encounter.reasonReference, Encounter.reasonReference:problem, Encounter.reasonReference:procedure, Encounter.location.location, Encounter.partOf	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Name	Flags	Card.	Type	Description & Constraints
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
contained		0..*	Resource	Contained, inline Resources
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	SΣ	1..*	Identifier	Identifier(s) by which this encounter is known
status	?!SΣ	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	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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	C	1..1	Period	The time that the episode was in the specified status per-1: If present, start SHALL have a lower value than end
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	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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	C	1..1	Period	The time that the episode was in the specified class per-1: If present, start SHALL have a lower value than end
type	Σ	0..*	CodeableConcept	Specific type of encounter Binding: EncounterType (example): The type of encounter.
serviceType	SΣ	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	SΣC	1..1	Reference(Patient | nl core Patient)	The patient or group present at the encounter ref-1: SHALL have a contained resource if a local reference is provided
episodeOfCare	ΣC	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against ref-1: SHALL have a contained resource if a local reference is provided
basedOn	C	0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter ref-1: SHALL have a contained resource if a local reference is provided
Slices for participant	ΣN	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	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	ΣN	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period	CN	0..1	Period	Period of time during the encounter that the participant participated per-1: If present, start SHALL have a lower value than end
individual	ΣCN	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient ref-1: SHALL have a contained resource if a local reference is provided
participant:healthProfessional	SΣ	0..*	BackboneElement	List of participants involved in the encounter
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..1	CodeableConcept	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible): Role of participant in encounter.
period	C	0..1	Period	Period of time during the encounter that the participant participated per-1: If present, start SHALL have a lower value than end
individual	SΣC	0..1	PatternNlCoreHealthProfessionalReference(PractitionerSpecialty | nl core HealthProfessional PractitionerRole)	A reference from one resource to another ref-1: SHALL have a contained resource if a local reference is provided
appointment	ΣC	0..*	Reference(Appointment)	The appointment that scheduled this encounter ref-1: SHALL have a contained resource if a local reference is provided
period	C	0..1	Period	The start and end time of the encounter per-1: If present, start SHALL have a lower value than end
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	StartDateTime
end	ΣC	0..1	dateTime	EndDateTime
length	C	0..1	Duration	Quantity of time the encounter lasted (less time absent) qty-3: If a code for the unit is present, the system SHALL also be present drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
Slices for reasonCode	ΣN	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	ΣN	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	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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	N	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]	N	0..1	string	CommentContactReason
text	Σ	0..1	string	DeviatingResult
Slices for reasonReference	ΣCN	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference) Slice: Unordered, Open by profile:resolve() ref-1: SHALL have a contained resource if a local reference is provided
reasonReference:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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	N	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]	N	0..1	string	CommentContactReason
reference	ΣC	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	ΣN	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonReference:problem	ΣCN	0..*	Reference(nl core Problem)	Problem ref-1: SHALL have a contained resource if a local reference is provided
reasonReference:procedure	ΣCN	0..*	Reference(nl core Procedure event)	Procedure ref-1: SHALL have a contained resource if a local reference is provided
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	ΣC	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter ref-1: SHALL have a contained resource if a local reference is provided
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	C	0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter ref-1: SHALL have a contained resource if a local reference is provided
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin	C	0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission ref-1: SHALL have a contained resource if a local reference is provided
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	C	0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged ref-1: SHALL have a contained resource if a local reference is provided
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	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	C	1..1	Reference(Location | nl core HealthcareProvider)	Location ref-1: SHALL have a contained resource if a local reference is provided
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	C	0..1	Period	Time period during which the patient was present at the location per-1: If present, start SHALL have a lower value than end
serviceProvider	C	0..1	Reference(Organization)	The organization (facility) responsible for this encounter ref-1: SHALL have a contained resource if a local reference is provided
partOf	SC	0..1	Reference(Encounter)	Another Encounter this encounter is part of ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	required	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type from the FHIR Standard
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Encounter.priority	required	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:healthProfessional.type	extensible	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20200901000000
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Encounter.reasonCode:deviatingResult	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Encounter.reasonReference.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard
Encounter.hospitalization.admitSource	extensible	HerkomstCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2--20200901000000
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	extensible	BestemmingCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.3--20200901000000
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
drt-1	error	Encounter.length	There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM. : code.exists() implies ((system = %ucum) and value.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()
per-1	error	Encounter.statusHistory.period, Encounter.classHistory.period, Encounter.participant.period, Encounter.participant:healthProfessional.period, Encounter.period, Encounter.location.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
qty-3	error	Encounter.length	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
ref-1	error	Encounter.subject, Encounter.episodeOfCare, Encounter.basedOn, Encounter.participant.individual, Encounter.participant:healthProfessional.individual, Encounter.appointment, Encounter.reasonReference, Encounter.reasonReference:problem, Encounter.reasonReference:procedure, Encounter.diagnosis.condition, Encounter.account, Encounter.hospitalization.origin, Encounter.hospitalization.destination, Encounter.location.location, Encounter.serviceProvider, Encounter.partOf	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from NlcoreEncounter

Summary

Mandatory: 3 elements
Must-Support: 10 elements

Structures

This structure refers to these other structures:

• nl core Patient (http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient)
• Reference (http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference)
• PractitionerSpecialty (https://plugin.healthcare/fhir/StructureDefinition/plugin-practitionerrole-specialty)
• nl core HealthProfessional PractitionerRole (http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole)

Differential View

This structure is derived from NlcoreEncounter

Name	Flags	Card.	Type	Description & Constraints
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	PatternNlCoreHealthProfessionalReference(PractitionerSpecialty | nl core HealthProfessional PractitionerRole)	A reference from one resource to another
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	Conformance	ValueSet	URI
Encounter.class	required	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.priority	required	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	NlcoreEncounter	Encounter
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	SΣ	1..*	Identifier	Identifier(s) by which this encounter is known
status	?!SΣ	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	SΣ	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	SΣC	1..1	Reference(Patient | nl core Patient)	The patient or group present at the encounter ref-1: SHALL have a contained resource if a local reference is provided
Slices for participant	ΣN	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	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
participant:healthProfessional	SΣ	0..*	BackboneElement	List of participants involved in the encounter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..1	CodeableConcept	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible): Role of participant in encounter.
individual	SΣC	0..1	PatternNlCoreHealthProfessionalReference(PractitionerSpecialty | nl core HealthProfessional PractitionerRole)	A reference from one resource to another ref-1: SHALL have a contained resource if a local reference is provided
Slices for reasonCode	ΣN	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	ΣN	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
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	ΣCN	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference) Slice: Unordered, Open by profile:resolve() ref-1: SHALL have a contained resource if a local reference is provided
reasonReference:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
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"
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
reasonReference:problem	ΣCN	0..*	Reference(nl core Problem)	Problem ref-1: SHALL have a contained resource if a local reference is provided
reasonReference:procedure	ΣCN	0..*	Reference(nl core Procedure event)	Procedure ref-1: SHALL have a contained resource if a local reference is provided
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	C	1..1	Reference(Location | nl core HealthcareProvider)	Location ref-1: SHALL have a contained resource if a local reference is provided
partOf	SC	0..1	Reference(Encounter)	Another Encounter this encounter is part of ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	required	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Encounter.priority	required	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.participant:healthProfessional.type	extensible	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20200901000000
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Encounter.reasonCode:deviatingResult	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Encounter.hospitalization.admitSource	extensible	HerkomstCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2--20200901000000
Encounter.hospitalization.dischargeDisposition	extensible	BestemmingCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.3--20200901000000

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
ref-1	error	Encounter.subject, Encounter.participant:healthProfessional.individual, Encounter.reasonReference, Encounter.reasonReference:problem, Encounter.reasonReference:procedure, Encounter.location.location, Encounter.partOf	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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
contained		0..*	Resource	Contained, inline Resources
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	SΣ	1..*	Identifier	Identifier(s) by which this encounter is known
status	?!SΣ	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	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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	C	1..1	Period	The time that the episode was in the specified status per-1: If present, start SHALL have a lower value than end
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	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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	C	1..1	Period	The time that the episode was in the specified class per-1: If present, start SHALL have a lower value than end
type	Σ	0..*	CodeableConcept	Specific type of encounter Binding: EncounterType (example): The type of encounter.
serviceType	SΣ	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	SΣC	1..1	Reference(Patient | nl core Patient)	The patient or group present at the encounter ref-1: SHALL have a contained resource if a local reference is provided
episodeOfCare	ΣC	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against ref-1: SHALL have a contained resource if a local reference is provided
basedOn	C	0..*	Reference(ServiceRequest)	The ServiceRequest that initiated this encounter ref-1: SHALL have a contained resource if a local reference is provided
Slices for participant	ΣN	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	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	ΣN	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period	CN	0..1	Period	Period of time during the encounter that the participant participated per-1: If present, start SHALL have a lower value than end
individual	ΣCN	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient ref-1: SHALL have a contained resource if a local reference is provided
participant:healthProfessional	SΣ	0..*	BackboneElement	List of participants involved in the encounter
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..1	CodeableConcept	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible): Role of participant in encounter.
period	C	0..1	Period	Period of time during the encounter that the participant participated per-1: If present, start SHALL have a lower value than end
individual	SΣC	0..1	PatternNlCoreHealthProfessionalReference(PractitionerSpecialty | nl core HealthProfessional PractitionerRole)	A reference from one resource to another ref-1: SHALL have a contained resource if a local reference is provided
appointment	ΣC	0..*	Reference(Appointment)	The appointment that scheduled this encounter ref-1: SHALL have a contained resource if a local reference is provided
period	C	0..1	Period	The start and end time of the encounter per-1: If present, start SHALL have a lower value than end
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	StartDateTime
end	ΣC	0..1	dateTime	EndDateTime
length	C	0..1	Duration	Quantity of time the encounter lasted (less time absent) qty-3: If a code for the unit is present, the system SHALL also be present drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
Slices for reasonCode	ΣN	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	ΣN	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	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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	N	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]	N	0..1	string	CommentContactReason
text	Σ	0..1	string	DeviatingResult
Slices for reasonReference	ΣCN	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference) Slice: Unordered, Open by profile:resolve() ref-1: SHALL have a contained resource if a local reference is provided
reasonReference:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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	N	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]	N	0..1	string	CommentContactReason
reference	ΣC	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	ΣN	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonReference:problem	ΣCN	0..*	Reference(nl core Problem)	Problem ref-1: SHALL have a contained resource if a local reference is provided
reasonReference:procedure	ΣCN	0..*	Reference(nl core Procedure event)	Procedure ref-1: SHALL have a contained resource if a local reference is provided
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	ΣC	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter ref-1: SHALL have a contained resource if a local reference is provided
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	C	0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter ref-1: SHALL have a contained resource if a local reference is provided
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin	C	0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission ref-1: SHALL have a contained resource if a local reference is provided
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	C	0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged ref-1: SHALL have a contained resource if a local reference is provided
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	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	C	1..1	Reference(Location | nl core HealthcareProvider)	Location ref-1: SHALL have a contained resource if a local reference is provided
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	C	0..1	Period	Time period during which the patient was present at the location per-1: If present, start SHALL have a lower value than end
serviceProvider	C	0..1	Reference(Organization)	The organization (facility) responsible for this encounter ref-1: SHALL have a contained resource if a local reference is provided
partOf	SC	0..1	Reference(Encounter)	Another Encounter this encounter is part of ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	required	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type from the FHIR Standard
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Encounter.priority	required	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.participant:healthProfessional.type	extensible	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20200901000000
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Encounter.reasonCode:deviatingResult	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Encounter.reasonReference.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard
Encounter.hospitalization.admitSource	extensible	HerkomstCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2--20200901000000
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	extensible	BestemmingCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.3--20200901000000
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
drt-1	error	Encounter.length	There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM. : code.exists() implies ((system = %ucum) and value.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()
per-1	error	Encounter.statusHistory.period, Encounter.classHistory.period, Encounter.participant.period, Encounter.participant:healthProfessional.period, Encounter.period, Encounter.location.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
qty-3	error	Encounter.length	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
ref-1	error	Encounter.subject, Encounter.episodeOfCare, Encounter.basedOn, Encounter.participant.individual, Encounter.participant:healthProfessional.individual, Encounter.appointment, Encounter.reasonReference, Encounter.reasonReference:problem, Encounter.reasonReference:procedure, Encounter.diagnosis.condition, Encounter.account, Encounter.hospitalization.origin, Encounter.hospitalization.destination, Encounter.location.location, Encounter.serviceProvider, Encounter.partOf	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from NlcoreEncounter

Summary

Mandatory: 3 elements
Must-Support: 10 elements

Structures

This structure refers to these other structures:

• nl core Patient (http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient)
• Reference (http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference)
• PractitionerSpecialty (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